-
Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...contracts with Medicare to provide all Part A and B benefits. Medicare Advantage Plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, Special Needs Plans, and...
-
Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...
-
Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...pre-approval. There may also be differences between the Healthy Indiana Plan and Hoosier Healthwise plans. More details are in the HHW and HIP Summary of Benefits sections. Questions about PA?...
-
Behavioral Health
https://www.caresource.com/behavioral-health/...including: Contracting and credentialing Claims processing and payment Referrals and triage Care management Contact Beacon at 1-877-380-9729 to: Verify available behavioral health and substance abuse benefits Seek an appointment Seek...
-
Care Managment
https://www.caresource.com/plans/dsnp/benefits-services/care-disease-management/...like: Helping get your medications and supplies. Explaining insurance benefits and services. Providing education on chronic illnesses. Connecting to community resources. Helping you coordinate transportation. Finding after-hours support if you...
-
Exercise During Pregnancy
https://www.caresource.com/members/education/pregnancy/exercise-during-pregnancy/...is safe for the most part. Plus, it has many benefits, and helps you through your pregnancy. How does exercising during pregnancy help? Exercising during pregnancy can: Help boost your...
-
My CareSource Rewards Program
https://www.caresource.com/plans/mycare/benefits-services/rewards/my-caresource-rewards/...check with your primary care provider (PCP) or Care Manager to see what services you may need. Additional Information Rewards will be added to your Healthy Benefits+ card. You get...
-
Claims
https://www.caresource.com/arkansas/claims/In addition to information about how to submit claims and check payments, CareSource® offers you tools to find specific information, such as claim status and member coordination of benefits (COB)...
-
ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/...these added benefits. If a member has already paid an upcoming premium but re-enrolled to take advantage of the new APTC, any extra amount they may have paid toward their...
-
Laboratory
https://www.caresource.com/providers/education/patient-care/laboratory/...learn about updates and changes that impact your practice. CareSource PASSE follows Arkansas Medicaid guidelines for lab benefits. The CareSource PASSE benefit year is a calendar year. More information can...
Found 317 results for
benefits