For all qualified mental health providers, remember to complete the Mental Health Framework Assessment Training.
Complete the Mental Health Framework Training
For all qualified mental health providers, remember to complete the Mental Health Framework Assessment Training.
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.
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.
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.
Effective January 1, 2026, CareSource will no longer offer Marketplace coverage in Kentucky.
Members’ plans will remain active through December 31, 2025, with paid premiums After that date, you will still be able to manage members’ claims and access historical records. Claims for services rendered to members through December 31, 2025, must be submitted by December 31, 2026. Claim disputes must be submitted within two years after the claim is processed.
Effective January 1, 2026, CareSource North Carolina Co. will no longer offer Marketplace coverage in North Carolina.
Members’ plans will remain active through December 31, 2025, with paid premiums. After that date, you will still be able to manage members’ claims and access historical records. Claims for services rendered to members through December 31, 2025, must be submitted by December 31, 2026. Claim disputes must be submitted within two years after the claim is processed.
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