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Common Compliance Terms
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/common-compliance-terms/...that are performed by workers located in offshore countries, regardless of whether the works are employees of American or foreign companies. Physician Self-Referral is making referrals for certain designated health...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...medical condition before we will cover the drug your physician initially prescribed. Step Therapy Criteria – For certain drugs, we require you to first try another drug to treat your...
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Medical Benefits
https://www.caresource.com/benefits-services__trashed/medical/...on our Plan Documents page. 2022 Copayments and Fees Doctor Office Visits (In-Network) CareSource Advantage Zero Premium (HMO) CareSource Advantage (HMO) Primary Care Physician (PCP) $10 – $15 copay $0...
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HAP CareSource Plans
https://www.caresource.com/plans/medicaid/benefits-services/hap-caresource-plans/...to 133 percent of the Federal Poverty Level A resident of the State of Michigan What’s covered? You’ll have coverage for: Visits to your primary care physician, nurse practitioner, outpatient...
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ACCREDITATIONS
https://www.caresource.com/about-mstc/accreditations/...provide to their members and how well a health plan manages all parts of its delivery system — physicians, hospitals, other providers and administrative services — in order to continuously...
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About TrueCare
https://www.caresource.com/about-mstc/...for more than 100 years. TrueCare was created to improve the health of Mississippians by leveraging local physician experience to inform decisions, use population health data more effectively and reduce...
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Press Release
https://www.caresource.com/about-mstc/mississippi-news/mississippians-have-new-medicaid-choice/...leverages local physician experience to inform decision-making and drives more effective use of health outcome data to better support the member. “TrueCare is excited to introduce the state’s only provider-sponsored...
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Nevada | CareSource
https://www.caresource.com/nevada/...customer care. Our sole mission is to improve the health of Nevada residents by leveraging local, physician experience to inform decision-making, align incentives, use data more effectively and reduce friction...
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Collaborative Care Model (CoCM) Initiative
https://www.caresource.com/providers/education/patient-care/behavioral-health/about-the-collaborative-care-model-cocm-initiative/...activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified healthcare professional Usual work for the visit code Please note: These codes should be...
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Plan Documents
https://www.caresource.com/plans/mich/plan-documents/...you to first try another drug to treat your medical condition before we will cover the drug your physician initially prescribed. 2026 Step Therapy Criteria (Last updated 04/01/2026) Drug Transition...
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