Effective 04/01/26, members who have transitioned from MDwise to CareSource with an out-of-network allowance will no longer be able to fill prescriptions at Kroger and Walgreens retail pharmacies.
Reminder: Kroger and Walgreens retail pharmacies are not in CareSource’s Indiana Medicaid network. Effective 04/01/26, members who have transitioned from MDwise to CareSource with an out-of-network allowance will no longer be able to fill prescriptions at Kroger and Walgreens retail pharmacies.
We are updating the start date for our routine vision benefits change from March 1, 2026 to May 1, 2026. Beginning May 1, 2026, CareSource will contract with EyeMed to administer the routine vision benefit on behalf of CareSource for all Indiana Medicaid members.
IMPORTANT DATE CHANGE:
We are updating the start date for our routine vision benefits change from March 1, 2026 to May 1, 2026. Beginning May 1, 2026, CareSource will contract with EyeMed to administer the routine vision benefit on behalf of CareSource for all Indiana Medicaid members.
Updates Regarding Mental Health Parity
CareSource is currently updating the Provider Manual to include additional provisions related to Mental Health Parity. Updates will be provided as more information becomes available.
CareSource is currently updating the Provider Manual to include additional provisions related to Mental Health Parity. Updates will be provided as more information becomes available.
Ohio Next Generation MyCare Nursing Facility Providers: Claims payment will not be denied solely due to the absence of a Level of Care (LOC) determination. Providers should submit all claims for processing. If you have any questions, please reach out to our Post Acute Provider Relations team for assistance. PostAcuteProviderRelations-OH@caresource.com.
The National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2016 required the development of a system where non-Department of Defense (DoD) (TRICARE) mental health care providers may receive a mental health Provider Readiness Designation. These mental health providers are specifically highlighted in the TRICARE directory as having earned this designation. Read more.
Ohio Next Generation MyCare Waiver Providers who encounter any issues with claims submissions are encouraged to reach out for assistance.
– Provider Call Center is available at 1-800-488-0134 Monday through Friday from 8 a.m. – 8 p.m.
– Dedicated HCBS Provider Relations Representatives are available at CareSourceOHLTSSHCBSSupport@caresource.com.
– Office Hours are available. Please complete the Office Hours Registration Form and you will be invited to join our daily office hour sessions.
Claim submissions through the OMES one front door are based on the date of submission.
– Any claims submitted on January 1, 2026, or after should be submitted to the OMES one front door, even if the date of service was before January 1, 2026.
– Providers that have claims rejected due to this should resubmit claims using the correct payer ID for CareSource. 0021599
– Refer to the Companion Guides for more information.
Attention Ohio Next Generation MyCare Providers: Claim submissions through the OMES one front door are based on the date of submission.
Any claims submitted on January 1, 2026, or after should be submitted to the OMES one front door, even if the date of service was before January 1, 2026.
Providers who have claims rejected due to this issue should resubmit claims using the correct payer ID for CareSource: 0021599. Refer to the Companion Guides for more information.
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