...(GA LIP) GA LIP is a health and safety program which protects members whose use of services exceeds medical necessity. Use of controlled substances are monitored and members are assigned...

...lets you work on your social skills. Services are given in a community setting. It can last a half day or whole day. Partial Hospitalization Program (PHP) Services PHP is...

...or a member of the Armed Forces, who lawfully may not sell or pledge property; or Knowingly makes, used, or causes to be made or used, a false record or...

...Health Partner Step-by-Step Guide. Get Credentialed Complete your application with supporting documents. Providers who wish to contract with CareSource® must also be credentialed. Through credentialing, we check the qualifications and...

...of providers: Family practice providers: Providers who care for children and adults of all ages and may include obstetrics and minor surgery. Nurse practitioners (NP) and physician assistants (PA):Providers who...

...services were billed to CareSource and how they were paid. It lists: The member who got the service The provider who billed for the service The date the service was...

...External Medical Review Providers who disagree with CareSource’s determination on appeal to deny, limit, reduce, suspend, or terminate a covered service for lack of medical necessity may request an External...

...services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed medications or other medical equipment paid for by CareSource Provide inaccurate...

...tell you where you need to return each form, who to contact if you have questions and any next steps to take. Forms may be downloaded for printing. Tell Us...

...Medication List and Medication Action Plan by mail. Quarterly targeted medication reviews. Follow-up steps as necessary. Who Can Be in the Program? CareSource members who have chronic health conditions and...