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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...SEC. 2913.40 MEDICAID ELIGIBILITY FRAUD, OHIO REVISED CODE SEC. 2913.401 FALSIFICATION, OHIO REVISED CODE SEC. 2921.13 OFFENSES BY MEDICAID PROVIDERS, OHIO REVISED CODE SEC. 5164.35 CareSource Policy It is the...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...View The Indiana Medicaid Dental Provider Manual Vision Provider Manual The Vision Provider Manual is a valuable resource for our vision providers and serves as a link between your office...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...to our Ohio Medicaid plan. These medical policies apply to our Georgia Medicaid plans. These medical policies apply to our Indiana Medicaid plans. These medical polices apply to our Ohio...
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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...policies from our delegated service providers. Please check often for updates to health partner policies. Click the links to access policies for your member’s plan. CareSource maintains medical, payment and...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...This includes providers that perform in-office surgeries. These services should be available at no cost to the member. Submit the Interpreter Service Request Form (coming soon) to request interpretation services...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...to help inform and guide providers about their clinical care of members. The Michigan Quality Improvement Consortium (MQIC) is a collaborative effort to develop and implement standard clinical guidelines and...
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Vision
https://www.caresource.com/providers/education/patient-care/vision/...practice. To contract with Superior Vision, please visit their website. CareSource® covers vision services for our Indiana Hoosier Healthwise (HHW) Healthy Indiana Plan (HIP) members. Our vision providers can access...
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Plan Documents
https://www.caresource.com/plans/medicaid/plan-documents/...Find a Doctor tool. This tool will show you: Primary care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitals Download the machine-readable Provider Directory here (json) Member Materials Behavioral...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/Let us know if you are unhappy or do not agree with a decision made by us or our providers. We want to make it right. Please call Member Services...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...is also available on Fingertip Formulary, a medical application you can download to your mobile device. For more information, providers can: Access our Pharmacy page, Refer to the Provider Manual,...
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