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).
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.
CareSource will not offer Marketplace coverage in North Carolina for 2026.
Members’ plans will remain active until December 31, 2025, with paid premiums. Members are encouraged to visit Healthcare.gov or call 1-800-318-2596 (TTY: 855-889-4325) to shop for a 2026 health plan during Open Enrollment (November 1, 2025 through January 15, 2026).
Attention HAP CareSource Members:
HAP CareSource will not offer Marketplace coverage in Michigan for 2026. Members’ plans will remain active until December 31, 2025, with paid premiums. Members are encouraged to visit Healthcare.gov or call 1-800-318-2596 (TTY: 855-889-4325) to shop for a 2026 health plan during Open Enrollment (November 1, 2025 through January 15, 2026).
Attention CareSource Kentucky Members:
CareSource will not offer Marketplace coverage in Kentucky for 2026. Members’ plans will remain active until December 31, 2025, with paid premiums. Members are encouraged to visit kynect.ky.gov or call 1-855-459-6328 (TTY: 1-855-326-4654) to shop for a 2026 health plan during Open Enrollment (November 1, 2025 through January 15, 2026).
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