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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....
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...to Out of Network Providers Payment to Out of Network Providers Payment to Out of Network Providers Payments to Out-of-Network Providers Positive Airway Pressure Devices for Pulmonary Disorders Pre-Exposure Prophylaxis...
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RESPONSIBLE DISCLOSURE STATEMENT
https://www.caresource.com/about-mstc/legal/responsible-disclosure-statement/...about a violation of our standards of conduct or policies and procedures. Please review the following prior to submitting: We ask that you work with us to diagnose and correct...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...a physician’s medical judgment about individual patients. CareSource of North Carolina Co. defaults to all applicable state and federal guidelines regarding criteria for authorization of covered services. CareSource of North...
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Disaster Readiness
https://www.caresource.com/members/education/planning-ahead/disaster-readiness/...shortages of safe water and food, and cut off electricity, gas and phone services. These events are hard to predict and out of your control. But you can take steps...
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Quality Improvement Program
https://www.caresource.com/members/tools-resources/quality-improvement/qip/...Medicare and Medicaid Services (CMS) Meeting the requirements of the CareSource Indiana contract with the Office of Medicaid Policy and Planning Establishing safe clinical practices throughout the network of providers...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...to reconsider and change the decision made or the action taken. For more specific information about any of these topics, please see your plan’s Evidence of Coverage on the Plan...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...Austedo (deutetrabenazine). Statement of Medical Necessity for Adult Use of a C-II stimulant Submit this form to request prior authorization to prescribe a C-II stimulant for patients 19 years of...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/...an overall cost for services. Overall cost considers the place (ER, office, clinic) and the cost of working with the provider. This has a high impact on the cost of...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...of the authorization of the services from Georgia Medicaid Management Information System (GAMMIS) or the method you received verification of services. CareSource will provide an authorization from the date of...
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