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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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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...Adult Vision and Fitness plans. Active&Fit® Fitness benefit included with all optional Vision and Fitness plans, and available at a low monthly cost for all other members. It includes access...
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Health Assessment & Screening
https://www.caresource.com/members/my-caresource-account/health-assessment-screening/...Take a Health Needs Assessment (HNA) when you join HAP CareSource and each year after. Answer questions about your health and habits to help you identify your health needs. You...
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Training & Events
https://www.caresource.com/providers/education/training-events/...Portal or create an account using your unique email address and the password of your choice to complete training and manage accounts for all providers in your TIN. *Office Managers/Administrators...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...a right to file an appeal. You or your authorized representative may file an internal appeal of an adverse benefit determination. You must submit an internal appeal to us within...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...who will go to the hearing include you and others acting for you with your written consent. There will also be CareSource agents and a fair Administrative Law Judge. In...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...attempts to collect race and language-specific member data. Staff is available to answer questions and explain race/ethnicity categories to a member, to assure accurate identification of race/ethnicity for all family...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...fraud, waste and abuse. Health care fraud, waste and abuse hurts everyone including members, providers, taxpayers and CareSource. As a result, CareSource has a comprehensive fraud, waste and abuse program...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...also have access to more benefits. Please contact us as soon as you know you are pregnant. Learn more about the Healthy Indiana Plan on the state of Indiana HIP...
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Accreditations
https://www.caresource.com/about-us/accreditations/NCQA HEALTH PLAN ACCREDITED Georgia Marketplace Georgia Medicaid Indiana Marketplace Indiana Medicaid Kentucky Marketplace Michigan Medicaid Michigan Medicare North Carolina Marketplace Ohio Marketplace Ohio Medicaid West Virginia Marketplace Wisconsin Marketplace...
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