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Fraud, Waste, Abuse & Overpayment
https://www.caresource.com/members/tools-resources/fraud-waste-abuse-overpayment/...for gain of benefits. Waste means overusing benefits when they are not needed. Abuse is action that causes unneeded costs to CareSource PASSE. Overpayment means that CareSource PASSE may be...
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Substance Use Disorder
https://www.caresource.com/members/education/behavioral-health/addiction-help/...day-to-day challenges. That can be things like your medical conditions. It can also be family history. The path to recovery starts here. You can also get more information about addiction...
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Foundation FAQ
https://www.caresource.com/about-us/caresource-foundation/foundation-faqs/Application Questions I have forgotten my password. How do I reset it? Click the Forgot Password? link available on the account login page. Why am I not receiving any emails...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...your Acknowledgement letter or ID card handy. You can use CareSource MyLife to: Pay your invoice, view past payments, or set up automatic payments Take a Health Assessment and get...
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Benefits & Services
https://www.caresource.com/plans/dsnp/benefits-services/...plan covers, how much you pay, and more. Summary of Benefits: Summary of key features about your plan like covered benefits and coverage. Comprehensive Formulary: A list of all drugs...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...patient dismissed from the practice. Maintaining clinical records, including information about pharmaceuticals, referrals, inpatient history, etc. Obtaining patient records from facilities visited by CareSource patients for emergency or urgent care...
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Open Enrollment Deadlines
https://www.caresource.com/plans/marketplace/open-enrollment-deadlines/...Packet Online? Go to the Pay My Premium portal Click “View Renewal Letter” to see your renewal packet. How Do I Renew The Health Plan I Have Now? Go to...
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Walmart Baby Days
https://www.caresource.com/plans/medicaid/mom-baby-community-fair/...Safe sleep for baby Breastfeeding and formula Child milestones Immunizations (shots) Walmart pharmacy Medicaid Redetermination Don’t Miss: Prizes and giveaways from our participating vendors. We hope to see you there!...
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Get Contracted
https://www.caresource.com/producers/get-contracted/Please select your state from the state selector above to begin the process. In order to get contracted to sell CareSource health plans, you must utilize one of our exclusive...
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Claim Payment Disputes
https://www.caresource.com/providers/provider-portal/claim-payment-disputes/...must use the dispute process for any claim denials. Appeal rights do not exist for participating Medicare providers. If you believe the claim was under paid or over paid, you...
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