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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...
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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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Behavioral Health
https://www.caresource.com/behavioral-health/...including: Contracting and credentialing Claims processing and payment Referrals and triage Care management Contact Beacon at 1-877-380-9729 to: Verify available behavioral health and substance abuse benefits Seek an appointment Seek...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/Don’t Risk Losing Your CareSource Health Care To stay a CareSource member, you need to renew your Medicaid benefits every year. This is done through the Georgia Division of Family...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...furnished under a contract, referral, or other arrangement to the extent that those payments are more than what you would owe if CareSource provided the services directly. Member Responsibilities Use...
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Food Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/food-services/...service(s) include: Medically Tailored Home Delivered Meal Produce Prescription Healthy Home Delivered Meals Healthy Food Pack To Enroll: Please call your doctor for a referral or call Member Services to...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...
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Planning for Healthy Babies® (P4HB®)
https://www.caresource.com/plans/planning-for-healthy-babies/...sexually transmitted diseases (STDs), except HIV/AIDS and hepatitis Patient education and counseling Referrals for other health and social services Drugs to treat infections in your bladder and areas near your...
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CareSource Military & Veterans
https://www.caresource.com/about-us/caresource-military-and-veterans/...and Veterans Health Plans TRICARE Prime® Demo by CareSource Military & Veterans™ Get care on your terms with a TRICARE Prime® option that removes referrals and expands access to community...
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TrueCare Life Services
https://www.caresource.com/members/tools-resources/caresource-life-services/...and employment coaching Legal assistance Housing Childcare Referrals to resources You can be part of TrueCare Life Services if you are: A TrueCare™ member or of legal working age (for...
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referral