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HIPAA Privacy Practices - Indiana Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-indiana-marketplace/...a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You can send a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, call 1-877-696-6775,...
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Prácticas de privacidad - Indiana Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/practicas-de-privacidad-indiana-medicaid/...ante la Oficina de Derechos Civiles del Departamento de Salud y Servicios Humanos de EE. UU. (U.S. Department of Health and Human Services Office for Civil Rights). Puede enviarnos una...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/CareSource wants to equip you to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio Medicaid plan. You will find key...
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Utilization Management
https://www.caresource.com/plans/mississippican/utilization-management/...Services and ask to talk with someone on the UM team. When calling, please keep in mind: Call Member Services and ask for the UM department. If you do not...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...of the Ohio Department of Medicaid’s (ODM’s) Next Generation Managed Care. Overview ODM’s changes to Medicaid program administration will streamline and simplify administrative tasks between providers and managed care entities...
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David Donohue, President, Georgia Market
https://www.caresource.com/about-us/executive-leadership/david-donohue-president-georgia-market/...operations. David has extensive experience in the behavioral health field, including his involvement in creating a community-based youth emergency department diversion program to address a boarding crisis that was affecting...
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Centralized Credentialing & Single Pharmacy Benefit Manager
https://www.caresource.com/providers/tools-resources/centralized-credentialing-single-pharmacy-benefit-manager/Centralized Credentialing Ohio Department of Medicaid (ODM) has implemented a single, centralized provider credentialing process at the state level with the go-live of the Provider Network Management (PNM) portal. Under...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...this program, or participation in the Superior Vision network, please call Superior Vision’s Network Development department at 844-353-2900, option 2; or visit the Superior Vision web site at https://superiorvision.com/eye-care-professionals/join/. CareSource...
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ADDITIONAL SERVICES
https://www.caresource.com/benefits-services/additional-services/...We’re working with the Michigan Department of Health and Human Services (MDHHS) and the Michigan Health Endowment Fund to help. GetSetUp is a free and interactive program for older adults....
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Utilization Management
https://www.caresource.com/benefits-services/utilization-management/...is the best care for your needs. The UM department performs activities such as: prior authorization (PA), pre-service review, expedited review, post-service review, discharge planning and other utilization activities. If...
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