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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...more information, visit the Quick Reference Materials page. State Department of Health Resources Please select your state resources below for specific COVID-19 vaccine guidance. State Information Georgia Department of Public...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...of property used, or to be used, by the state or local government and, intending to defraud the state or local government, makes or delivers the receipt without completely knowing...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...medical care and services. The only exceptions are: In cases of emergency. If you need medically necessary, covered urgent care services when traveling out of our service area. Out-of-area dialysis...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Institute for Healthcare Improvement Quadruple aim of: Improving health outcomes of members and populations Improving member and provider experience with care and services Reducing per capita cost of care and...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...of the cost (like the copayments, coinsurance, and deductible) that you would pay if the provider or facility was in-network. Your health plan will pay any additional costs to out-of-network...
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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...and abuse situations. From the Office of the Inspector General The Office of the Inspector General (OIG) has created free educational materials to assist in teaching physicians about the federal...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/...the unique individual needs of beneficiaries and understand that health-related social needs are significant contributors to beneficiaries outcomes and quality of life. We adhere to the National Culturally & Linguistically...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...is a limited amount of time to submit additional information for expedited clinical appeals. CareSource will outreach to the member within one business day about any information needed to evaluate...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...Obstetric Care Consensus, Levels of Maternal Care The American College of Obstetricians and Gynecologists Maternal Health Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities The American College of...
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FAQs
https://www.caresource.com/members/education/faqs/...I learn more about the benefits CareSource offers? Check out all of the extra perks you get as a CareSource member. Get a CareSource member ID Card, Plan Documents or...
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