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.
Important Changes Coming as Part of the Next Generation MyCare Program
Starting January 1, 2026, CareSource will begin offering a combined Medicare and Medicaid plan, CareSource® MyCare Ohio (HMO D-SNP). Rolling out in a phased approach with statewide coverage by August 1, 2026. Learn more at CareSource.com/MyCare2026.
Important Update: Only Provider Type 60 Medicare Certified Agencies can bill for Home Health G-codes (ODM Rule 5160-12-05).
Please join CareSource for the 2025 Marketplace Public Forum on November 13th from 4:00p – 5:00p EST to discuss premiums and provide feedback on CareSource’s performance over the last year.
Chat is no longer available in My CareSource. But don’t worry! You can still chat with us in CareSource MyLife, our new member platform. Just sign in with the same email and password you use here. The first time you sign in, you’ll need to add your health plan. Once that’s done, you can chat live with Member Services.
Important News About Georgia Pathways Copayments
Georgia Pathways to Coverage® members will start paying copayments for health care services on October 1, 2025. Members under age 21 will not pay copayments.
Learn more at pathways.georgia.gov or call 1-404-656-4507 with questions about this change. If you can’t afford the copayment, you will not be denied care for a covered service.
Important News About Georgia Pathways Copayments
Georgia Pathways to Coverage® members will start paying copayments for health care services on October 1, 2025. Members under age 21 will not pay copayments.
Learn more at pathways.georgia.gov or call 1-404-656-4507 with questions about this change. If you can’t afford the copayment, you will not be denied care for a covered service.
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