Access Opportunity
If you would like to submit an opportunity to improve the CareSource network - Fill in the information below and it will be evaluated within 72 hours.
1) Your Personal Information
I am a...
Member
Provider
Employee
First Name:
Last Name:
Email:
Phone:
Ext:
2) Your Address Information
Address Line 1:
Address Line 2:
City:
ZIP:
State:
Please select
Indiana
Kentucky
Ohio
West Virginia
Georgia
County:
3) Report of Access Opportunity
Type of Access
Physician not accepting new patients
Excessive appointment time
No provider available
Other
Health Partner Type
PCP
Specialist
Dentist
Peds
Other
Please select
(Individual PCP Only) Medication Addiction Treatment (MAT)
ABA Therapist
Acupuncture
Addiction Medicine
Addictionologist
Administrative Medicine
Adolescent Medicine
Advanced Practice Nursing
Allergy
Allergy & Immunology
Alternative Meals Choices Home
Ambulance
Ambulatory
Ambulatory Surgery Center
Assertive Community Treatment (ACT)
Assisted Living / Adult Day Health Care
Athletic Trainer, Certified
Audiology Services
Autism Spectrum Disorder
Behavioral Health
Behavioral Health - Addiction Medicine
Behavioral Health - Child & Adolescent Psychiatry
Behavioral Health - Counseling
Behavioral Health - Health Center
Behavioral Health - Marriage & Family Therapy
Behavioral Health - Nurse
Behavioral Health Counselor
Behavioral Health Service Org
Behavioral Mgmt Svcs. Pediatric
Birthing Center
Cardiac Catheterization Servic
Cardiac Electrophysiology
Cardiac Intensive Care Unit
Cardiology/Cardiovascular Disease
Care Management Specialist
Case Management
Certified Ohio Behavior Analyst
Chemical Dependency Assistant
Chemical Dependency Counselor II
Chemotherapy/Infusion Therapy
Child Birth Education
Child Development
Chiropractor
Clinic or Group Practice
Clinic or other Group Practice
Clinical Cardiac Electrophysiology
Clinical Counselor
Clinical Genetics
Clinical Nurse Specialist
Community Access Community-Access
Community Health Centers
Community Integration Waivered Services Organization
Community Mental Health
Community Services and Support
Community Transition
Community Transition - Home & Community Based Assisted Living
Counseling - Clinical
Counselor Trainee
Counselor, Professional
County Health Department
Critical Access Hospital
Critical Care Medicine
Critical Care OB/GYN
Custom Made Wheelchairs
Day Habilitation
Dental Centers
Dentistry
Dentistry - Endodontist
Dentistry - Orthodontics
Dentistry - Periodontist
Dentistry - Prosthetics
Dermatology
Dermatology - Pathology
Diabetes
Diagnostics
Dialysis Center
Dialysis, Professional
Dialysis, Technical
Disproportionate Share Hospital
DODD TDD - Limited Waiver - Medicare Certified Home Health Agency
DODD TDD - Limited Waiver Waivered Svc Org
DODD Waiver - Accredited Home Health Agency
DODD Waiver - Durable Medical Equip Supplier
DODD Waiver - Medicare Certified Home Health Agency
DODD Waiver - Non Agency Personal Care Aide
DODD Waiver Waviered Svc Org
Durable Medical Equipment (DME)
E&M Attestation (HB 76)
E&M Board Certified (ACA)
E&M Board Certified (HB 76)
E&M Newly Enrolled 60%(HB 751)
E&M Newly Enrolled Board Certified(HB 751)
Ear, Nose, Throat
Early Intervention, Individual
Emergency Medicine
Endocrinology
Endodontics
Eye, Ear, Nose, Throat
Family Planning
Family Practice
Family Practice Geriatric Medicine
Federally Qualified Health Cen
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)-Dental
Fetal Monitoring Services
Gastroenterology
Genetics
Geriatric Medicine
Geriatrics
Gynecologic Endocrinology
