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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...
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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...
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Advance Directive
https://www.caresource.com/members/education/planning-ahead/advance-directive/...state’s facts. For more info, click on your state’s link or call the state number listed below: Michigan Department of Licensing and Regulatory Affairs, Bureau of Health Care Services Call...
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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...
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Preventive Care
https://www.caresource.com/members/education/preventive-care/...Women between the ages of 50 to 75 should get a mammogram, an x-ray of your breasts, at least once every two years. Cervical Cancer Screening: Get a Pap test...
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Flu Shot
https://www.caresource.com/members/education/preventive-care/flu-shot/Check out our Flu FAQ Booklet! This is the complete guide to all things flu. Want to understand how the flu is spread? Worried about the flu shot side effects?...
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After Pregnancy
https://www.caresource.com/members/education/pregnancy/after-pregnancy/...of LARC LARC options are Intrauterine Devices (IUDs) and birth control implants. There are many types of options. We cover a wide range of family planning services and medications. Please...
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COVID-19 Information and Resources
https://www.caresource.com/members/tools-resources/covid19/...Department of Health Resources Please select your state resources below for specific COVID-19 vaccine guidance. Arkansas Department of Health Georgia Department of Public Health Indiana Department of Health Kentucky Public...
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Claims
https://www.caresource.com/providers/provider-portal/claims/...members must enroll with ODM through the PNM system. This includes all out-of-network providers, whether out-of-state or unenrolled providers, who are not active providers on the PNM. Providers can submit...
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Training & Events
https://www.caresource.com/providers/education/training-events/...address and the password of your choice to complete training and manage accounts for all providers in your Tax Identification Number (TIN). *Office Managers/Administrators and providers without an NPI number...
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