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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...total, and revision surgeries Cardiac Catheterization Coronary Angioplasty/Stenting Implantable Cardioverter Defibrillator ICD Revision or Removal Pacemaker Pacemaker Revision or Removal Peripheral Revascularization Coronary Artery Bypass Grafting Internal Cardiac Monitoring Leadless...
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Marketplace
https://www.caresource.com/plans/marketplace/...care Pregnancy, maternity and newborn care Mental health and substance use disorder services Rehabilitative and habilitative services and devices Laboratory services Pediatric services, including dental and vision Optional Adult Vision...
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/...and most recognized networks for vision care in the country. EyeMed is our exclusive network of providers for annual vision exams and glasses or contacts for our pediatric vision coverage,...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...2022 Versant Vision Policies Updates 10/01/2022 Prescribing Exemption for Antidepressants and Atypical Medication Notification 10/01/2022 Q4 Live Instructor-Led Provider Training and Education Series 10/01/2022 Centralized Credentialing and PNM Portal Overview...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/...for pediatric vision and adults with Adult Vision and Fitness plans. Active&Fit® Fitness benefit included with all Adult Vision and Fitness plans. It includes access to a network of participating...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...transportation to and from your doctor visits. Dental and vision benefits are provided for children on all Marketplace plans. Dental and vision benefits are not covered for adults unless you...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...encompass the following topic areas: Principal Standard: provision of effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages,...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...What You Need to Know 01/14/2026 December 2025 Policy Updates – REVISION 01/08/2026 January 7, 2026 Policy Updates 01/07/2026 Home Health Services & Private Duty Nursing Services for Greater than...
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