Updates & Announcements

We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.

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

COVID-19 Updates

Latest UpdatesDate
Navigate COVID-19: OTC At-Home Testing Billing Guidance04/25/2022
Navigate COVID-19: Oral Therapies02/28/2022
Navigate COVID-19: Vaccination Billing ResourceUPDATE07/14/2021
Navigate COVID-19: Vaccination Billing Guidance03/09/2021
Navigate COVID-19: Provider Vaccination Resources03/02/2021
Navigate COVID-19: Vaccination Billing ResourceThis notification has been revised. See notification dated 07/14/2021.01/29/2021
Navigate COVID-19: Anti-Stockpiling Quantity LimitsUPDATE05/07/2020
Navigate COVID-19: Dental Provider Resources04/28/2020
Navigate COVID-19: Anti-Stockpiling Quantity LimitsThis notification has been revised. See notification dated 05/07/2020.04/24/2020
Navigate COVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B04/16/2020
Navigate COVID-19: Prior Authorization Guidance04/09/2020
Navigate COVID-19: CDC Health Alert on Chloroquine04/07/2020
Navigate COVID-19: Temporary Telehealth Services03/27/2020
Navigate Protecting Members and Reducing the Spread of COVID-1903/23/2020

General Updates

Navigate Provider Alternative Format Request11/10/2022
Navigate Policy Updates November 202211/1/2022
Navigate Updated Prior Authorization List10/31/2022
Navigate Wellstar Atlanta Medical Center Closure10/31/2022
Navigate Policy Updates October 202210/01/2022
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures10/01/2022
Navigate Quarter 2 Avalon Medical Policy Update10/01/2022
Navigate Marketplace Member Grace Period & Termination Notice09/15/2022
Navigate Pharmacy Policy Updates - October 202209/12/2022
Navigate CLIA-Waived Tests Update09/01/2022
Navigate Policy Updates September 202209/01/2022
Navigate Billing Update: Incorrect Billing of Modifier 58 Notification08/24/2022
Navigate Billing Update Re: Multiple Outpatient Claims08/17/2022
Navigate Life Services Referral Form08/12/2022
Navigate Quarter 1 2022 Avalon Medical Policy Update08/01/2022
Navigate Policy Updates August 202208/01/2022
Navigate We Want to Hear from You!07/08/2022
Navigate Pharmacy Policy Updates - July 202207/01/2022
Navigate Quarter 3 & 4 Avalon Medical Policy Update06/30/2022
Navigate Policy Updates July 202206/30/2022
Navigate Upload Claim Submissions Seamlessly in Provider Portal06/01/2022
Navigate Quarter 2 Avalon Medical Policy Update05/31/2022
Navigate Policy Updates June 202205/31/2022
Navigate Quarter 2 Avalon Reimbursement Policy Update05/31/2022
Navigate Policy Updates - May 202205/01/2022
Navigate Billing Updates: Chiropractic Unbundling04/26/2022
Navigate Quality Patient Experience Guide (CAHPS resource)04/04/2022
Navigate Policy Updates - April 202204/01/2022
Navigate Billing Update: Medicare Bundled Services04/01/2022
Navigate Pharmacy Policy Updates - April 202204/01/2022
Navigate Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/01/2022
Navigate Introducing Teladoc, CareSource’s New Telehealth Partner03/29/2022
Navigate Billing Update: EDCf Evaluation & Management Coding Reimbursement Policy03/23/2022
Navigate Retro Authorization Submission Guidelines03/16/2022 
Navigate Policy Updates March 202203/01/2022 
Navigate Provider Portal Account Linking Enhancement02/21/2022
Navigate No Surprises Act Update01/24/2022
Navigate Prior Authorization Requirement Updates01/14/2022
Navigate Correct Coding Claims Update01/11/2022
Navigate Policy Updates January 202201/01/2022
Navigate Welcome, New Marketplace Providers!01/01/2022
Navigate UPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation12/31/2021
Navigate Prior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
Navigate 2021 Quarter 3 Provider Portal Updates12/03/2021
Navigate Policy Updates December 202112/01/2021
Navigate 2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/02/2021
Navigate Policy Updates November 202111/01/2021
Navigate Avalon Provider Education Webinars10/29/2021
Navigate Continuous Glucose Monitor (CGM) Medical Benefit Change Effective October 1, 202110/27/2021
Navigate Marketplace Opioid Treatment Program Coverage10/25/2021
Navigate HIPAA CORE Compliant Codes10/15/2021
Navigate Provider Portal Update10/15/2021
Navigate Marketplace Member Grace Period & Termination Notice10/15/2021
Navigate CareSource Cultural Competency Training10/08/2021
Navigate New Laboratory Benefit Management Program10/01/2021
Navigate Policy Updates October 202110/01/2021
Navigate Policy Updates September 202109/01/2021
Navigate Policy Updates August 202108/01/2021
Navigate Policy Updates July 202107/01/2021
Navigate We Want to Hear From You!06/30/2021
Navigate CMS Interoperability06/22/2021
Navigate Q4 2020 Provider Portal Updates06/21/2021
Navigate CareSource's Care Management Program06/14/2021
Navigate Equian Process Frequently Asked Questions06/10/2021
Navigate Policy Updates June 202106/01/2021
Navigate Utilization Management Process05/18/2021
Navigate Provider Portal Enhancements05/05/2021
Navigate Policy Updates May 202105/01/2021
Navigate Policy Updates April 202104/01/2021
Navigate Annual Access & Availability Standard Requirements03/11/2021
Navigate CareSource – Quarterly Town Hall Meeting03/04/2021
Navigate Policy Updates March 202103/01/2021
Navigate Equian Process Frequently Asked Questions02/26/2021
Navigate Timely Filing for Claims Appeals02/17/2021
Navigate Cotiviti Payment Enhancement02/12/2021
Navigate Eviti Provider Training02/01/2021
Navigate Policy Updates February 202102/01/2021
Navigate Eviti Provider Notice01/15/2021
Navigate Elective Transplant Process Change01/08/2021
Navigate UPDATE- Prior Authorization Requirements01/06/2021
Navigate Policy Updates January 202101/01/2021