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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...following CPGs: depression, diabetes and hypertension. Refer to the brochure below for a detailed overview of the medical record audit process. Clinical Practice Guideline Medical Record Audit booklet Value-Based Purchasing...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...in your first language. We can also help you if you have issues seeing or hearing. Please also read your member handbook to learn more about your rights. Member Services:...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/...can make health care choices for you if you are not able. You can learn more about Advance Directives in your member handbook. Plan Ahead It will help you, your...
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Rights & Responsibilities
https://www.caresource.com/plan-documents/rights-responsibilities/...it. To be able to file an appeal, a grievance (complaint) or state hearing. See your member handbook for information. To be able to get all CareSource MyCare Ohio written...
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Drug Transition Policy
https://www.caresource.com/benefits-services/pharmacy/drug-transition-policy/...please review your Member Handbook on the Plan Documents page or call Member Services at 1-855-475-3163 (TTY: 1- 833-711-4711 or 711). We are open 8 a.m. to 8 p.m. Monday...
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HIP Plus vs HIP Basic
https://www.caresource.com/plans/medicaid/hip-plus-vs-basic/...member handbook. You need to pay your monthly PAC on time to keep your benefits. If you do not, you may have reduced benefits. You can also prepay on your...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...few types of telehealth services. Georgia Partnership for Telehealth (GPT) CareSource works with GPT to give you more access to specialty care. Learn more about GPT through your member handbook....
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Benefits
https://www.caresource.com/plans/caresource-passe/benefits/...ensure you receive the best care and access to services. *No copays when CareSource PASSE is your primary insurance. Please see your member handbook for a full list of benefits...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...a change in your care coordinator. Get a member handbook and provider directory sent or made available to you within five business days of joining CareSource PASSE. Get a second...
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Care Coordination
https://www.caresource.com/plans/caresource-passe/benefits/care-coordination/...Learn more about care coordination in your member handbook. Care Coordinator Your care coordinator is your main point of contact for all of your health and support needs. They will...
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