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FAQs
https://www.caresource.com/members/education/faqs/cdmvheart Care Coordination What is a care coordinator? A care coordinator will connect you and your family with community support. They coordinate the services you are already getting and any...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...service. If your disagreement is limited to the amounts a non-contracted provider could collect if the beneficiary were enrolled in original Medicare pursuant to § 422.214(a)(l), you should use the...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...The Office of the Inspector General (OIG) has free educational materials to help providers learn about federal laws designed to protect Medicaid and Medicare programs and program beneficiaries from fraud,...
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August 2020 Broker Bulletin
https://www.caresource.com/producers/tools-resources/newsletters/august-2020-broker-bulletin/...market! August 5 – Medicare 101 Medicare Basics (What is Medicare) August 12 – Medicare 102 Medicare Basics (Qualifying, Premiums and Plan Types) August 19 – Medicare 103 Medicare Advantage...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...the results under Medicare by selecting Medicare Advantage from the list. Find a Doctor/Provider, an online search tool to find doctors, hospitals and other providers covered under your plan. Scroll...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...of your Evidence of Coverage. You can also submit feedback directly to Medicare by using the Medicare Complaint Form. You can also call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a...
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Vendor Compliance FAQ
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/frequently-asked-questions/The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...
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How to Get Help with Drug Costs
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/...Medicare Part D prescription drugs if you receive “Extra Help” If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan...
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Forms
https://www.caresource.com/members/tools-resources/forms/...paid for medical expenses that should have been covered under your CareSource Medicare Advantage benefits. Prescription Reimbursement Claim Form (Updated 11/05/2025) Use this form to request to be reimbursed if...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...on our Plan Documents page. We have more detailed information on these pages: Medicare Advantage Part C Medical Plan Rights Medicare Advantage Part D Prescription Drug Plan Rights Ending Your...
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