...of credentialing information to CareSource. Organizational Credentialing Application – This form should be completed by organization/facility for credentialing. HCBS Credentialing Application – This form should be completed by HCBS providers...

...How to Check Your Contracting 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...

...the New Health Partner Contract Form. If you have any questions about your application, please contact us at NCcontracting@caresource.com. Your Application Status Once you submit your application, you will receive...

...contain your Application ID. You can check your application status on the provider portal. You will need to enter your National Provider Identifier (NPI) and Application ID to view your...

...your Navigator name, Application Organization, Business Address CAC# or CDO# and contact information (email/phone). *Kynectors, please provide name, contact information (email/phone) and organization. HAP CareSource is here to assist with...

...first calendar day of the following month when your application is received before the last five calendar days of the month. Applications received during the last five calendar days of...

...New Health Partner Contract Form. Ohio Medicaid and CareSource MyCare Ohio providers should utilize the Provider Network Management (PNM) module from the Ohio Department of Medicaid for submitting provider applications,...

...at 800-421-2408 and ask for them to mail you an application. You can also ask for help over the phone. Fax or mail: You can print out an application form...

...where you live. Find your regional office. Phone: Call the Office of Eligibility toll-free at 800-421-2408 and ask for them to mail you an application. You can also ask for...

...through the application steps. Start an Application If you’ve sent a request in the past, you will log in with your existing username and password. Click the link below to...