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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Obstetrical Care – Unbundled cost Obstetrical Care – Unbundled cost Obstetrical Care-Total Cost Obstetrical Care-Unbundled Cost Obstetrical Care-Unbundled Cost Overpayment Recovery Overpayment Recovery Overpayment Recovery Overpayment Recovery P Payment to...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...partners or who transition to or from another payer including those members identified as having special health care needs. For continuity of care request approvals for non-participating primary care providers,...
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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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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...if CareSource cannot give a covered service in network. To get information about CareSource from us. To make suggestions about CareSource’s member rights and responsibility policy. To only be responsible...
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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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Mental Health
https://www.caresource.com/members/education/mental-health/...Care Links (links to helpful health care sites) Where to Get Care 24-Hour Nurse Advice Line Telehealth (when your Primary Care is unavailable) Support Groups & Online Communities Mental Health...
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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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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Share their CareSource member ID card with another person Sell prescribed medications or other medical equipment paid for by CareSource Provide inaccurate symptoms and other information to health providers to...
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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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