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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...2016-par-laboratories 2016-par-pharmacies 2016-par-radiology 2016-quick-reference-guide-for-non-participating-providers 2017 Fall KY ProviderSource Newsletter 2017 IN Summer ProviderSource Newsletter 2017 marketplace formulary 2017 Medicare-Medicaid Member Handbook with ANOC 508 2017 Medicare-Medicaid Member Handbook with ANOC...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...
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Executive Leadership
https://www.caresource.com/about-us/executive-leadership/...Health Insurance Marketplace, and Medicare. They are united in their efforts to deliver superior health outcomes, operational excellence, and innovation to maximize their opportunity to reinvest profits into members, communities,...
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Join Our Network
https://www.caresource.com/providers/join_our_network/...99% claims paid within 13 days from receipt in 2024 How to Join Our Network Need Assistance? Call CareSource Provider Services at 1-833-230-2176 (D-SNP), 1-855-202-1058 (Medicaid) or 1-833-230-2101 (Marketplace). Current...
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Sarah Musser, HAP CareSource Market President, Michigan
https://www.caresource.com/about-us/executive-leadership/sarah-musser-hap-caresource-market-president-michigan/...achieve better health outcomes for those served by Medicaid and the Health Insurance Marketplace. With over a decade of experience in health care management and finance, Sarah’s strategic planning and...
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Prior Authorization
https://www.caresource.com/plans/marketplace/benefits-services/prior-authorization/...PCP will tell you when you need these types of care. You can download the Marketplace Prior Authorization List here: 2025 Prior Authorization List To learn more about prescription drugs...
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Musculo and Cardiac Surgical Procedures Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/musculo-and-cardiac-surgical-procedures-policies/These Musculo and Cardiac Surgical Procedure policies apply to our Wisconsin Marketplace plans. The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may...
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CareSource Member Advisory Councils
https://www.caresource.com/members/tools-resources/caresource-member-advisory-councils/...November 13th Marketplace: August 19th, November 18th Vanderburgh County: August 21st, November 20th If you would like to join a MAC meeting, let us know! Email us at INMemberCouncil@caresource.com. Do...
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Ed Stubbers, Chief Legal Officer
https://www.caresource.com/about-us/executive-leadership/ed-stubbers-chief-legal-officer/...communities and individuals who rely upon government programs such as Medicaid, Medicare and Marketplace to access vital health care services. Prior to joining CareSource, Ed has held various Legal and...
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Fred Schulz, Chief Operating Officer
https://www.caresource.com/about-us/executive-leadership/fred-a-schulz-chief-operating-officer/...CareSource’s mission to transform health care for millions of people across Medicaid, the Health Insurance Marketplace, and Medicare. With more than two decades of experience in government health care programs,...
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