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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/opioid-toolkit/...CareSource PASSE Provider Portal. Other Resources Substance Abuse and Mental Health Services Administration (SAMHSA) National Institute for Drug Abuse (NIDA) Opioids Opioid Crisis and Pain Management U.S. Department of Health...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria. Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria...
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Producers
https://www.caresource.com/producers/...Services Plans & Services Need to see more detailed plan benefit information? Get More Information Broker Service Department Broker Service Department Our support team is here for you. Broker Services...
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Vendor Compliance FAQ
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/frequently-asked-questions/The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...Medical Advice (AMA) B Behavioral Health Service Documentation Standards C Claims Editing and Review Continuity of Care Court Mandated Health Services COVID-19 Vaccination E Emergency Department Electrocardiogram (EKG_ECG) Experimental and...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...looked at, and reported to evaluate the care you receive. Our Quality Department reviews these measures: Healthcare Effectiveness Data and Information Set (HEDIS) to measure performance on dimensions of care...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...Directives (a written record of your wishes for medical care). To be free to carry out your rights and know that CareSource, our providers, or the Georgia Department of Community...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...within 90 days of becoming a member. If you would like more information about the program, please contact our Member Services department at the number below. We can help you...
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Utilization Management
https://www.caresource.com/plans/medicaid/benefits-services/utilization-management/...get, based on established criteria or guidelines. We review to make sure it is the best care for your needs. The UM department performs activities such as: prior authorization (PA),...
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Mental Health
https://www.caresource.com/members/education/mental-health/At CareSource PASSE we know that good health means more than just taking care of physical needs. It means addressing the health of mind, body and spirit. Suicide and Crisis...
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