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Rights and Responsibilities
https://www.caresource.com/plans/mississippican/rights-and-responsibilities/...get from out-of-network providers and understand how to ask for authorization for such services. To follow established processes for prior authorization when requesting inpatient services and letting TrueCare know of...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippi-chip/rights-and-responsibilities/...get from out-of-network providers and understand how to ask for authorization for such services. To follow established processes for prior authorization when requesting inpatient services and letting TrueCare know of...
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Health, Safety & Welfare
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/...Child Abuse Hotline 1-800-482-5964 (TDD: 1-800-843-6349) Arkansas LEAPS Form Use this form to report adult maltreatment online. Training for Arkansas Mandated Reporters Learn how to recognize and report suspected abuse....
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/...Quote.” If you qualify for federal help in the form of the Advance Premium Tax Credit (APTC) or a Cost Sharing Reduction (CSR) plan, a pop up will appear. To...
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CareSource Interoperability Overview
https://www.caresource.com/about-us/legal/interoperability-apis/...Use the HL7 FHIR (Fast Healthcare Interoperability Resource) for patient and publicly available provider data Use of OAuth 2.0 or Open ID for authorization flows to support for member authorization...
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Claim Payment Disputes
https://www.caresource.com/providers/provider-portal/claim-payment-disputes/...claim. At a minimum, the dispute submission must include: Claim payment disputes must be submitted in writing. If your denial involves a denied authorization request involving a medical necessity review...
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Drug Transition Policy
https://www.caresource.com/plans/mycare/benefits-services/pharmacy/drug-transition-policy/...of your membership and your medication is not on your new plan’s covered drug list (formulary) or coverage is limited in some way, such as prior authorization, step therapy, or...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...the behavioral health care manager role? The behavioral health care manager is a designated team member of the CoCM team with formal education or specialized training in behavioral health (e.g.,...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...the form for payment. Your online payment will take 3-5 business days to be received and posted to your account. CareSource is now accepting GooglePay® and ApplePay®. MAIL: CareSource P.O....
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...you and the person that you appoint must complete the Appointment of Representative form. Return the completed form to us along with your grievance, appeal, or request for an external...
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authorization form