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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/...for the additional medication to be received with no additional dispensing fees Splitting prescriptions into two orders to seek higher reimbursement Dispensing expired, fake, diluted, tainted or illegal drugs Billing...
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/...Members with standard Marketplace plans can add the Fitness program for a nominal monthly fee, paid directly to Active&Fit. Learn more about the Active&Fit Direct program here. MyHealth For Adults...
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HEPATITIS C
https://www.caresource.com/members/education/hepc/...mother to baby during childbirth. Most people who are infected with Hepatitis C have no symptoms for years. If you do get symptoms, you may feel as if you have...
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BeMe Health: Support for Teens
https://www.caresource.com/members/education/mental-health/beme-health-support-for-teens/Being a teen comes with a lot of pressure. It can feel overwhelming and stressful. BeMe Health is a free mobile app that supports teen mental health and wellness. It...
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Health Care Terms
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/health-care-terms/...you most. Psychotherapy (family, group, individual) It is also known as counseling or “talk therapy.” You can talk about your feelings and thoughts with a licensed therapist. You may learn...
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HIPAA Privacy Practices - Georgia Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-georgia-medicaid/...make sure a legal guardian has this right and can act for you. We will do this before we take any action. File a complaint if you feel your rights...
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Newsletters
https://www.caresource.com/members/education/newsletters/...Committee (EAC) is a small group that gives feedback on how we better serve you. You can join these quarterly meetings online. If you would like to join EAC meeting,...
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Part C Medical Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/...our Plan Documents page. You can submit feedback directly to Medicare by using the Medicare Complaint Form. You can also call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7...
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End or Change Membership
https://www.caresource.com/members/tools-resources/grievance-appeal/change-plans/If you are not happy with CareSource, let us know. We want to make it right. You have the right to change to a different Georgia Families® Georgia Pathways to...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/CareSource wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource Ohio...
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