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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...from all parties and applying the CareSource written policies and procedures. Providers are permitted to submit complaints to CareSource regarding CareSource’s policies, procedures or any aspect of CareSource’s administrative functions....
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...take advantage of preventive services, which are covered by CareSource Medicare Advantage. We also offer CareSource24®, our 24/7/365 nurse advice line. Call the the toll-free number on your CareSource member...
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Marketing Materials
https://www.caresource.com/producers/tools-resources/marketing-materials/...CareSource MyCare Dual Advantage Pre-Enrollment Kit Sales Presentation 2026 OH CareSource MyCare Dual Advantage Sales Presentation Information Brochure 2026 OH CareSource MyCare Dual Advantage Information Brochure Solicitation Brochure 2026 OH...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...your life. Be protected in the community. Voice complaints and appeals about CareSource PASSE or the care we provide. Get all written member information from CareSource PASSE: At no cost...
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Medication Therapy Management
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-therapy-management/...• Help your providers and other caregivers work better together • Help you learn about your drugs and the right way to use them • Help your overall health You...
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Behavioral Health
https://www.caresource.com/plans/medicaid/benefits-services/behavioral-health/...have a Care Manager, give him or her a call. A Care Manager can help you find the resources you need to be healthy. If you don’t have a Care...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...the medical necessity of your health care are based only on how it will affect your care. HAP CareSource does not reward providers or our own staff for turning down...
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Archived Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/archived/...P Peroral Endoscopic Myotomy (POEM) Peroral Endoscopic Myotomy (POEM) ProACT Adjustable Continence Therapy ProACT Adjustable Continence Therapy R Radiofrequency Facet Ablation (RFA) Routine Care Costs in Clinical Trials Routine Care...
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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...Liability (WOL) statement is required. If you do not submit a signed WOL, the appeal will be dismissed. Disputes CareSource pays non-contracted providers as Medicare would have paid for the...
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August 2020 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/august-2020-broker-bulletin/...market! August 5 – Medicare 101 Medicare Basics (What is Medicare) August 12 – Medicare 102 Medicare Basics (Qualifying, Premiums and Plan Types) August 19 – Medicare 103 Medicare Advantage...
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