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Health Care Terms
https://www.caresource.com/plans/dsnp/benefits-services/behavioral-health/health-care-terms/...to the brain. It may reduce symptoms. ECT may start while in the hospital. It may be repeated at the hospital or an outpatient center. Inpatient Services Inpatient Services are...
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Additional Services
https://www.caresource.com/plans/dsnp/benefits-services/additional-services/...about telehealth. Transportation Get rides to and from health care visits, pick up prescriptions from a pharmacy and more. Learn more about transportation. Meal Delivery After you have an inpatient...
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Health Care Terms
https://www.caresource.com/benefits-services/behavioral-health/health-care-terms/...symptoms. ECT may start while in the hospital. It may be repeated at the hospital or an outpatient center. Inpatient Services Inpatient Services are when you spend at least one...
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Claims
https://www.caresource.com/providers/provider-portal/claims/We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, CareSource offers you tools...
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ICD-10
https://www.caresource.com/providers/education/icd-10/...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...– $10 copay Specialist $0 – $50 copay $0 – $35 copay Other Medical Benefits (In-Network) Inpatient Hospital Care Days 1-5: $380 per day Days 6-90: $0 copay per day...
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Referrals & Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/referrals-prior-authorization/...need one. For example, some procedures and most inpatient hospital stays require prior authorization. Many other services do not need a prior authorization. You do not need one to see...
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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/...with a primary care provider (PCP), specialist, dentist, hearing, vision, and other CareSource providers to diagnose and treat problems or issues Inpatient or outpatient hospital care Clinic visits Prescription drugs...
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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/...are no copays for preventive care, family planning, emergencies or dialysis. Services with a copay include: Service Copays and Exceptions Outpatient service $3 for all non-emergency hospital visits. Inpatient services...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...
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