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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...payment is received and posted. If you lose your member ID card, you can request a new printed ID card on the My CareSource® member portal, or by calling Member...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/...the unique ethnic, cultural and social needs of members and understand that health-related social needs are significant contributors to member outcomes and quality of life. We adhere to the National...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...with information sufficient to identify the member, shall be deemed notice to us. Submit claims to: CareSource, P.O. Box 8730, Dayton, OH 45401-8730 See your EOC or call Member Services...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...United States Prescribing high quantities of controlled substances without medical necessity Member Fraud, Waste & Abuse CareSource monitors member activity for fraud, waste and abuse. Some examples are: Inappropriately using...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...Member Services. We will complete an expedited review of an internal appeal of an adverse benefit determination as soon as possible given a member’s medical needs, but not later than...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Bill for more expensive care than you received Unbundle services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed drugs or...
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Health Care Links
https://www.caresource.com/members/education/health-care-links/...CDC Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT Member Health Resources Member Health Topics & Preventive Health Guidelines CareSource wants to make sure...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...grievance with the state or us. Call Member Services or send a letter to: CareSource Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401 You can also file a grievance...
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Forms
https://www.caresource.com/members/tools-resources/forms/...before you give birth. Member Claim Form – Use this form to submit a claim to us for services. Member Exception Request for Non-Formulary Medication Form – Use this form...
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