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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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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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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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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...Payment 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 02/16/2023 Utilization Management of...
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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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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/...Do not sign your name to a blank form. If you have questions about what you are signing, be sure to ask your health partner. Read your Explanation of Benefit...
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Marketing Materials
https://www.caresource.com/producers/tools-resources/marketing-materials/...Broker Compensation Disclosure Form View the 2026 Marketplace Broker Compensation Disclosure Form View the 2026 Medicare Broker Compensation Disclosure Form VIEW THE 2025 BROKER’S COMPENSATION DISCLOSURE FORM VIEW THE NON-DISCRIMINATION...
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Sharing Data Between Health Plans (Payer to Payer Data Exchange)
https://www.caresource.com/members/sharing-data-between-health-plans-payer-to-payer-data-exchange/...number on your ID card if you have questions. If you are a former member and left our plan in the last five years, we can share your CareSource PASSE...
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