Plan Participation

Welcome to CareSource. We are pleased to have you as part of our network. We value our partnership with you to provide the highest quality of care for our CareSource members. We are committed to making it easy for you and your staff to do business with us.

Our website is one way we work to meet that commitment. In addition to information about how to do business with us, our website features many online ways of sending and receiving information from us, as well as doing business directly with us.

Notice to non-participating providers:

Mandatory enrollment of pregnant women

Effective October 2008, the Michigan Department of Community Health (MDCH) began requiring that Medicaid eligible pregnant women change from a voluntary to a mandatory managed care population. All newly eligible pregnant Medicaid beneficiaries who qualify for Medicaid coverage due to pregnancy are required to enroll into a Medicaid Health Plan. To ensure continuity of care, these enrollees will be able to continue to see non-participating providers with whom they have established a relationship, until after the postpartum visit.

If you have pregnant patients enrolled with CareSource who want to continue their prenatal care with you, we want to make sure to coordinate these patients' care. Please call CareSource's Provider Services at 1-800-390-7102. As a non-participating provider, you will be reimbursed at Medicaid Fee-for-Service rates.

We will be engaging these new Members in our care management and prenatal support programs. It is very important that we are able to work with you for improved care coordination. Once you've been identified as a provider for a CareSource member, we will be contacting you to ensure positive outcomes for our mutual clients.

If you'd like to speak with a CareSource Provider Relations representative, please call 1-800-390-7102.

Medicaid specialty network access request process

The Michigan Department of Community Health, the Medicaid Qualified Health Plans and the four Public Entities (University of Michigan Health System, Wayne State University, Hurley Hospital, and Michigan State University) have worked on a joint initiative to increase access to specialty care services to Michigan Medicaid recipients. Read about the process to allow Medicaid beneficiary access to specialty care Providers.