Attention West Virginia Marketplace Members: We are sorry to announce that CareSource will not offer Marketplace plans in West Virginia for the 2027 plan year. You will need to choose a new insurer between November 1 and the end of Open Enrollment on December 15, 2026.
We encourage you to contact your broker, visit Healthcare.gov or call 1-800-318-2596 to shop for a 2027 health plan beginning November 1. Otherwise, the Marketplace may select a new plan for you. Your current plan will remain in effect through December 31, 2026 with your paid premiums. Please call Member Services at 1-800-230-2099 (TTY: 711) if you have any questions.
Attention Ohio Marketplace Members: We are sorry to announce that CareSource will not offer Marketplace plans in Ohio for the 2027 plan year. You will need to choose a new insurer between November 1 and the end of Open Enrollment on December 15, 2026.
We encourage you to contact your broker, visit Healthcare.gov or call 1-800-318-2596 to shop for a 2027 health plan beginning November 1. Otherwise, the Marketplace may select a new plan for you. Your current plan will remain in effect through December 31, 2026 with your paid premiums. Please call Member Services at 1-800-230-2099 (TTY: 711) if you have any questions.
Federal regulations require all Medicaid providers to revalidate their enrollment every five years. Providers who have not completed revalidation by July 1, 2026 will be suspended and unable to serve Medicaid or PeachCare for Kids members, with claims denied for services after this date.
For more information and for a list of affected providers, visit www.mmis.georgia.gov under Provider Information > Reports for Public Access.
Provider Revalidation
Federal regulations require all Medicaid providers to revalidate their enrollment every five years. Providers who have not completed revalidation by July 1, 2026 will be suspended and unable to serve Medicaid or PeachCare for Kids members, with claims denied for services after this date.
For more information and for a list of affected providers, visit www.mmis.georgia.gov under Provider Information > Reports for Public Access.
Attention Indiana Marketplace Members: We are sorry to announce that CareSource will not offer Marketplace plans in Indiana for the 2027 plan year. You will need to choose a new insurer between November 1 and the end of Open Enrollment on December 15, 2026.
We encourage you to contact your broker, visit Healthcare.gov or call 1-800-318-2596 to shop for a 2027 health plan beginning November 1. Otherwise, the Marketplace may select a new plan for you. Your current plan will remain in effect through December 31, 2026 with your paid premiums. Please call Member Services at 1-800-230-2099 (TTY: 711) if you have any questions.
Provider portal announcement for Indiana Marketplace:
NOTICE: As of January 1, 2027, CareSource is exiting the Indiana Marketplace market. Our member’s coverage through the Marketplace and off-exchange Qualified Health Plans will remain active through December 31, 2026. Please be sure to check patient eligibility before providing services.
This action does not alter any existing provider contracts with CareSource and does not affect CareSource’s Indiana Hoosier Healthwise and Healthy Indiana Plans or CareSource plans offered in other states.
Please contact Provider Services at 1-833-230-2101, Monday through Friday, 8 a.m. to 6 p.m. Eastern Time (ET) if you have any questions.
Thank you for your service to our members.
Referral waiver extended through June 30, 2026. In-network specialists: No referral required. Out-of-network specialty care: Primary Care Manager referral required after June 30, 2026, to avoid point-of-service costs.
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.
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.
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.
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