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.

2010

Timely Filing Revisions (August 2010)
Appealing Sterilization Claims (August 2010)
Prevnar 13 Reimbursement – Backdated from March 18, 2010 (August 2010)
Member Benefits Based on Calendar Year (July 2010)
Behavioral Health Therapy Billing & Reimbursement Policy (July 2010)
Professional Developmental Testing Services Billing & Reimbursement Policy (July 2010)
Confidential Provider Information and Unsecured Emails (July 2010)
Urine Drug Screenings Billing & Reimbursement Policy (July 2010)
Unlisted Procedure Code Billing Policy for Outpatient Facility Claims (July 2010)
Payment Policy for Evaluation & Management Services Provided During
Global Surgery Period 		(July 2010)
Blood Specimen Collection Reimbursement Policy (July 2010)
L-code Changes for 2010 (July 2010)
Therapy Billing and Benefit Limits for 2010 (June 2010)
Advanced Practice Nurses to be Contracted as Primary Care Providers (May 2010)
Services Requiring Prior Authorization (February 2010)
Top Claim Denials (February 2010)
Provider Issue Resolution Process (February 2010)
Corrected Claims (February 2010)
Hemoglobin and HealthChek Screening Visits (February 2010)
Refractive Service Codes (February 2010)
Prior Authorization Waived for Skilled Home Visits (January 2010)

2009

Urine drug screen (December 2009)
Home Health Agency Pharmacy Benefit Changes (December 2009)