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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...CareSource MyCare Ohio HMO-DSNP ID cards display information for office visits. The member ID number must be included when billing for services to avoid claim rejection. If a member chooses...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...determined based upon a review of the actual services provided to a beneficiary and will be determined when the claim is received for processing. Providers and their office staff are...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...Services Private Duty Nursing, Nurse Assessment and Consult Home Health Services Private Duty Nursing Nurse Assessment and Consult IO, Level 1, Self Waiver Program Services Ohio Home Care, Passport Waiver...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...share the cost of services. Cost shares are stated as copays, coinsurance, and annual deductible, and apply to most services. Use CareSource24 Call the CareSource24® Nurse Advice Line to make...
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Benefits & Services
https://www.caresource.com/plans/dsnp/benefits-services/...services including mental health providers seven days a week from 7 a.m. to 9 p.m. View your Evidence of Coverage for a full list of benefits and services. Mental Health...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...not covered by Medicaid) are not subject to external medical review. The external medical review process does not interfere with the provider’s right to request a peer-to-peer review, or a...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...call Provider Services at 1-833-230-2101. Provider Education Attestation Form Use this form to provide attestation of completing education requirements. Provider Maintenance Form Use the provider portal to alert CareSource to...
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Why Choosing a PCP is Important
https://www.caresource.com/members/tools-resources/why-choosing-a-pcp-is-important/...saves you money. Only in-network providers can give you covered services in non-emergency situations. If you have trouble finding a PCP, call Member Services at 1-833-230-2099 or use our Find...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...through the Arkansas Department of Human Services Division of Medical Services. Address: P. O. Box 1437 Slot S-418 Little Rock, AR 72203-1437 Phone: 501-682-8292 (TTY/TDD: 711) Fax: 501-682-1197 Member Services:...
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Additional Services
https://www.caresource.com/benefits-services/additional-services/...copays and select services. BENEFIT HIGHLIGHTS BENEFIT HIGHLIGHTS All standard Medicare and Medicaid benefits All standard Medicaid benefits No Copays for Medicaid-covered drugs No Copays for Medicaid-covered drugs No Copays...
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