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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...We strive to limit the administrative burden while advocating for member access to quality behavioral health care. Behavioral health services are covered by HAP CareSource™ and Prepaid Inpatient Health Plans...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...a link between your office and CareSource. It provides important information on topics such as covered services, services that require prior authorization, claim submission, and more. View the Dental Provider...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...not involve an adverse benefit determination. These types of decisions may cover: The availability, delivery or quality of health care services; Claims, payments, handling or reimbursement for health care services;...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...can also review our prior authorization list. Services We are here to help you. Your services include: Member Services: Our Member Services representatives are available toll-free to answer your questions...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...Waiver Services Providers CareSource MyCare Ohio waiver services providers can also submit claims through the service plan in the provider portal. All claims for waiver services reimbursement or appeals for...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Equipment and Modifiers M Mammography Services Medication Assisted Therapy O Out-of-Network Providers Policy for Medically Necessary Services P Preventive Services and Sick Visit on Same Date of Service Preventive Services...
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Behavioral Health
https://www.caresource.com/members/education/behavioral-health/...National Institute on Drug Abuse National Suicide Prevention Lifeline Stay Positive Arkansas Substance Abuse and Mental Health Services Administration Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. –...
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In Lieu of Services (ILOS)
https://www.caresource.com/providers/tools-resources/support-services/in-lieu-of-services-ilos/...when provided as substitutes for other Medicaid covered services. This initiative will build on and complement the existing food and nutrition strategies in Michigan. MDHHS’ goal for ILOS is to...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...them. How to view the list of covered prescriptions. Information about Home and Community-Based Services (HCBS). How to find providers in our network. Where to go for care. How to...
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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...Readmission Residential Treatment Services - Mental Health Residential Treatment Services - Mental Health Residential Treatment Services - Substance Use Disorder Residential Treatment Services – Mental Health Residential Treatment Services –...
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