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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...24 hours a day, 7 days a week. Medical necessity determination requests can be submitted 24 hours a day, seven days a week via a dedicated fax line and the...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...Urgent Care Usually, open 7 days a week with additional evening and weekend hours. When your provider is not available. Common illnesses, x-rays, deep cuts, etc. Used to treat a...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...This includes high standards of care and the same hours of operation. Identifying the member’s health needs and taking appropriate action. Providing phone coverage for handling patient calls 24 hours...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...to submit additional information for expedited clinical appeals. CareSource will outreach to the member within one business day about any information needed to evaluate the expedited appeal and will outreach...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/As a CareSource member, you get extra benefits. These are for Georgia Families®, Georgia Pathways to CoverageTM, or PeachCare for Kids®, unless stated. For a full list of benefits and...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...place to see patients within specific time frames, provide appropriate after-hours instructions, and offer office hours to their CareSource patients that are at least the equivalent of those offered to...
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FAQs
https://www.caresource.com/members/education/faqs/...711) Monday through Friday, 8 a.m. to 5 p.m. CT. You can also contact us online through the Tell Us form. What if I have a health question after hours?...
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ADDITIONAL SERVICES
https://www.caresource.com/benefits-services/additional-services/...24 hours a day, 365 days a year. Call 1-833-687-7370 (TTY: 1-833-711-4711 or 711) to speak to a nurse. The number is also listed on your HAP CareSource MI Health...
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Additional Services
https://www.caresource.com/plans/dsnp/benefits-services/additional-services/...and help you decide what kind of care you need. Nurses are available 24 hours a day, 365 days a year. The number is also on your CareSource member ID...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...exception review of requests, the timeframe for review is 72 hours from when we receive the request. For expedited exception review requests, the timeframe for review is 24 hours from...
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