Gynecologic Oncology
Gynecologic Urology
Gynecological Oncology
Gynecology
HCBS Assisted Living - Home & Community Based Assisted Living
Health Check – Originating Site Only
Health Check, Other
Hearing Aid Dealer
Heart Transplant
Heart/Lung Transplant
Hepatology
Home Delivered Meals
Home Delivered Services
Home Health Agency
Home Infusion
Home Maintenance/Chore - Accredited Home Health Agency
Home Maintenance/Chore Waivered Services Organization
Home Medical Equipment Waivered Svc Org
Home Modifications Maintenance and Repairs
Homemaker
Homemaker - Accredited Home Health Agency
Homemaker - Medicare Certified Home Health Agency
Hospice & Palliative Medicine
Hospice Care-Outpatient
Hospital
Hospital - Outpatient
Hospital, Psychiatric, Freestanding
Hyperbaric Medicine
Imaging Facility
Immunology
Infectious Disease
Inpatient Psychiatric Facility
Intensive Home Based Treatment (IHBT)
Internal Medicine
Internal Medicine CriticalCare
Kentucky Department of Public Health
Kidney Transplant
Laboratory
Legal Medicine
Lic Independ Practical Nurse
Lic Marriage and Family Counselor
Lic OH Behavioral Analyst
Licensed Practical Nurse
Licensed Professional Art Ther
Liver Transplant
Long Term Care
LPN - ODJFS Waiver Home Care Nursing - Private Duty (Individual)
Lung Transplant
Mammography
Marriage/Family Therapist
Maternal & Fetal Medicine
Medical Genetics
Medical Nuclear
Medical Oncology
Medical Toxicology
Medicare Certified HHA
Medicare Certified Home Health Agency JFS Waiver Services
Medication Addiction Treatment (MAT)
Medication Assisted Therapy
Mental Health Specialist
Methadone Program
Methodone Program
Midwife
Multi-Specialty Group
Music Therapy
Neonatology/Perinatal Medicine
Neopathology
Nephrology
Neurology
Neurology - Vascular
Neuropathology
Neurophysiology
Neuroradiology
Newborn Eligibility
Not Required
Nuclear Cardiology
Nuclear Medicine
Nurse
Nurse Midwife, Contracted
Nurse Midwife, Non-Contracted
Nurse Practitioner, Geriatric
Nurse Practitioner, OB/GYN
Nursing
Nutrition
OB/GYN
Occupational Medicine
Occupational Medicine, Undersea
Occupational Therapy
Ocularists
ODA Waiver
ODA Waiver - Accredited Home Health Agency
ODA Waiver - Durable Medical Equip Supplier
ODA Waiver - Medicare Certified Home Health Agency
ODA Waiver - Non Agency Personal Care Aide
ODA Waiver - Waviered Svcs Individual
ODA Waiver Waviered Svc Org
ODADAS Certified/Licensed Treatment Program
ODJFS Waiver
ODJFS Waiver - Accredited Home Health Agency
ODJFS Waiver - Medicare Certified Home Health Agency
ODJFS Waiver Emergency Response System - Durable Medical Equip Supplier
ODJFS Waiver Minor Home Modifications - Durable Medical Equip Supplier
ODJFS Waiver Out of Home Respite - Nursing Facility
ODJFS Waiver Supplemental Adaptive & Assistive Devices
ODJFS Waiver Supplemental Transport Svcs - Wheelchair Van
ODMH Community Health Agency
ODMH -Community Mental Health Professional Medicare Crossover
ODMH Peer Services
ODMH Supported Employment
Oncology
Oncology - Gynecologic
Oncology - Hematology
Oncology - Radiology
Open Heart Surgery
Opioid Treatment Program
Optician
Optometry
Oral Pathology
Orthotics and Prosthetics
Osteopathic Manipulative Med
Osteopathy
Other
Other Accred HHA/JFS Waiver
Other Accredited Home Health Agency
Other Accredited Home Health Agency JFS Waiver Services
Otolaryngology (Ear, Nose & Throat)
Otolaryngology (Ear, Nose & Throat) Surgical Facility
Outpatient Rehab Center
Pain Management
Palliative Care
Pancreas Transplant
Pathology
Pediatric Allergy & Immunology
Pediatric Cardiology
