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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...business Corrective action of any identified fraud, waste and/or abuse are available in the provider manual. For provider terminations/suspensions information, see the CareSource Fair Hearing Plan (coming soon). Prohibited Affiliations...
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Contact Us
https://www.caresource.com/providers/contact-us/...contact for your questions. Department Phone Hours of Operation Additional Information Provider Services 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. Central Time (CT) Member Services 1-833-230-2005 Monday through...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...protocols and guidelines. Providers can submit requests by any of the methods identified below. Providers are required to submit pertinent medical/drug history, prior treatment history and any other necessary supporting...
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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...Program Integrity Provider Prepayment Review Provider Billing for Services by a Family Member Provider Preventable Conditions R Relatives or Guardians as Paid Providers S Sentinel Events and Provider Preventable Conditions...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...that all providers involved in their care can effectively coordinate their care. For questions not addressed on our website, please call Provider Services at 1-833-230-2176. You can reach us Monday...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/Our Commitment We are committed to improving our beneficiaries’ health by removing barriers to care and working with our community partners and providers to drive meaningful change. Provider Responsibilities Providers...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...and through focused meetings with CareSource Provider Engagement Specialists. A broad range of wellness, preventive health and chronic disease management tools are also available on the CareSource member website, newsletters...
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FAQs
https://www.caresource.com/members/education/faqs/...away to DFCS. Find the address to your local county office. In Person. Visit your local county DFCS office. Find the address to your local county office. How can I...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...Next Generation Managed Care: Prior Authorization and Claims Quick Reference Guide ODM Telehealth Billing Provider Reference Guide Opioid Tool Kit Provider Attestation FAQs Provider Immunization Guide Provider Portal: Assessments and...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...information to manage their disease, promote self-management skills, and provide additional resources Coordination with outreach One-to-one care management Benefits to Member and Providers Members enrolled in a disease management program...
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