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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...to provide these services. CareSource members can access physicians throughout Georgia without leaving their local area. They can see physicians in over 45 specialties, in addition to primary care, trauma,...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...prior authorization for a specialty medication to be processed under the pharmacy benefit OR a physician administered drug to be processed under the medical benefit Medical and Other Prior Authorization...
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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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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...a network provider. Your PCP is an individual physician, group practice, certified nurse practitioner or physician assistant. Your PCP will work with you to direct your health care. They will...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...CareSource® MyCare Ohio (Medicare-Medicaid Plan). You will find key information that will make it easier to do business with us and assist you in serving our members. MyCare Ohio Resources...
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Medicaid
https://www.caresource.com/plans/medicaid/...low income, pregnant women, infants and children, older adults and individuals with disabilities. CareSource Medicaid is available across the state of Ohio. Choose CareSource When you apply for Ohio Medicaid,...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...encouraged to use self-service channels to verify beneficiary eligibility. These reimbursement policies apply to our Ohio Medicaid plan. These reimbursement policies apply to our Ohio Marketplace plans. These reimbursement policies...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...Fraud (Ohio Revised Code Section 2913.40) Medicaid Eligibility Fraud (Ohio Revised Code Section 2913.401) Falsification (Ohio Revised Code Section 2921.13) Offenses by Medicaid Providers (Ohio Revised Code Section 5164.35) Kentucky...
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Contact Us
https://www.caresource.com/providers/contact-us/...Monday through Friday, 8 a.m. to 5 p.m. CT Pharmacy Benefit Fax: 866-930-0019 Physician Administered Drugs Fax: 888-399-0271 Pharmacy 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. CT Claims...
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