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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in...
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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/...to prosecute any individual or entity that: knowingly or wantonly devises a scheme or plan a scheme or artifice, or enters into an agreement, combination, or conspiracy to obtain or...
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HIPAA and HITECH Responsibilities
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/hipaa-hitech/...willfully execute, or attempt to execute a scheme or artifice to defraud any federal health care program, or obtain by means of false or fraudulent pretenses, representations or promises, any...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Transition of Care
https://www.caresource.com/plans/medicaid/benefits-services/transition-of-care/...infusion Acute care hospitalization Skilled nursing care Inpatient rehab Long-term and post-acute care Surgeries scheduled within 30 days Post-surgical follow-up Medications HAP CareSource is here to help you find new...
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Find A Doctor
https://www.caresource.com/members/tools-resources/find-a-doctor/...– Cardiology, Dermatology, Hematology/Oncology, Gastroenterology, Neurology, Nephrology, Pulmonology, Urology, etc. Hospitals, Rehabilitation, Skilled Nursing, and Long-Term Acute Care Facilities Chiropractic Durable Medical Equipment (DME) Laboratory Home Health Hospice Therapy Radiology/Imaging...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...checks in accordance with 42 CFR 455.436 and must execute a single case agreement with the provider that includes the appropriate Model Addendum. If the provider is not or will...
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CareSource Compliance Snapshot
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/caresource-compliance-snapshot/...Know that you have the support and confidence of the entire Risk Committee and all Board and Committee members to execute the Company’s vision and mission. As you review the...
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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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