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Substance Use Disorder
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/substance-use-disorder/...help you navigate the health care system. A Care Manager can help you find the resources you need to be healthy. A Care Manager can help coordinate care if you...
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HIPAA Privacy Practices - Kentucky
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-kentucky/...appointments. Examples are shot and checkup reminders and health screening reminders. Health Promotion and Disease Prevention: Humana – CareSource may use your health information to tell you about disease prevention...
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RIGHTS & RESPONSIBILITIES
https://www.caresource.com/plans/mihealthlink/plan-documents/rights-responsibilities/...free to carry out your rights and know that HAP CareSource MI Health Link, HAP CareSource MI Health Link’s providers or the Michigan Department of Health and Human Services (MDHHS)...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...Visit, Per Visit 14 T1021/TE: Home Health LPN Visit, Per Visit 14 T1021: Home Health Aide Visit 14 S9131: Home Health Physical Therapy by a Qualified Licensed Physical Therapist 14...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...Healthcare (CAQH) application or CAQH number and National Provider Identifier (NPI) number to CareSource. OMPP requires that you submit a complete Council for Affordable Quality Healthcare (CAQH) application or CAQH...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...including eligibility, definitions, specific inclusions or exclusions, and applicable state or federal laws. The medical policies do not constitute medical advice or medical care. Treating health care providers are solely...
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Early and Periodic Screening Diagnostic and Treatment (EPSDT)
https://www.caresource.com/plans/medicaid/benefits-services/early-periodic-screening-diagnostic-treatment/...Periodic Screening, Diagnostic, and Treatment (EPSDT). EPSDT covers: Medical and well-child exams Immunizations (shots) Health education Laboratory tests All Healthy Indiana Plan (HIP) members and Hoosier Healthwise (HHW) members from...
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Pharmacy Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/pharmacy-policies/...intravenous infusion – Grifols/Kedrion Biopharma) Kogenate® FS (Antihemophilic Factor intravenous infusion – Bayer HealthCare) Kovaltry® (Antihemophilic Factor intravenous infusion – Bayer HealthCare) Krystexxa® (pegloticase intravenous infusion – Horizon) Kymriah (tisagenlecleucel...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...the Deficit Reduction Act. One such provision requires us to provide you with information about the Federal False Claims Act, state False Claims Acts and other state laws regarding Health...
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Disaster Readiness
https://www.caresource.com/members/education/planning-ahead/disaster-readiness/Make sure you are ready for public health threats. These include natural disasters, disease outbreaks, accidents with unsafe substances and terrorist attacks. Public health threats can lower air quality, cause...
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