Dispute Resolution

Provider Disputes

Provider disputes for issues related to clinical, quality, professional competency or conduct should be sent to:

CareSource

One Dayton Centre

One South Main Street

Dayton, OH 45402

ATTN: Quality Improvement

Provider disputes for issues that are contractual or non-clinical should be sent to:

CareSource

One Dayton Centre

One South Main Street

Dayton, OH 45402

ATTN: Provider Relations

CareSource reserves the right to immediately suspend or summarily dismiss, pending investigation, the participation status of a participating provider, who, in the opinion of the CareSource Chief Medical Officer is engaged in behavior or who is practicing in a manner that appears to pose a significant risk to the health, welfare, or safety of our members.  Any participating provider that is subject to a suspension or termination may dispute the action and request a hearing through the CareSource Fair Hearing Plan.