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Resources For Pregnant Members
https://www.caresource.com/benefits-services/behavioral-health/resources-for-pregnant-members/...get the support you need. Get Help Now Support Groups and Online Resources Support Groups and Online Resources Get more resources and find support when you need it. FIND GROUPS...
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Pharmacy Overview
https://www.caresource.com/plans/dsnp/pharmacy/How to Get Help with Drug Costs Drug Transition Policy Find My Prescriptions Find a Pharmacy Medication Therapy Management Mail Order Drugs Medication Disposal Ask Your CareSource Pharmacist Do you...
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Health Assessment & Screening
https://www.caresource.com/members/my-caresource-account/health-assessment-screening/...envelope. Go to a Pursuant Health kiosk. Kiosks are located in Indiana Walmart® pharmacies. Watch your mail for instructions on how to complete the HNS. To find the nearest kiosk...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...120 days of getting CareSource’s finding. Reviews are done within 90 days for standard reviews or within 72 hours for expedited (fast) reviews. This will be final and CareSource will...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/All CareSource members choose or are assigned to a primary care provider (PCP) when they enroll in the plan. They can change to another network PCP as often as needed....
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...analytic performance dashboard monitoring, and verification of services. Our reactive monitoring includes data analytics to find provider billing utilization patterns for anomaly detection, post-pay reviews, audits and investigations. Provider Fraud,...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...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...
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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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QEP Flu Shot - DSNP
https://www.caresource.com/providers/qepflushot-dsnp/...not be able to administer flu shots in your practice. If this is the case, please refer CareSource patients to Find A Pharmacy*. They may also call us at 1-833-230-2020...
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