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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...a service. You get a surprise bill from a provider. These types of service include quality and standards of care, benefits, or denial of benefits. To file a grievance, you...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...this form to request prior authorization to prescribe Ingrezza (valbenazine) or Austedo (deutetrabenazine). Statement of Medical Necessity for Adult Use of a C-II stimulant Submit this form to request prior...
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Find A Pharmacy
https://www.caresource.com/members/tools-resources/find-my-prescriptions/find-a-pharmacy/...by using the search tool below. Find a Pharmacy Simply type in your address and follow the prompts. If you think you will travel out of state, be sure to...
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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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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...the Ohio Department of Medicaid (ODM) which will manage the credentialing process through the Provider Network Module: https://managedcare.medicaid.ohio.gov/managed-care/centralized-credentialing If you have any questions about the process of contracting or credentialing,...
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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...
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Marketplace
https://www.caresource.com/plans/marketplace/...than going uninsured. OFF EXCHANGE ONLY CareSource now offers Off Exchange health insurance plans – coverage you can buy directly from us, outside the usual government exchanges. These plans expand...
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About
https://www.caresource.com/about-caresource-passe/...and an array of outpatient programming options, ranging from partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs) to traditional outpatient services. Their expansive network of treatment facilities creates greater...
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Are you Ready for a Disaster?
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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Behavioral Health
https://www.caresource.com/members/education/behavioral-health/...topic of behavioral health. My Benefits CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get...
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