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Claim Payment Disputes
https://www.caresource.com/providers/provider-portal/claim-payment-disputes/...corrected claim. You do not need to file a dispute or appeal. Claim Dispute Process for Participating and Non-Participating Providers If you believe your claim was denied incorrectly or underpaid,...
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Prior Authorization
https://www.caresource.com/arkansas/prior-authorization/...unproven, experimental or investigational items and services Non-emergent ambulance services Durable medical equipment (DME) including prosthetic/orthotic devices Home care services and therapies Outpatient therapies Behavioral Health Services: All inpatient stays...
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Benefits & Services
https://www.caresource.com/plans/georgia-pathways-to-coverage/benefits-services/...services. CareSource covers all medically necessary Medicaid-covered services. Georgia Pathways to Coverage members have no copay. You may need to pay for non-covered services. For more information, refer to your...
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Kansas Grant Challenge
https://www.caresource.com/about-us/caresource-foundation/support-challenge/kansas-grant-challenge/...workers and caretakers. The CareSource Foundation, through the CareSource Foundation Grant Challenge, recognized 10 community-based organizations and nonprofits working to improve health conditions. These groups help secure access to specialized...
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Welcome
https://www.caresource.com/welcome/...prescriptions and some non-part D and over-the-counter (OTC) drugs. Pharmacy Benefits Where to get Care Where to get Care You have options for where to get care. See where to...
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Iowa Grant Challenge
https://www.caresource.com/about-us/caresource-foundation/support-challenge/iowa-grant-challenge/...community-based organizations and nonprofits working to improve health conditions. These organizations increase access to specialized services for children with disabilities, as well as support Iowa families. They work to improve...
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Plan Documents
https://www.caresource.com/plans/caresource-passe/plan-documents/...care providers (PCPs) Primary dental providers (PDPs)/Dental Home Specialists Hospitalists Download the machine-readable Provider Directory here (json) Non-Discrimination Notice: Learn how to get help in your preferred language. You can...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...CareSource PASSE from Member Services: Structure, governance, and operation. How CareSource PASSE rates on quality metrics and performance measures tracked by DHS or CMS. The PASSE’s non-discrimination policies and the...
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Care Coordination
https://www.caresource.com/providers/education/patient-care/care-coordination/...community resources such as family service agencies, court systems, local mental health agencies, food banks, schools, pharmacies, primary care doctors and other appropriate paid and non-paid resources. We stress the...
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Community Engagement
https://www.caresource.com/about-us/caresource-foundation/community-engagement/...employees give generously to a variety of nonprofit organizations through an annual workplace giving campaign, which focuses on the mission and making a true impact in the lives of others....
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