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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...don’t need Get care or drugs under some other person’s ID Give wrong symptoms to get treatment, drugs, and other care Have too many ER visits for problems that are...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...a.m. to 7 p.m. Eastern Time, Monday through Friday. Care Management Our Care Management team can help you navigate the health care system. A Care Manager can help you find...
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Marketplace
https://www.caresource.com/plans/marketplace/...on how you and CareSource share the cost of your health care. Note: many CareSource members are eligible for helpful government subsidies, which will lower your cost for health care....
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FAQs
https://www.caresource.com/providers/education/faqs/...request. Timely Filing Requirements What are the requirements for timely filing? All CareSource claims that are clean with correct coordination of benefits will now be accepted 180 days from the...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/...Is Health Care Power of Attorney (POA)? A health care POA allows you to choose an adult who would make health care choices for you if you are not able....
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...to see how well we are doing. Some of the areas of care and service that we look at are: Well-child care Preventive screenings Prenatal and postpartum care Chronic disease...
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Suicide Prevention Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/suicide-prevention-toolkit/We are committed to zero suicides. We recognize the important role you play in our members’ lives through their visits to your practice. We are committed to partnering with you...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...your disagreement is limited to the amounts a non-contracted provider could collect if the beneficiary were enrolled in original Medicare pursuant to § 422.214(a)(l), you should use the plan’s internal...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...added as appropriate, while previous versions are maintained in the policy archive. These policy changes are maintained on this site. These medical policies apply to the MyCare Ohio (Medicare-Medicaid) plan....
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...are happy with your CareSource benefits and services. If you are dissatisfied with a provider, disagree with a decision we have made, or are you are unhappy with something about...
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