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Community Transition Program (CTP)
https://www.caresource.com/plans/community-transition-program/Beginning January 1, 2020, this program has transitioned back to the state of Ohio for administration. Please view the program notification above for more details and up-to-date information....
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/To have your health care services covered by your CareSource plan, you must get them from a network provider. The only exceptions are: In cases of emergency; If you need...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...with us and assist you in serving our members. Below you will find quick reference guides and additional resources: Provider Orientation CTP Quick Reference Guide CTP Frequently Asked Questions CareSource...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/...we have on file and copied to your assigned CTP provider agency. However, you do have the right to end your enrollment in CTP at any time. We hope you...
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Quick Start Steps for New Members
https://www.caresource.com/members/tools-resources/quick-start-guide/quick-start-steps/...for us to communicate with you. If you have CTP and CareSource Medicaid you will need to set up two accounts. Download the free CareSource mobile app through Google Play...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...
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Provider Overview
https://www.caresource.com/providers/EDUCATION SEMINARS – West Virginia Senate Bill 267 – Prior Authorizations Learn about the prior authorization changes that the West Virginia Senate Bill 267 mandates for providers and payors effective...
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