CareSource Operations Memo

Description

Managing a commercial payer contract involves more than knowing your reimbursement rate.

The CareSource Marketplace Operations Memo gives behavioral health organizations a practical reference for navigating the day-to-day operational requirements of this commercial insurance product.

Designed for administrative, billing, clinical, and leadership teams, this downloadable memo brings important payer-specific guidance together in one easy-to-reference resource—including key considerations related to billing, reimbursement, provider requirements, authorization, and eligibility.

Rather than having your team search through multiple payer resources, use this memo as a starting point for understanding how the CareSource Marketplace product should be managed within your organization.

Please Note: CareSource Marketplace is scheduled to exit the Ohio Marketplace effective December 31, 2026. This resource is intended to support organizations managing CareSource Marketplace business during the 2026 plan year.