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Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/CareSource covers services that are medically necessary. We also offer rewards and incentives for you. Some services have a small cost to you. This is called a copayment or copay....
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Care & Disease Management
https://www.caresource.com/members/education/care-disease-management/...to choose a Patient-Centered Medical Home (PCMH) to coordinate their medical care. You can find these providers in our Find-A-Doctor online search tool. Disease Management Call 1-844-542-2610 (TTY: 711) to...
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Opioid Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/opioid-toolkit/...chronic pain. CareSource offers the following resources as reference when treating patients with long-term high-dose opiate use. Prescribing/Dosages Agency Medical Directors’ Group (AMDG) Opioid Guideline 2015 Centers for Disease Control...
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...follow it. Mail to: PeachCare for Kids® Independent Medical Review Request Georgia Department of Community Health Division of Medical Assistance 2 Martin Luther King Jr. Drive, SE 19th Floor, East...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...of medical necessity outside these dates of service prior to transition. CareSource will need to be contacted via phone at 1-855-202-1058, fax at 1-844-676-0370, or email at gamedmgt@caresource.com as there...
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Clinical Guidelines
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/clinical-guidelines/CareSource uses MCG Guidelines to help review medical necessity for health service requests. MCG Guidelines are the protected intellectual property of MCG. CareSource is not able to distribute them without...
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HAP CareSource Plans
https://www.caresource.com/plans/medicaid/benefits-services/hap-caresource-plans/...you need it. It’s hard to predict when you or a family member will need medical care. That’s why HAP CareSource gives you access to a large support system of...
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Substance Use Disorder Toolkit
https://www.caresource.com/providers/education/patient-care/behavioral-health/substance-use-disorder-toolkit/CareSource understands that many members will visit their primary medical provider (PMP) first when an underlying substance use disorder (SUD) condition exists and PMPs are often the first line of...
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Training & Events
https://www.caresource.com/providers/education/training-events/Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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Quality Improvement
https://www.caresource.com/members/tools-resources/quality-improvement/...call Member Services or view our quality improvement program. We want you to have the best health care possible. The CareSource Quality Improvement Program looks at both the medical, behavioral...
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