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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...Form so that all providers involved in their care can effectively coordinate their care. This form is located on the Forms webpage. The HIPAA Authorization Form can also be used...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...Authorization Request Form . Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please...
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Forms
https://www.caresource.com/plans/tricare-prime-demo/forms/DisposeRx® Request Form: Get a free DisposeRx packet to help you dispose of unused or expired medications. Fraud, Waste and Abuse Reporting Form: Use this form if you think that...
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Form 1099-MISC
https://www.caresource.com/1099-info/Form 1099-MISC is an Internal Revenue Service (IRS) tax form that shows payments that CareSource issued to a provider, vendor or independent contractor. Form 1099-MISC is mailed to recipients by...
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Formulary Archive
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/formulary-archive/...Summary of Formulary Changes Effective April 1, 2024 03/01/2024 Summary of PDL Changes Effective March 15, 2024 02/15/2023 Summary of PDL Changes Effective January 01, 2024 12/01/2023 Summary of Formulary...
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FAQs
https://www.caresource.com/providers/education/faqs/...a participating health partner? Providers can visit our Plan Participation page to learn how to contract with CareSource. Or, call Health Partner Services at 1-855-202-1058. We can give you the...
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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...for Drug Administration T Three Day Window Payment Three-Day Window Payment Trading Partners Trading Partners Trading Partners Trading Partners Trading Partners U Utilization Management of Formulary Medications - Archived on...
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Marketing Materials
https://www.caresource.com/producers/tools-resources/marketing-materials/...Compensation Disclosure Form View the 2026 Medicare Broker Compensation Disclosure Form VIEW THE 2025 BROKER’S COMPENSATION DISCLOSURE FORM VIEW THE NON-DISCRIMINATION NOTICE 2026 Broker’s Compensation Disclosure Form (coming soon) 2026...
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Training & Events
https://www.caresource.com/providers/education/training-events/...care. Provider Attestation Education Form: Use this form to provide attestation of completing education requirements. Provider Education Series: Behavioral Health: Additional Trainings & Events: Training CareSource periodically offers training, available...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Reporting Form and mailing it to the address below Filling out the Fraud, Waste and Abuse Reporting Form Sending us a letter addressed to: CareSource Attn: Program Integrity P.O. Box...
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