Register for the Provider Portal

The Provider Portal makes it easier for you to work with us 24/7. It has critical information and tools to save your practice time. This helpful online tool is available for all plans.

If you are not already registered for the Provider Portal, please register here. You can refer to the Portal Registration Training Module for step-by-step instructions.

If you cannot remember your login, please utilize our “Forgot Password” feature to update your information and/or reset your password.


Humana - CareSource Provider Transition Announcement

Humana and CareSource have mutually decided to terminate the current alliance partnership between the companies servicing the Kentucky Medicaid market, effective Dec. 31, 2019. Humana will become the existing contract’s sole administrator effective Jan. 1, 2020. Humana and CareSource are mutually committed to maintaining a high standard of care and responsiveness throughout the transition period. Humana will distribute transition details and provider reference materials in the fourth quarter of 2019 to educate and aid your transition. If you have questions, feel free to reach out to your provider engagement representative.


Browser Requirements for the CareSource Provider Portal

In order to utilize the CareSource Provider Portal, you must use Internet Explorer version 8, 9, 10 or 11 browser. We do not support Internet Explorer version 7. You may also use Google Chrome and FireFox browsers.

Provider Login:
 
 
Forgot password?

MESSAGES


Kentucky Medicaid Copayment Update

Beginning Jan. 1, 2019, copays for medical, dental, vision and pharmacy services will be mandatory for all enrollees with certain exceptions. The best resource to determine whether or not a copay applies for your patient is by checking the KY HealthNet Portal. The mandatory copay amounts and applicable services are listed in the network notification.


Kentucky HEALTH Program Update as of 3/27/2019

Given the legal decision on March 27, 2019, the Kentucky HEALTH program will not begin on April 1, 2019. View the program update here.


Kentucky Medicaid: Provider Information Change Reminder

Please be sure to notify Humana – CareSource® of changes in address, phone number, or the addition or departure of a physician or other health partner to your practice. To learn more about the timeline of changes and how to contact us, view our network notification.


Network Notifications

We want to make it easy for you to stay aware of any changes with CareSource® plans, as well as new processes we create to make doing business with us more efficient.

Network Notifications are published to communicate updates that impact claims, clinical guidelines, Provider Portal functions and more. Click below to see more!


Registration

To register on the Provider Portal, complete the following steps:

  1. Click the Register Here link in red at the top of the Login page.
  2. On the User Registration page, complete the required information, and then click Next. Required fields are marked with a red asterisk.
    • If you are registering as a provider, select Practitioner and complete the information.
      • All your information must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource.
      • For your ZIP code, if you have multiple addresses in your profile, any ZIP code from the profile will work.
    • If you are registering as part of a provider group, select Group and complete the information.
      • When you register as a Group, you will have access to all information for all providers listed under the Group Tax ID. Group registration is available for radiologists, anesthesiologists, pathologists, hospitalists, emergency room/urgent care and laboratory providers, as well as facilities, such as hospitals and skilled nursing facilities.
      • Your Group Name, Tax ID, Provider ID and ZIP Code must match exactly as listed on your Explanation of Benefit (EOB) or welcome letter from CareSource.
    • Tip – if you are unsure whether you should register as a Practitioner or Group, check your welcome letter from CareSource. If your welcome letter shows you registered under the Group Payee ID, then select Group as the provider type. If the welcome letter shows you registered as an individual, select Practitioner as the provider type.
  3. Confirm the Provider Agreement, and then click Next.
  4. To create your user account, do the following:
    1. Type a User Name that you will use to log in.
    2. Type a Password that you will use to log in. The password must meet the following requirements:
      • Must be a minimum of 12 characters
      • Must contain one lowercase letter, one uppercase letter, one digit and one non-alphanumeric character.
    3. Type the email address that you want associated to your Provider Portal account. The email you enter is used to send your user account activation.
  5. Select a Security Question, and type your Security Answer. Keep this information available, as you may need to answer your security question to confirm your identity when calling for support.
  6. Click Finish Registration. You will receive a confirmation message at the email address you provided during the registration process.
  7. Locate the email in your inbox to activate your Provider Portal account, open it, and then click the Activate Account link. The activation email will come from a sender titled webmaster and will have the subject Activate Your Provider Portal Account.
    • If you do not see the activation email in your Inbox, do one of the following:
      • Check your spam folder.
      • Confirm that you have entered the email you registered with.
    • If you get a message that you are already registered, go to the Provider Login page and log in.
    • If you get a message that the provider does not exist in Provider Portal, you can call the help line at 1-855-852-7005 (Medicaid) or 1-855-852-5558 (Marketplace). This message may occur if the provider is not yet entered into our system (with the Tax ID or CareSource Provider Number you provided).
  8. Locate and open the Email Verification message, and then click Login to access Provider Portal.

Password Reset/Locked Out of Account

If you are locked out of your account due to too many incorrect login attempts, or you do not remember your password, you can reset your password by following these steps:

  1. Click the Forgot password? link on the login page.
  2. Enter your Username, then click Submit.
  3. Locate the email in your email inbox to reset your Provider Portal password. The reset password email will come from a sender titled webmaster and will have the subject CareSource Provider Portal Password.
    1. If you do not see the email in your inbox, do one of the following:
      1. Check your spam folder.
      2. Confirm you are using the same email address that you registered with.

If your account is locked due to too many login attempts, use the Forgot password? link to reset your password, or you can wait 24 hours and attempt to log in again.