Ready to join our network? Here’s what comes next.
Start the Contracting Process
- Fill out the New Health Partner Contract Form to get started.
- If you offer medical services and want more information about becoming a participating provider, please submit the New Health Partner Contract Form.
Provider Maintenance
Current CareSource providers should use the provider portal to make any demographic changes. To do this, please log into the provider portal and click the “Provider Maintenance” option from the “Provider” menu. For further instructions, see the “Resources” section within the provider portal.
Current providers may use the Health Partner Contract Form to update to change Tax ID, IRS name, or add and remove products to a current contract. To do so, view the Health Partner Contract Form and submit the change. If you have any questions, refer to the Navigate
Step-by-Step Join Our Network Guide.
Get Credentialed
Complete your application with supporting documents.
Providers who wish to contract with CareSource® must also be credentialed. Through credentialing, we check the qualifications and performance of physicians and other health care practitioners. Providers are recredentialed a minimum of every three years and are considered to be recredentialed unless otherwise notified.
CareSource credentials providers using guidelines from the Georgia Department of Insurance (ODI) and the National Committee for Quality Assurance (NCQA). Our Vice President/Senior Medical Director is responsible for the credentialing and recredentialing program.
The Georgia Association of Health Plans has endorsed the CAQH service that uses the Georgia Uniform Healthcare Practitioner Credentialing Application Form. Submit a complete Council for Affordable Quality Healthcare (CAQH) application or CAQH number and National Provider Identifier (NPI) number to CareSource.
At CareSource, we work with our healthcare providers to ensure the highest quality of care for our members, and we are committed to making it easy for you and your staff to do business with us. This module of the Provider Education Series shares CareSource’s philosophy, product offerings, and process for becoming a new CareSource Health Partner.
CareSource is committed to a seamless and expedient credentialing and re-credentialing process. Watch this video to learn about credentialing requirements and best practices for submitting the required documentation to CareSource.
CareSource is a participating organization with CAQH. Please make sure that we have access to your provider application before you submit your CAQH number as referenced above:
- Log on to CAQH using your account information.
- Select the Authorization tab.
- Make sure CareSource Marketplace Georgia is listed as an authorized health plan.
- If not, check the Authorized box to add.
Please also include the following documents:
- Drug Enforcement Administration (DEA) certificate
- Malpractice insurance face sheet
- Clinical Laboratory Improvement Awards (CLIA) certificate, if applicable
- Protocol agreement, if a nurse practitioner
- Collaborative agreement, if a physician’s assistant
It is essential that all documents are complete and current, or CareSource will discontinue the contracting and credentialing process.
If you have missing or expired documents, the Credentialing staff will send you a letter with instructions to correct and submit the updated information.
You can check your application and credentialing status on the Provider Portal. You will need to enter your NPI and Application ID. The tool will allow you to view your status in the credentialing process as well as specific credentialing documents.
Once we complete the credentialing process, you will receive a letter from us.
Finish Onboarding
Learn how to work with CareSource.
Welcome to the CareSource network! Once you receive your Welcome Letter from CareSource with your CareSource ID number, you have completed the contracting and credentialing process.
As you prepare to see CareSource members, we encourage you to familiarize yourself with our plan, tools and resources.
If you are not registered with CareSource’s Provider Portal, please follow these easy steps:
- Visit the Provider Portal. Click “Sign Up” to establish your account by creating your username and password.
- For added security, set up the multifactor authentication.
- To connect your account, you will need your Provider Name, Tax ID, Provider ID and your Zip Code.
- Review and accept the Agreement.
Please view the Provider Portal Overview training to learn more about our portal’s functionality and how to work with us through the portal’s many self-service features.
VIEW PROVIDER EDUCATION SERIES: PROVIDER PORTAL OVERVIEW
View the
Provider Orientation to welcome you and help you work with CareSource.
Check out the Training & Events page for any upcoming live orientations.
Learn About CareSource
Work With CareSource
Use Our Provider Tools
CareSource has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:
- Electronic fund transfer (EFT) – preferred
- Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
- Paper Checks
*Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card.
Enrollment Instructions
Enroll with ECHO for payment and choose EFT as your payment preference for CareSource. You can also complete the
ECHO enrollment form and fax, email, or mail it back to ECHO.
Questions? Call ECHO Customer Support at 1-888-834-3511.
We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.
Visit the Updates & Announcements page frequently to find all the latest CareSource news.
We encourage you to let your patients know you accept CareSource by sharing on your social media platforms. Visit our Provider Social Media Kit (coming soon) to get started.
We support our provider network with online resources and trainings on topics relevant to your practice. Check out the Training & Events page.
Contact Us
Need help? If you have additional general questions about getting contracted, please call CareSource’s Provider Services at 1-833-230-2101.
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.
Updates & Announcements
Our goal is to keep you informed with timely information about our plan and services. As changes occur and as needs arise, we issue network notifications to our providers via the Updates & Announcements page. Please check this page often to learn about updates and changes than impact your practice.