Provider Maintenance

Up-to-date contact information is critical to process your claims. In addition, it ensures our directories are up-to-date and reduces unnecessary calls to your practice. To start the process please visit the Provider Maintenance Form on the Provider Portal. Simply login to the Portal and select “Provider Maintenance” from the navigation area on the left-hand side of the page.

Attention Ohio Medicaid and MyCare Providers

Effective October 1, 2022, Ohio Medicaid and MyCare providers will utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid for submitting provider applications, credentialing request and provider demographic updates.  The PNM module will be the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service.  The PNM module is replacing MITS provider portal.

To access the PNM module, you need to use your OH|ID account.  Don’t have a OH|ID account?  Click here to create an OH|ID account.

For more information, please visit the PNM and Centralized Credentialing website.

If you are contracted with Ohio Medicaid and/or MyCare and are making a demographic change, adding or terming a provider to/from your existing contract, please submit your information to the Ohio Department of Medicaid PNM Module.

If you are adding or terming a provider to/from your existing Marketplace/Medicare Advantage and/or DSNP contract, please submit a a Hierarchy Change Request Form to providermaintenance@caresource.com.