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Regional Carrier · Dayton, Ohio
Facility Credentialing & Network Participation
CareSource is one of the nation's largest Medicaid managed care plans, serving over 2 million members. As a nonprofit organization founded in 1989, they focus on providing accessible healthcare to underserved populations with emphasis on integrated care and community health. They offer Medicaid, Medicare, and Health Insurance Marketplace products.
CareSource payer facts
Market context
Leading Medicaid managed care organization with strong presence across 12 states. Largest Medicaid plan in Ohio and second largest in the U.S.
Payer guide
CareSource provides comprehensive behavioral health benefits with focus on integration, prevention, and community-based care for Medicaid and marketplace populations. Coverage includes all levels of care from residential to outpatient.
Behavioral Health Manager
Beacon Behavioral Health (for Humana-CareSource plans); Ohio has behavioral health carve-in
All treatment settings accepted by CareSource
What sets CareSource apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
MCG criteria for mental health; ASAM criteria for substance use disorders
Payment and billing information
Coverage area
12 states nationwide
Corporate Headquarters
Dayton, Ohio
Continue learning
Provider guide
Learn what insurance credentialing is, why it matters, and how to navigate the process to get in-network.
Read moreProvider guide
A practical step-by-step guide for healthcare providers who want to join insurance panels.
Read moreProvider guide
Navigate behavioral health carve-outs and credentialing requirements for major payers.
Read moreProvider guide
Learn how payer contracts work and how to negotiate better reimbursement rates.
Read moreExpert contracting support
Our team specializes in CareSource contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process