Pediatric Child Abuse
Pediatric Critical Care Medicine
Pediatric Dentist
Pediatric Dentistry
Pediatric Dermatology
Pediatric Developmental Behavior
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Pediatric Infectious Disease
Pediatric Internal Medicine
Pediatric Nephrology
Pediatric Neurodevelopment
Pediatric Neuro-Developmental Disability
Pediatric Neurology
Pediatric Ophthalmology
Pediatric Orthopedics
Pediatric Otolaryngology (Ear, Nose & Throat)
Pediatric Psychiatry
Pediatric Psychology
Pediatric Pulmonology
Pediatric Radiology
Pediatric Rehabilitation Medicine
Pediatric Rheumatology
Pediatric Sports and Fitness Medicine
Pediatric Sports Medicine
Pediatric Surgery
Pediatric Surgery - Neurosurgery
Pediatric Surgery - Orthopedic
Pediatric Urology
Pediatrics
Peer Services
Peer Services - Waivered Services Org
Perinatology
Periodontics
Personal Assistance Services
Personal Care - Agency - Medicare Certified Home Health Agency
Personal Care Attendant Svcs
Personal Care Services Non-Agency Personal Care Aide
Personal Support
Pharmacy
Physical Rehabilitation Medicine
Physical Therapy
Physical Therapy & Rehabilitation
Physician Assistant
Plastic Surgery Hand Surgery
Podiatry
Pregnancy Related Services
Presumptive Eligibility
Preventive Medicine
Primary Care Clinic
Private Duty Nurse
Proctologist
Professional Dental Group
Professional Medical Group
Prosthetic/Orthotic
Prosthodontics
Psychiatry
Psychiatry - Facility
Psychiatry - Forensic
Psychiatry - Geriatric
Psychology
Psychology - Neuropsychology
Psychology Assistant
Psychology, HSPP
Public Health
Public Health Dentistry
Pulmonary Medicine
QMH3 Bachelors
QMH3 High School
QMHS Bachelors
QMHS Masters
QMHS QMH3 High School
Qualified MH Specialist +3
Qualified Non-Par Labs
Radiation Therapy
Radiological Physics
Radiology
Radiology Diagnostics Center
Radiology-Mobile Unit
Registered Nurse
Rehabilitation Clinic
Rehabilitation Hospital
Rehabilitation Services
Reproductive Endocrinology
Residential Training and Super
Residential Treatment Center
Residential Treatment Center - BH
Respite Care
Retail Clinic
Rheumatology
RN - ODJFS Waiver Home Care Nursing - Private Duty (Individual)
Rural Health
Rural Health Center
Rural Health Clinic
Skilled Nurse Services
Skilled Nursing Facility
Skilled Nursing/Extended Care
Sleep Medicine
Social Work Counseling
Social Worker
Social Worker - Psychiatric
Social Worker Trainee
Specialized Med Supp-Self-dir Spec-Med-Supp-Self
Speech & Hearing
Speech Language Pathologist
Sports Medicine
SUD Resid Addiction Trmt Fac
SUD Residential Addiction Trea
SUD Residential Treatment Center
Supported Employment
Supported Employment - Waivered Services Org
Supported Employment Co-emp Supp-Employmnt-Co
Surgery
Surgery - Cardiovascular
Surgery - Colon & Rectal
Surgery - Critical Care
Surgery - General
Surgery - Hand
Surgery - Neurosurgery
Surgery - Oncology
Surgery - Oral
Surgery - Oral Maxillofacial
Surgery - Orthopedic
Surgery - Plastic
Surgery - Podiatric
Surgery - Thoracic
Surgery - Transplant
Surgery - Trauma
Surgery - Vascular
Swingbed Hospital
Telemedicine
Telemedicine Presentation Site
Therapeutic Radiology
Thoracic Surgery
URAC PCMH
Urgent Care / After Hours
Urology
Vascular Surgery
Vision - Ophthalmology
Vision - Optical Supplier
Vision - Optometry
Vision Centers
Waiver Transportation
W-Assisted Living
W-Community Transition
W-Home Delivered Meals
W-Homemaker
W-LTSS Agency Personal Care
W-ODJFS Waiver
Reason For Opportunity
4) Would you like to recommend a provider to the CareSource network?
