Become a Participating Provider
Ready to join our network? Here’s what comes next.
Step 1: Start the Contracting Process
Fill out the New Health Partner Contract Form to get started.
Review the Becoming a Health Partner Step-by-Step Guide when filling out the 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.
Step 2: Get Credentialed
Complete your application with supporting documents.
Providers who wish to contract with us must also 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
CareSource credentials providers using guidelines from the National Committee for Quality Assurance (NCQA). Our Vice President/Senior Medical Director is responsible for the credentialing and recredentialing program.
Visit HealthPlanResources.com to access trainings on Contracting, Credentialing and more!
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.
Attention Ohio Medicaid and MyCare Providers:
Ohio Medicaid and MyCare providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid (ODM) for submitting provider applications, credentialing request and provider demographic updates. The PNM module is the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service. The PNM module replaced MITS provider portal. Contact the ODM Integrated Help Desk at IHD@medicaid.ohio.gov or 1-800-686-1516 for additional help.
| PNM Module Resources | |
|---|---|
| Create an OH|ID account You need an OH|ID account to access the PNM module. If you don’t have an account yet, you may create one here. | PNM and Centralized Credentialing Website Access more information on the PNM module and centralized credentialing. |
Contact Us
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.