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MedicaidAdministrativeHigh impact

[Indiana] Franciscan Health Network/Franciscan Alliance Exiting CareSource Medicaid

CareSource·IN·Network
Effective date
May 31, 2026
We identified it
May 9, 2026
Days to comply

Summary

Franciscan Health Network/Franciscan Alliance is exiting the CareSource Indiana Medicaid network effective May 31, 2026. All CareSource members currently assigned to Franciscan providers will be automatically reassigned to other in-network providers. The billing team must update patient records and referral processes to redirect all Medicaid claims away from Franciscan locations after this date.

Action Required

Action needed
By May 31, 2026: Billing team must (1) identify all active CareSource Medicaid patients (HIP and Hoosier Healthwise plans) assigned to Franciscan Health Network/Franciscan Alliance providers in the billing system; (2) update patient records and referral lists to reflect new PMP assignments using CareSource's Find a Doctor tool or Member Services; (3) configure billing system to reject or reroute any claims submitted to Franciscan facilities for CareSource Medicaid patients after the effective date; (4) notify front desk and scheduling staff to stop booking new appointments at Franciscan locations for these patients; (5) send patient notifications informing them of their reassignment and new provider information. Contact CareSource Provider Services at 1-844-607-2831 for specific member reassignments. Failure to update referrals will result in out-of-network claim denials.