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
ZIP:
State:
Please select
Indiana
Kentucky
Ohio
West Virginia
Georgia
County:
Specialty:
Please select
(Individual PCP Only) Medication Addiction Treatment (MAT)
ABA Therapist
Acupuncture
Addiction Medicine
Addictionologist
Administrative Medicine
Adolescent Medicine
Advanced Practice Nursing
Allergy
Allergy & Immunology
Alternative Meals Choices Home
Ambulance
Ambulatory
Ambulatory Surgery Center
Assertive Community Treatment (ACT)
Assisted Living / Adult Day Health Care
Athletic Trainer, Certified
Audiology Services
Autism Spectrum Disorder
Behavioral Health
Behavioral Health - Addiction Medicine
Behavioral Health - Child & Adolescent Psychiatry
Behavioral Health - Counseling
Behavioral Health - Health Center
Behavioral Health - Marriage & Family Therapy
Behavioral Health - Nurse
Behavioral Health Counselor
Behavioral Health Service Org
Behavioral Mgmt Svcs. Pediatric
Birthing Center
Cardiac Catheterization Servic
Cardiac Electrophysiology
Cardiac Intensive Care Unit
Cardiology/Cardiovascular Disease
Care Management Specialist
Case Management
Certified Ohio Behavior Analyst
Chemical Dependency Assistant
Chemical Dependency Counselor II
Chemotherapy/Infusion Therapy
Child Birth Education
Child Development
Chiropractor
Clinic or Group Practice
Clinic or other Group Practice
Clinical Cardiac Electrophysiology
Clinical Counselor
Clinical Genetics
Clinical Nurse Specialist
Community Access Community-Access
Community Health Centers
Community Integration Waivered Services Organization
Community Mental Health
Community Services and Support
Community Transition
Community Transition - Home & Community Based Assisted Living
Counseling - Clinical
Counselor Trainee
Counselor, Professional
County Health Department
Critical Access Hospital
Critical Care Medicine
Critical Care OB/GYN
Custom Made Wheelchairs
Day Habilitation
Dental Centers
Dentistry
Dentistry - Endodontist
Dentistry - Orthodontics
Dentistry - Periodontist
Dentistry - Prosthetics
Dermatology
Dermatology - Pathology
Diabetes
Diagnostics
Dialysis Center
Dialysis, Professional
Dialysis, Technical
Disproportionate Share Hospital
DODD TDD - Limited Waiver - Medicare Certified Home Health Agency
DODD TDD - Limited Waiver Waivered Svc Org
DODD Waiver - Accredited Home Health Agency
DODD Waiver - Durable Medical Equip Supplier
DODD Waiver - Medicare Certified Home Health Agency
DODD Waiver - Non Agency Personal Care Aide
DODD Waiver Waviered Svc Org
Durable Medical Equipment (DME)
E&M Attestation (HB 76)
E&M Board Certified (ACA)
E&M Board Certified (HB 76)
E&M Newly Enrolled 60%(HB 751)
E&M Newly Enrolled Board Certified(HB 751)
Ear, Nose, Throat
Early Intervention, Individual
Emergency Medicine
Endocrinology
Endodontics
Eye, Ear, Nose, Throat
Family Planning
Family Practice
Family Practice Geriatric Medicine
Federally Qualified Health Cen
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)-Dental
Fetal Monitoring Services
Gastroenterology
Genetics
Geriatric Medicine
Geriatrics
Gynecologic Endocrinology
Gynecologic Oncology
Gynecologic Urology
Gynecological Oncology
Gynecology
HCBS Assisted Living - Home & Community Based Assisted Living
Health Check – Originating Site Only
Health Check, Other
Hearing Aid Dealer
Heart Transplant
Heart/Lung Transplant
Hepatology
Home Delivered Meals
