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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2168. CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Transition of Care CareSource will coordinate...
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Marketplace
https://www.caresource.com/plans/marketplace/...$0 chronic care medical services. Learn More HEALTHY HEART HEALTHY HEART Gold and Silver Plans CareSource has always been “Health Care with Heart®.” We’re also “Health Care For Your Heart”...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Policy Updates April 2023 02/27/2023 CareSource and AbsoluteCare Partner to Improve Health Outcomes 02/22/2023 Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series This notification has been revised. See...
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Training & Events
https://www.caresource.com/providers/education/training-events/...to keep CareSource members healthy. To support you, we will be rewarding you $20 for each flu shot you administer to CareSource patients in your practice! FIND OUT MORE We...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...care and service to be sure that you get high quality care. These include: Well-child care Preventive screenings Prenatal and postpartum care Chronic disease management for conditions such as: Asthma...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...us using one of the methods above. Report suspected fraud and abuse to CareSource. Thank you for helping CareSource keep fraud, waste and abuse out of health care. Medicaid can...
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Pharmacy Residency Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/pharmacy-residency-program/CareSource PGY-1 Managed Care Pharmacy Residency Location: Dayton, OH Hybrid role (in-office and work from home) with minimal travel CareSource Residency Program Overview Mission: The mission of the residency program...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...Sometimes you need medical care, but don’t know the best place to go. CareSource make it easy to get care for common health needs. See where to get care. CareSource24®...
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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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