Updates/Announcements

Updates/Announcements are published for CareSource providers to communicate updates to policies and procedures.

The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

2012

Date
Posted

Update on 5010 Clearinghouse Claims Transactions and Issues 01/20/12
Tips for 5010 Success - Updated 01/04/12

2011

New Product Line – Dual Eligible Members 11/30/11
New Provider Portal Updates 11/22/11
Revised CareSource Venipuncture Policy - Updated 10/28/11
Refraction Policy 10/28/11
Revised Clinical Supporting Documentation Policy  - Updated 10/28/11
Medically Unlikely Edit (MUE) Policy for code 88342 10/28/11
CareSource Trading Partners Submitting EDI 837 Claims 10/25/11
EDI Clearinghouse Update 10/21/11
Providers Who Administer Synagis® (palivizumab) - Effective November 1, 2011 10/17/11
New Benefit Limits Feature on the CareSource Provider Portal 09/30/11
Elective Labor and Delivery Prior to 39 Weeks Gestation 09/08/11
CareSource Plan for 5010 Transition - (Update) Effective January 1, 2012 07/26/11
Avoid ePrescribing Penalties 07/22/11
2011 Preferred Drug List 07/01/11
3-day Payment Window for Outpatient Svcs Treated as Inpatient Svcs - Effective April 1, 2011 06/24/11
Trigger Point Injection Policy - Effective July 1, 2011 05/25/11
Facet Joint and/or Joint Nerve Injection Policy  - Effective July 1, 2011 05/25/11
Reimbursable Services for Chiropractors 05/24/11
Epidural Steroid & Selective Transforaminal Epidural Injections - Effective July 1, 2011 05/24/11
PA Changes to Select Specialty Medications & Pain Mgmt Procedures (Update) 05/16/11
Enhanced Find a Doctor online search tool 05/16/11
Enhanced Disease Management Program 05/2011
New PA Changes to Select Specialty Medications & Pain Mgmt Procedures 04/2011
Clinical Supporting Documentation Policy 04/2011
CareSource Changes Transportation Vendor for Members (Update) 04/2011
CareSource Plan for 5010 Transition 04/2011
EHR Incentive Program 03/2011
CareSource Changes Transportation Vendor for Members 02/2011
Medicare Refraction/Eyeglasses Benefits 02/2011
Change to Flu Codes for Special Needs Plan (SNP) Members 01/2011
APN Medicare Pricing/CMS Methodology 01/2011
Provider Survey – Going on Now! 01/2011
Modifier Definitions 01/2011

2010

CareSource Advantage Dental Benefit 12/2010
Claim Overpayment Recoupment Policy 12/2010
Bilateral Procedures for Facility and Professional Claim Submissions 12/2010
Multiple Surgery Procedures for Facility and Professional Claim Submissions 12/2010
FDA Withdraws Propoxyphene (Darvocet) from the Market 12/2010
MDCH Reinstatement of Medicaid Coverage for Adult Dental Benefit, Podiatry, Vision Services 11/2010
New NDC Code Requirements for Outpatient Drugs 10/2010
Claim Overpayment Recoupment Policy 10/2010
Reprinted September 14, 2010 Explanation of Payment (EOPs) 09/2010
Timely Filing Revisions 08/2010
July 20, 2010 Explanation of Payment (EOP) Missing Account Numbers    08/2010
Unlisted Procedure Code Billing Policy for Outpatient Facility Claims     07/2010
Payment Policy for Evaluation & Management Services Provided During
Global Surgery Period
   
07/2010
Blood Specimen Collection Reimbursement Policy    07/2010
Dialysis Billing & Reimbursement Policy    07/2010
Confidential Provider Information and Unsecured Emails    07/2010
Corrected Claims    07/2010
Prior Authorization Waived for Skilled Home Health Visits    07/2010
Clarification to Medicaid Benefit Limitations/Exceptions    04/2010
Prefix on Claim Numbers Listed on Explanation of Payment    03/2010
Michigan Department of Community Health Pharmacy Carve Out    03/2010

2009

Debarred Provider Employees Attestation 12/2009