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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...

...MORE Get Contracted Get Contracted Want to sell CareSource? Select your General Agency! Get Contracted Tools & Resources Tools & Resources Find all the training you need to learn about...

Quit tobacco for yourself and baby and earn up to $200! FIND OUT HOW During pregnancy, everything you eat, drink, or breathe can affect your unborn baby. This includes tobacco....

...go to our Training & Events page where you will find instructions for accessing HealthPlanResources.com, our Learning Management System. The Centers for Medicare & Medicaid Services (CMS) requires Dual-Eligible Special...

In addition to information about how to submit claims and check payments, CareSource® offers you tools to find specific information, such as claim status and member coordination of benefits (COB)...

...an efficient manner. Visit the Updates & Announcements page frequently to find all the latest CareSource news. The links below are in PDF format. If you do not have Adobe...

...routine visits Screening – To check for a health problem Diagnostic – To find a health problem Treatment – To care for a problem EPSDT includes Well-child exams Vision and...

Every member that participates in the CareSource PASSE™ program receives care coordination. The Care Coordination model is member-centered and member driven. Our Care Coordinators work directly with each member to...

...plans and members. PNM & Centralized Credentialing– Find detailed information about the implementation of PNM and centralized credentialing. Stage 3a Implemented: On Feb. 1, 2023 ODM implemented the Next Generation...