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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...is not applicable to D-SNP providers. 10/21/2024 October 2024 Policy Updates 10/01/2024 2024 Q4 CareSource Town Hall - Ohio Home Health Providers 09/30/2024 Optum Process Frequently Asked Questions 09/20/2024 2024...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...a new Controlled Substance Report (CSR) as an enhanced clinical tool for our providers to help them monitor their prescribing habits. This report is available for participating providers 24/7 through...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/CareSource’s covered routine dental benefits are administered by Delta Dental. Delta Dental Phone: 1-833-778-7003 Routine Dental Providers Please use the Providers Dental Provider Login menu option of the Provider Portal...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...access the care they need. Coordinating Integrated Care Coordinated care is key to ensuring optimal outcomes for our members. We ensure our providers have access to behavioral health resources and...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...Providers may not charge members for services which CareSource PASSE™ denied based on lack of medical necessity or lack of compliance to contractual terms. Providers may not bill members for...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Abuse Look Like? Health care fraud, waste and abuse can be committed by health providers, members or pharmacies. Examples include the following. Health partners who: Providers who: Order medications, equipment...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/These administrative policies apply to the Georgia Medicaid plans. These administrative policies apply to the Ohio Medicaid plan. These administrative policies apply to the Indiana Medicaid plans. These administrative policies...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...determined based upon a review of the actual services provided to a beneficiary and will be determined when the claim is received for processing. Providers and their office staff are...
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Electronic Visit Verification
https://www.caresource.com/providers/education/patient-care/electronic-visit-verification/...support. Phone: 1-844-922-2584 Email: arevv@carebridgehealth.com Data Integration Support (for providers using a third party EVV): evvintegrationsupport@carebridgehealth.com The 21st Century Cures Act directs state Medicaid programs to require providers of personal...
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Contact Us
https://www.caresource.com/members/contact-us/...us or your providers. You can also get materials in other formats like large print, braille, or audio. CareSource24® Nurse Advice Line You can call CareSource24, our Nurse Advice Line,...
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