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Health, Safety & Welfare
https://www.caresource.com/providers/education/patient-care/health-safety-welfare/...as tools to coordinate the best possible integrated care: Addiction Help Care Coordination Clinical Care Guidelines Depression Screenings Find a Doctor Forms Interpreter Services Opioid Tool Kit Pregnancy Preventive Health...
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Medical Benefits
https://www.caresource.com/plans/dsnp/benefits-services/medical-benefits/...to submit the bill you receive to CareSource with a claim form found on our Forms page. You can also get a claim form by calling Member Services at 1-833-230-2020...
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Caregiver Tools
https://www.caresource.com/members/tools-resources/caregiver-resources/caregiver-tools/We want to make it easy for caregivers to work with us. Find Resources Find support like in-home care, meals on wheels and home repair programs by calling their care...
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HIPAA and HITECH Responsibilities
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/hipaa-hitech/...not due to willful neglect. This interim final rule conforms HIPAA’s enforcement regulations to these statutory revisions that are currently effective under section 13410(d) of the HITECH Act. This interim...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...outside the service area, you will need to submit the bill you receive to CareSource with a claim form found on our Forms page. You may also obtain a claim...
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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/...vendors for goods or services Preventing members from accessing covered services resulting in underutilization of services offered Altering/destroying member materials, medical records, etc. Backdating forms The Federal False Claims Act:...
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Rewards Programs
https://www.caresource.com/providers/education/patient-care/rewards-programs/...program, there are no additional forms to fill out. You can learn more about CareSource reward programs, including all rewardable activities, on a helpful Rewards for Wellness infographic. Learn more...
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Mail Order Drugs
https://www.caresource.com/members/tools-resources/find-my-prescriptions/mail-order-drugs/Get Your Prescriptions Delivered to Your Door! You can get many of your Medicare Part D drugs sent to your home through mail. We work with Express Scripts® to offer...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...agent, has implemented a Credentialing Verification Organization (CVO) which performs credentialing and recredentialing functions for providers enrolled or seeking to enroll in the Georgia Families® network. CareSource® will include in...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...appeal coordinator will explain the outside review process. We can also mail the outside review forms to you. DIFS will send your appeal to an independent review organization for consideration,...
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