-
State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...a State Fair Hearing The Office of State Administrative Hearings will tell you the time, place and date of your hearing. Here’s how a State Fair Hearing works: The people...
-
Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...CareSource is expanding into other states and is looking to build the provider network for those areas. Follow the links to the states above and fill out the New Health...
-
Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...fraud, waste or abuse directly to the state of Ohio: Ohio Department of Medicaid (ODM) – 1-614-466-0722 Medicaid Fraud Control Unit (Mfcu) – 1-800-282-0515 The Ohio Auditor Of State (AOS)...
-
Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...of our health plan and the Ohio Department of Medicaid (ODM) as outlined in this manual. Providing 30 days of emergency coverage to any CareSource patient dismissed from the practice....
-
Find My Prescriptions
https://www.caresource.com/members/tools-resources/find-my-prescriptions/...will vary depending on your plan benefit. For more information about state-wide prices and claims, you may visit the Indiana All Payer Claims Database (APCD) at https://apcd.idoi.in.gov/. Some out-of-state pharmacies...
-
Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/...outreach, they can call 1-844-438-9498. Benefits to Member and Providers The Disease Management program improves the percentage of CareSource members who receive their recommended screenings. It also offers the following...
-
Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/...statement material to a false or fraudulent claim. Conspires to commit a violation of any other section of the False Claims Act. Has possession, custody, or control of property or...
-
Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...Lock-In Program (GA LIP) GA LIP is a health and safety program which protects members whose use of services exceeds medical necessity. Use of controlled substances are monitored and members...
-
Plan Documents
https://www.caresource.com/plans/marketplace/plan-documents/...You can enroll in an off-exchange plan directly through our Enroll.CareSource.com enrollment portal, through web brokers, or through our network of sales agents and brokers. CareSource Gold Plans Lower out-of-pocket...
-
Responsible Disclosure Statement
https://www.caresource.com/about-us/legal/responsible-disclosure-statement/Responsible Disclosure Statement Above all else, CareSource is committed to the care and improvement of human life. Part of that mission is to protect our members, workforce, systems, and facilities....
Found 199 results for
out of state