CareSource
Credentialing and enrollment guides for CareSource across 7 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
7
How CareSource Credentialing Actually Works
Verified July 2026Apply Through
Timeline
The credentialing phase typically runs 60 to 75 business days
Recredentialing
At least every three years; you are considered recredentialed unless notified otherwise
Four gates in order: the Health Partner Contract Form, contract execution, credentialing, then enrollment into claims and directory systems. A CAQH number is required in most cases, with CareSource authorized as a viewing plan.
The stall to avoid: Contracted is not enrolled: providers are not payable until the final enrollment step loads them into claims systems. For Medicaid products an active state Medicaid ID comes first.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About CareSource
CareSource is a nationally recognized nonprofit health plan serving over 2 million members in Georgia, Indiana, Kentucky, Ohio, West Virginia, and other states. CareSource administers Medicaid, Marketplace, Medicare Advantage, and dual-eligible plans.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
CareSource requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to CareSource. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with CareSource?
Our specialists handle the entire CareSource enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Contact Information
Provider Credentialing
1-800-488-0134
Mon-Fri 8am-5pm
Provider Services
1-800-488-0134
Claims & Billing
1-800-488-0134
Quick Links
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for CareSource-specific credentialing details including timelines, contacts, and local requirements.
CareSource credentialing requirements by state
CareSource enrollment is not identical everywhere. The table below lists what actually differs across the 7 states CareSource operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Arkansas | CareSource Arkansas | Open | — | CareSource Arkansas participates in the Arkansas Medicaid managed care program. Providers must first enroll with Arkansas Medicaid through DHS, then apply to CareSource via CAQH ProView. Active Arkansas medical license and NPI are required. Service areas cover select counties across the state. Arkansas uses the Provider-Led Arkansas Shared Savings Entity (PASSE) model for behavioral health and developmental disability populations. |
| Georgia | CareSource (Georgia Families Medicaid) | Open |
Provider portal
1-833-230-2100
|
CareSource is a Georgia Families Medicaid plan (and the only returning incumbent in Georgia's 2026 Medicaid re-procurement). Georgia uses a centralized state CVO for all care management organizations — CareSource does not conduct its own credentialing and accepts the CVO's determination, with complete applications decided within about 51 calendar days. Provider demographic changes go through the state GAMMIS system rather than the plan. |
| Indiana | CareSource Indiana | Open | — | CareSource Indiana participates in the Healthy Indiana Plan (HIP) and Hoosier Healthwise programs. Providers must first enroll with Indiana Medicaid through IHCP, then apply to CareSource via CAQH ProView. Active Indiana medical license and NPI are required. Service areas cover all 92 Indiana counties. The plan serves HIP adults, Hoosier Healthwise children, and Hoosier Care Connect populations statewide. |
| Kentucky | CareSource Kentucky | Open | — | CareSource Kentucky participates in the Kentucky Medicaid managed care program. Providers must first enroll with Kentucky Medicaid through DMS, then apply to CareSource via CAQH ProView. Active Kentucky medical license and NPI are required. Service areas cover all 120 Kentucky counties. The plan serves traditional Medicaid, KCHIP, and Medicaid expansion populations across the state. |
| Ohio | CareSource (Ohio Medicaid) | Open |
Provider portal
1-800-488-0134
|
CareSource is an Ohio Medicaid managed-care plan. Joining is a three-step process — contracting (via the online New Health Partner Contract Form), credentialing, then enrollment. Submit a complete CAQH application or CAQH number with your NPI and authorize CareSource in CAQH; the credentialing decision is communicated within 60 business days of the committee meeting, and recredentialing occurs every 3 years. |
| Wisconsin | CareSource Wisconsin | Unknown | — | CareSource Wisconsin participates in the BadgerCare Plus managed care program. Providers must first enroll with Wisconsin Medicaid through ForwardHealth, then apply to CareSource via CAQH ProView. Active Wisconsin medical license and NPI are required. Service areas cover select counties across the state. BadgerCare Plus serves low-income families, children, pregnant women, and childless adults in Wisconsin. |
| West Virginia | CareSource West Virginia | Open | — | CareSource West Virginia participates in the Mountain Health Trust Medicaid managed care program. Providers must first enroll with West Virginia Medicaid through BMS, then apply to CareSource via CAQH ProView. Active West Virginia medical license and NPI are required. Service areas cover all 55 West Virginia counties. The plan serves traditional Medicaid and Medicaid expansion populations under the Mountain Health Trust program. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified June 10, 2026. Network status changes without notice — confirm before you file.
Common questions about CareSource credentialing
How long does CareSource credentialing take?
CareSource credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does CareSource require CAQH?
Yes. CareSource pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with CareSource before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does CareSource operate in?
CareSource has credentialing operations in 7 states. 6 of those 7 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.