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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...and experimental services. These administrative policies apply to the HAP CareSource™ plan. Administrative policies offer guidance on determination of medical necessity, investigation and experimental services. The policies below are in...
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Plans & Services
https://www.caresource.com/producers/plans-services/MARKETPLACE CareSource was the first Marketplace insurer to receive an application at its launch in 2014 and since that time, we’ve covered counties as the only Marketplace insurer when all...
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Benefits & Services
https://www.caresource.com/plans/tricare-prime-demo/benefits-services/...care covered at no extra cost to you. No referrals for network specialists*. Extra support if you are pregnant or a new mom. Access to telehealth services 24/7 through Teladoc®....
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...vendors for goods or services Preventing members from accessing covered services resulting in underutilization of services offered Altering/destroying member materials, medical records, etc. Backdating forms The Federal False Claims Act:...
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Preventive Services
https://www.caresource.com/benefits-services__trashed/preventive-services/...Vaccines, including flu shots, hepatitis B shots, pneumococcal shots. Yearly “Wellness” visit. Annual physical. Any additional preventive services approved by Medicare during the contract year will be covered. You must...
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Preventive Services
https://www.caresource.com/plans/dsnp/benefits-services/preventive-services/...are covered by your CareSource benefits. Please check your plan benefits and call Member Services if you have questions. Preventive Care for Individuals 60 & Older Recommended Activities Men Women...
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Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...part of our network. If you are not currently in our network, we invite you to consider joining us. Join Our Network If you offer medical services and want more...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...learn more about your covered benefits and services, where to get care and your rights and responsibilities as a member. Member Handbook Member Materials Benefits at a Glance Healthy Indiana...
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Member Rights & Responsibilities
https://www.caresource.com/plans/marketplace/plan-documents/rights-responsibilities/...full billed amount for non-covered services such as non-emergency out-of-network services. File a Grievance or Appeal We want you to be happy with your CareSource benefits and services. If you...
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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/...Services to find resources that provide services near you. Examples include Support Services for the elderly: In-home care Meals on wheels Home repair programs Find a Doctor/Provider Use this online...
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