Home Delivered Services
Home Health Agency
Home Infusion
Home Maintenance/Chore - Accredited Home Health Agency
Home Maintenance/Chore Waivered Services Organization
Home Medical Equipment Waivered Svc Org
Home Modifications Maintenance and Repairs
Homemaker
Homemaker - Accredited Home Health Agency
Homemaker - Medicare Certified Home Health Agency
Hospice & Palliative Medicine
Hospice Care-Outpatient
Hospital
Hospital - Outpatient
Hospital, Psychiatric, Freestanding
Hyperbaric Medicine
Imaging Facility
Immunology
Infectious Disease
Inpatient Psychiatric Facility
Intensive Home Based Treatment (IHBT)
Internal Medicine
Internal Medicine CriticalCare
Kentucky Department of Public Health
Kidney Transplant
Laboratory
Legal Medicine
Lic Independ Practical Nurse
Lic Marriage and Family Counselor
Lic OH Behavioral Analyst
Licensed Practical Nurse
Licensed Professional Art Ther
Liver Transplant
Long Term Care
LPN - ODJFS Waiver Home Care Nursing - Private Duty (Individual)
Lung Transplant
Mammography
Marriage/Family Therapist
Maternal & Fetal Medicine
Medical Genetics
Medical Nuclear
Medical Oncology
Medical Toxicology
Medicare Certified HHA
Medicare Certified Home Health Agency JFS Waiver Services
Medication Addiction Treatment (MAT)
Medication Assisted Therapy
Mental Health Specialist
Methadone Program
Methodone Program
Midwife
Multi-Specialty Group
Music Therapy
Neonatology/Perinatal Medicine
Neopathology
Nephrology
Neurology
Neurology - Vascular
Neuropathology
Neurophysiology
Neuroradiology
Newborn Eligibility
Not Required
Nuclear Cardiology
Nuclear Medicine
Nurse
Nurse Midwife, Contracted
Nurse Midwife, Non-Contracted
Nurse Practitioner, Geriatric
Nurse Practitioner, OB/GYN
Nursing
Nutrition
OB/GYN
Occupational Medicine
Occupational Medicine, Undersea
Occupational Therapy
Ocularists
ODA Waiver
ODA Waiver - Accredited Home Health Agency
ODA Waiver - Durable Medical Equip Supplier
ODA Waiver - Medicare Certified Home Health Agency
ODA Waiver - Non Agency Personal Care Aide
ODA Waiver - Waviered Svcs Individual
ODA Waiver Waviered Svc Org
ODADAS Certified/Licensed Treatment Program
ODJFS Waiver
ODJFS Waiver - Accredited Home Health Agency
ODJFS Waiver - Medicare Certified Home Health Agency
ODJFS Waiver Emergency Response System - Durable Medical Equip Supplier
ODJFS Waiver Minor Home Modifications - Durable Medical Equip Supplier
ODJFS Waiver Out of Home Respite - Nursing Facility
ODJFS Waiver Supplemental Adaptive & Assistive Devices
ODJFS Waiver Supplemental Transport Svcs - Wheelchair Van
ODMH Community Health Agency
ODMH -Community Mental Health Professional Medicare Crossover
ODMH Peer Services
ODMH Supported Employment
Oncology
Oncology - Gynecologic
Oncology - Hematology
Oncology - Radiology
Open Heart Surgery
Opioid Treatment Program
Optician
Optometry
Oral Pathology
Orthotics and Prosthetics
Osteopathic Manipulative Med
Osteopathy
Other
Other Accred HHA/JFS Waiver
Other Accredited Home Health Agency
Other Accredited Home Health Agency JFS Waiver Services
Otolaryngology (Ear, Nose & Throat)
Otolaryngology (Ear, Nose & Throat) Surgical Facility
Outpatient Rehab Center
Pain Management
Palliative Care
Pancreas Transplant
Pathology
Pediatric Allergy & Immunology
Pediatric Cardiology
Pediatric Child Abuse
Pediatric Critical Care Medicine
Pediatric Dentist
Pediatric Dentistry
