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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...Card The member ID card is used to identify a member; it does not guarantee eligibility or benefits coverage. Members may disenroll from CareSource and retain their previous ID card....
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...member use. All CareSource® members choose or are assigned a primary care provider (PCP) upon enrollment in the plan. PCPs should help facilitate a medical home for members. This means...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...issues, the member’s written consent, which must be specific to the service being appealed, is only valid for that appeal and must be signed and dated by the member. Please...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...or inappropriate response to Formulary drugs. The member or member’s representative can call Member Services to make the request or can complete the online Member Exception Request for Non-Formulary Medication....
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...Our free disease management support helps our members find a path to better health through information, resources and support. We help our members through: The MyHealth online program for members...
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Newsletters
https://www.caresource.com/members/education/newsletters/...MemberSource Newsletter Fall 2019 MemberSource Newsletter Summer 2019 MemberSource Newsletter Spring 2019 MemberSource Winter 2018 MemberSource Fall 2018 MemberSource Summer 2018 MemberSource Spring 2018 MemberSource Winter 2017 MemberSource Fall 2017...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...members. CareSource PASSE members are informed of their rights and responsibilities via their member handbook. Please review our member rights and responsibilities and ensure your practice is in compliance. We...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...Members may access Member Services by calling our toll-free number, 1-833-230-2099, 7 a.m. to 7 p.m. (TTY for the hearing impaired: 1-800-743-3333) and following the menu prompts. Members may access...
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FAQs
https://www.caresource.com/members/education/faqs/...Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? You can get a new member ID card...
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