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Non-Participating Provider Appeals
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals/...the remittance notification date, whichever is later, to TRICARE Prime Demo Attn: Provider Appeals Department PO Box 2008 Dayton, OH, 45401 TRICARE Prime Demo will review the evidence and respond...
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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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How To Get Help With Drug Costs
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-cost-help/...office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778 (applications); or Ohio Department of Medicaid (applications): https://medicaid.ohio.gov/families-and-individuals/coverage/01-how-to-apply Best Available Evidence If you...
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Eric Van Allen, President, Arkansas Market – CareSource PASSE™
https://www.caresource.com/about-us/executive-leadership/eric-van-allen-president-arkansas-market-caresource-passe/...assistant director of mental health services for the Kansas Department of Social and Rehabilitation Services, where he introduced managed behavioral health care to the state of Kansas. Eric holds a...
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Susan Aldrich, President, ElderServe Health and CareSource Market President, New York
https://www.caresource.com/about-us/executive-leadership/susan-aldrich-president-elderserve-health-and-caresource-market-president-new-york/...focused on advancing aging and health initiatives and served as a managed care analyst at the U.S. Department of Health and Human Services under two administrations. Susan leads a multidisciplinary...
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Serious Mental Illness Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/smi-toolkit/...Practice Guidelines for Management of Bipolar Disorder Clinical Practice Guidelines for the Treatment of Patients with Major Depressive Disorder Best Practices The Department of Veterans Affairs is recognized as a...
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ELECTRONIC VISIT VERIFICATION (EVV)
https://www.caresource.com/providers/tools-resources/support-services/electronic-visit-verification/...Michigan Department of Health and Human Services (MDHHS) has partnered with HHAeXchange to support EVV. This system is used to validate in-home visits for Medicaid recipients. What Is EVV? EVV...
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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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ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/...this year, however that will not be ready till later this summer. If you have additional questions or require assistance, please reach out to our Broker Service department at salessupport@caresource.com...
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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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