Pediatric Dermatology
Pediatric Developmental Behavior
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Pediatric Infectious Disease
Pediatric Internal Medicine
Pediatric Nephrology
Pediatric Neurodevelopment
Pediatric Neuro-Developmental Disability
Pediatric Neurology
Pediatric Ophthalmology
Pediatric Orthopedics
Pediatric Otolaryngology (Ear, Nose & Throat)
Pediatric Psychiatry
Pediatric Psychology
Pediatric Pulmonology
Pediatric Radiology
Pediatric Rehabilitation Medicine
Pediatric Rheumatology
Pediatric Sports and Fitness Medicine
Pediatric Sports Medicine
Pediatric Surgery
Pediatric Surgery - Neurosurgery
Pediatric Surgery - Orthopedic
Pediatric Urology
Pediatrics
Peer Services
Peer Services - Waivered Services Org
Perinatology
Periodontics
Personal Assistance Services
Personal Care - Agency - Medicare Certified Home Health Agency
Personal Care Attendant Svcs
Personal Care Services Non-Agency Personal Care Aide
Personal Support
Pharmacy
Physical Rehabilitation Medicine
Physical Therapy
Physical Therapy & Rehabilitation
Physician Assistant
Plastic Surgery Hand Surgery
Podiatry
Pregnancy Related Services
Presumptive Eligibility
Preventive Medicine
Primary Care Clinic
Private Duty Nurse
Proctologist
Professional Dental Group
Professional Medical Group
Prosthetic/Orthotic
Prosthodontics
Psychiatry
Psychiatry - Facility
Psychiatry - Forensic
Psychiatry - Geriatric
Psychology
Psychology - Neuropsychology
Psychology Assistant
Psychology, HSPP
Public Health
Public Health Dentistry
Pulmonary Medicine
QMH3 Bachelors
QMH3 High School
QMHS Bachelors
QMHS Masters
QMHS QMH3 High School
Qualified MH Specialist +3
Qualified Non-Par Labs
Radiation Therapy
Radiological Physics
Radiology
Radiology Diagnostics Center
Radiology-Mobile Unit
Registered Nurse
Rehabilitation Clinic
Rehabilitation Hospital
Rehabilitation Services
Reproductive Endocrinology
Residential Training and Super
Residential Treatment Center
Residential Treatment Center - BH
Respite Care
Retail Clinic
Rheumatology
RN - ODJFS Waiver Home Care Nursing - Private Duty (Individual)
Rural Health
Rural Health Center
Rural Health Clinic
Skilled Nurse Services
Skilled Nursing Facility
Skilled Nursing/Extended Care
Sleep Medicine
Social Work Counseling
Social Worker
Social Worker - Psychiatric
Social Worker Trainee
Specialized Med Supp-Self-dir Spec-Med-Supp-Self
Speech & Hearing
Speech Language Pathologist
Sports Medicine
SUD Resid Addiction Trmt Fac
SUD Residential Addiction Trea
SUD Residential Treatment Center
Supported Employment
Supported Employment - Waivered Services Org
Supported Employment Co-emp Supp-Employmnt-Co
Surgery
Surgery - Cardiovascular
Surgery - Colon & Rectal
Surgery - Critical Care
Surgery - General
Surgery - Hand
Surgery - Neurosurgery
Surgery - Oncology
Surgery - Oral
Surgery - Oral Maxillofacial
Surgery - Orthopedic
Surgery - Plastic
Surgery - Podiatric
Surgery - Thoracic
Surgery - Transplant
Surgery - Trauma
Surgery - Vascular
Swingbed Hospital
Telemedicine
Telemedicine Presentation Site
Therapeutic Radiology
Thoracic Surgery
URAC PCMH
Urgent Care / After Hours
Urology
Vascular Surgery
Vision - Ophthalmology
Vision - Optical Supplier
Vision - Optometry
Vision Centers
Waiver Transportation
W-Assisted Living
W-Community Transition
W-Home Delivered Meals
W-Homemaker
W-LTSS Agency Personal Care
W-ODJFS Waiver
CS-P-0058