Become a Participating Provider
Ready to join our network? Here’s what comes next.
Start the Contracting Process
Fill out the New Health Partner Contract Form to get started.
If you offer medical services and want more information about becoming a participating provider, please submit the New Health Partner Contract Form.
Your Application Status
Once you submit your application, you will receive a confirmation email. Please save this email, as it will contain your Application ID.
You can check your application status on the Provider Portal. You will need to enter your NPI and Application ID to view your status.
Credentialing Changes – Ohio Medicaid Next Generation Managed Care Program
With the Next Generation of Ohio Medicaid Managed Care there is a change from the managed care entities (MCEs) having the responsibility for provider credentialing to Ohio Department of Medicaid (ODM) moving to a centralized model in which the agency will manage credentials. Beginning on October 1, 2022 the Provider Network Management (PNM) module will accept Medicaid or MyCare provider credentialing request and carry out centralized credentialing functions.
Recredentialing applications for Ohio Medicaid / Ohio MyCare for the months of Oct, Nov, Dec 2022 and Jan 2023 will be completed by CareSource. Per the Centers for Medicare and Medicaid Service (CMS) and National Committee for Quality Assurance (NCQA) rules, a provider is required to go through the process at initial enrollment and every 36 months thereafter.
Will a provider still need to be credentialed by an MCO?
If a provider is participating with a managed care organization for Medicaid-only credentials or MyCare credentials, the credentialing process will be done through ODM (PNM module). Providers who participate in Medicaid’s fee-for-service model also must complete this process. They will not be credentialed at the MCO level. However, providers participating in non-MyCare Medicare and Marketplace programs are mandated by CMS to be credentialed by the MCOs. Additionally, a provider will still need to contract with a given MCO in order to participate with them.
How can the Provider Network Management (PNM) module be accessed?
Beginning October 1, all Medicaid providers will need an OH|ID, the State of Ohio’s digital identity standard, to access Medicaid’s new Provider Network Management (PNM) module secure web portal. The PNM module is the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service. The PNM module has replaced MITS provider portal.
Why this is important:
The OH|ID is required to securely access state agency systems. It gives providers a single set of logon credentials to securely access state agency systems, including Medicaid’s, from any device. The ID adheres to best practice security and privacy regulations as defined by the National Institute of Standards and Technology (NIST). Agencies and users using the OH|ID can rest assured that their digital identities are kept safe and secure.
Providers needing technical assistance should contact the Ohio Department of Medicaid Integrated Help Desk (IHD) at 1-800-686-1516. Hours of operation are Monday-Friday, 8 a.m. – 4:30 p.m. ET.
For more information, please visit the PNM and Centralized Credentialing website.
Learn how to work with CareSource.
Welcome to the CareSource network! Once you receive your Welcome Letter from CareSource with your CareSource ID number, you have completed the contracting and credentialing process.
As you prepare to see CareSource members, we encourage you to familiarize yourself with our plan, tools and resources.
Create a Provider Portal account.
If you are not registered with CareSource’s Provider Portal, please follow these easy steps:
- Visit the Provider Portal.
- Click on the “Register for an account” button and complete the three-step registration process. You will need your Tax ID number and your CareSource Provider Number, located in your welcome letter.
- Click the “Continue” button.
- Note the username and password you create so that you can access the portal’s many helpful tools.
Take the provider orientation training.
View the Provider Orientation to welcome you and help you work with CareSource.
Check out the Training & Events page for any upcoming live orientations.
Learn About CareSource
Get Started With CareSource
Work With CareSource
Use Our Provider Tools
Set up electronic payments.
CareSource has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:
- Electronic fund transfer (EFT) – preferred
- Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
- Paper Checks
*Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card.
Questions? Call ECHO Customer Support at 1-888-834-3511.
Bookmark news from CareSource.
We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.
Visit the Updates & Announcements page frequently to find all the latest CareSource news.
Share the good news!
We encourage you to let your patients know you accept CareSource by sharing on your social media platforms. Visit our Provider Social Media Kit (coming soon) to get started.
Explore training and resources.
We support our provider network with online resources and trainings on topics relevant to your practice. Check out the Training & Events page.
Need help? If you have additional general questions about getting contracted, please call CareSource’s Provider Services at 1-800-488-0134.
We are always looking for ways to improve our network. If you have any suggestions or would like to refer a provider to us, we want to hear from you. Share your ideas or referrals on the Access Opportunity Form.