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Provider Responsibilities
https://www.caresource.com/providers/education/health-equity/provider-responsibilities/...that social determinants of health are recognized as significant contributors to member outcomes and quality of life. CareSource PASSE adheres to the National Culturally & Linguistically Appropriate Standards (CLAS). The...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...office staff did not treat you fairly. You are not satisfied with the quality of care you received. CareSource denies a service. CareSource gives partial approval to cover a service....
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Training & Events
https://www.caresource.com/providers/education/training-events/Earn rewards for keeping your patients healthy! Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help...
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ACCREDITATIONS
https://www.caresource.com/about-mstc/accreditations/NCQA TrueCare will pursue Health Plan and Health Equity Accreditations through National Quality for Quality Assurance (NCQA) to align with industry best practices that promote health for our members. NCQA...
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Disaster Readiness
https://www.caresource.com/members/education/planning-ahead/disaster-readiness/Make sure you are ready for public health threats. These include natural disasters, disease outbreaks, accidents with unsafe substances and terrorist attacks. Public health threats can lower air quality, cause...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...a review of any decision that does not involve an adverse benefit determination. These types of decisions may cover: The availability, delivery or quality of health care services Claims, payments,...
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Vision
https://www.caresource.com/providers/education/patient-care/vision/CareSource® covers vision services for our Ohio Medicaid members. Our vision providers can access the following tools to help them provide efficient and quality care. Superior Vision (Versant Health) Routine...
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Pharmacist Provider Status
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacist-provider-status/...obtain an NPI number. Credentialing is the process of verifying qualifications for providing services to our members. CareSource partners with CAQH (Council for Affordable Quality Healthcare) for credentialing of our...
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CareSource Pharmacy Department
https://www.caresource.com/providers/education/patient-care/pharmacy/caresource-pharmacy-department/...costs, solving access issues, and promoting quality health outcomes. Pharmacists Technicians ` MTM Programs Pharmacy Escalations Comprehensive Medication Reviews & Medication Reconciliation Behavioral Health Chronic Disease State Programs Medication Adherence...
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Contact Us
https://www.caresource.com/members/contact-us/...That’s Health Care with Heart®! Welcome CareSource Members! CareSource marketplace plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with optional...
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