Get Credentialed

Providers who wish to contract with CareSource® must first be credentialed. Through credentialing, we check the qualifications and performance of physicians and other health care practitioners. Providers are recredentialed a minimum of every three years and are considered to be recredentialed unless otherwise notified.

Contracting and Recredentialing Process

   It is the policy of CareSource to ensure the quality and qualifications of professionally licensed practitioners and organizational providers through a credentialing and recredentialing process thatcomplies with regulatory and accreditation standards. Our Vice President/Senior Medical Director is responsible for the credentialing and recredentialing program.

You must submit a complete Council for Affordable Quality Healthcare (CAQH) application or CAQH number and National Provider Identifier (NPI) number to CareSource.

Start Here

Click the Contract Implementation link below, populate the form and attach your CAQH application or add your CAQH number and NPI number in the additional information text box.

Contract Implementation

You may also choose to fax or send the same information via certified mail.

Fax to: 937-396-3632

Mail to: CareSource
Attn: Contract Implementation
P.O. Box 8738
Dayton, OH 45401-8738

For more information about CAQH, please log on to the CAQH website or call CAQH at 1-888-599-1771.

Your Application

CareSource is a participating organization with CAQH. Please make sure that we have access to your provider application before you submit your CAQH number as referenced above:

  1. Log on to CAQH using your account information.
  2. Select the Authorization tab.
  3. Make sure CareSource MyCare ohio is listed as an authorized health plan.
  4. If not, check the Authorized box to add.

Please also include the following documents:

  • Drug Enforcement Administration (DEA) certificate<IN only: and/or Controlled Dangerous Substances (CDS) certificate>
  • Malpractice insurance face sheet
  • Clinical Laboratory Improvement Awards (CLIA) certificate, if applicable
  • Standard Care Agreement (SCA), if an advanced practice nurse
  • Supervisory agreement, if a physician assistant

It is essential that all documents are complete and current, or CareSource will discontinue the contracting and credentialing process.

If you have missing or expired documents, the Credentialing staff will send you a letter with instructionsto correct and submit the updated information.

Questions?

For questions about credentialing, call CareSource at 1-800-488-0134 and follow the prompts to be directed to one of our Credentialing staff. You can leave a detailed message, and one of our staff will return your call within threebusiness days. We can research the status of yourapplication in the credentialing process or what documents might still be needed.

Or, you can find more information about credentialing in our Provider Portal