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Michigan
https://www.caresource.com/providers/michigan/...will not change. You can see HAP CareSource members and you will be viewable in our Find a Doctor provider directory. The same contract terms will apply to HAP CareSource...
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Tobacco Use During Pregnancy
https://www.caresource.com/members/education/smoking-cessation/tobacco-use-during-pregnancy/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....
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...Pharmacy Fraud, Waste & Abuse Examples of pharmacy fraud, waste and abuse: Prescription drugs not dispensed as written Submitting claims for a more expensive brand name drug when a less...
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Model of Care Training
https://www.caresource.com/providers/education/patient-care/model-of-care-training/...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...
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Archived Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/archived/...(CGM) Continuous Glucose Monitoring Systems (CGMS) Continuous Glucose Monitors D Debridement Services Drug Testing Drug Testing Drug Testing Drug Testing Drug Testing Drug Testing E Enzyme Replacement Therapy Epidural Steroid...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Medicine HIP Plus HIP Basic Copays may apply HIP Maternity HIP State Plus HIP State Basic Copays may apply Prior Authorization Needed? Preferred Drug List (PDL) Drugs Yes Yes Yes...
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Accreditations
https://www.caresource.com/about-us/accreditations/...evaluations of over 60 standards and selected HEDIS® measures. A team of physicians and health plan experts conduct accreditation surveys. A national oversight committee of physicians analyzes the team’s findings...
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CareSource Foundation
https://www.caresource.com/about-us/caresource-foundation/...BakerHostetler Bengals BHDP Cain Brothers/KEY Bank Calculated Hire Connection Cushman & Wakefield Edifecs Epiphany Management Group Faruki Law Findhelp Fortuna Health Furst Group HiLabs InfoSys Integra Partners Joey Fox Consulting...
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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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How to Apply
https://www.caresource.com/about-us/caresource-foundation/how-to-apply/...AN ACCOUNT If you have questions, visit our Frequently Asked Questions page. If you still can’t find what you need or require assistance with the application, please email us at...
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