« Providers
 Providers
Ohio
Ohio

Welcome to CareSource MyCare Ohio

MyCare Ohio is the state of Ohio’s Dual Demonstration. MyCare Ohio is a system of managed care plans selected to coordinate the physical, behavioral and long-term care services for individuals over the age of 18 who are dually eligible for both Medicaid and Medicare. This includes people with disabilities, older adults and individuals who receive behavioral health services. 

CareSource® MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide the combined benefits of both programs to those that want a single health care plan.

The MyCare Ohio program connects Medicare and Medicaid benefits for Medicare-Medicaid enrollees. The goal of the program is to comprehensively manage the full continuum of Medicare and Medicaid benefits for Medicare-Medicaid enrollees, including long-term services and support. 

MyCare Ohio stresses a team approach to health care. The care team includes the individual, the individual’s family and/or caregiver, the CareSource care manager, the waiver service coordinator (if appropriate) the primary care provider, specialists and other providers as appropriate to support and coordinate the member’s care.

Providers of personal care, long-term support, home modifications, home care-givers and other similar services apart from physicians, physician assistants, hospitals and similar health care services will find this website particularly helpful for information about submitting claims for payment, appeals, certification, referrals and prior authorization for services.

Site Navigation

We want to make doing business with us as easy as possible. Visit the links to the left to learn how we partner with you:

  • Plan Participation – Access our credentialing policies and recruitment kit materials
  • Plan Resources Learn more about CareSource MyCare Ohio and the resources we have available for our health partners
  • Patient Care – Find tools to provide the best level of care for MyCare Ohio members
  • Claims – File claims online, get paid electronically and learn more about the ICD-10 code set
  • Contact Us Call us if you have questions about our plan or if you need to report fraud, waste and abuse

At any time, you can use the Quick Links for quick and easy access to the Provider Portal, Formulary Search Tool and our policies.

Service Area

In 2016, CareSource MyCare Ohio is available in 12 Ohio counties: Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, and Wayne.

Health Partner Provider Network

A network of health partners renders services to CareSource MyCare Ohio members. Please use our Find a Doctor/Provider tool to locate in-network providers. Out-of-network services are not covered unless they are emergency services or prior authorized by CareSource.

Please review the and other plan resources to learn more about the plan and how you can help provide the best care to our members.

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. We will be sure to evaluate your submission within 72 hours.