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.
Update Your Information
Please submit any changes for your practice using the Provider Maintenance Form on the provider portal. Simply login to the Portal and select “Provider Maintenance” from the Provider navigation area on the left-hand side of the page. You can update CareSource® with such changes as:
- Adding or deleting a provider to a group
- Changing an address or phone number
- Adding new restrictions or capacity limitations
The information will be submitted electronically to CareSource and you will receive an email verifying your requested changes. Providers can also check the status of the maintenance request on the provider portal.
NOTE – To change your Tax ID number, or update your IRS name, you must make those changes through an amendment to your contract, not through maintenance. You can make those changes using the New Health Partner Contract Form.
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 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.
PNM Module Resources | |
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. |
Additional PNM Module Tips
- 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 Hierarchy Change Request Form to ProviderMaintenance@CareSource.com.
- 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.