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

General Updates

NavigateUPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation12/31/2021
NavigatePrior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
Navigate2021 Quarter 3 Provider Portal Updates12/03/2021
NavigatePolicy Updates December 202112/01/2021
Navigate2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/02/2021
NavigatePolicy Updates November 202111/01/2021
NavigateAvalon Provider Education Webinars10/29/2021
NavigateContinuous Glucose Monitor (CGM) Medical Benefit Change Effective October 1, 202110/27/2021
NavigateMarketplace Opioid Treatment Program Coverage10/25/2021
NavigateHIPAA CORE Compliant Codes10/15/2021
NavigateProvider Portal Update10/15/2021
NavigateMarketplace Member Grace Period & Termination Notice10/15/2021
NavigateCareSource Cultural Competency Training10/08/2021
NavigateNew Laboratory Benefit Management Program10/01/2021
NavigatePolicy Updates October 202110/01/2021
NavigatePolicy Updates September 202109/01/2021
NavigatePolicy Updates August 202108/01/2021
NavigatePolicy Updates July 202107/01/2021
NavigateWe Want to Hear From You!06/30/2021
NavigateCMS Interoperability06/22/2021
NavigateQ4 2020 Provider Portal Updates06/21/2021
NavigateCareSource's Care Management Program06/14/2021
NavigateEquian Process Frequently Asked Questions06/10/2021
NavigatePolicy Updates June 202106/01/2021
NavigateUtilization Management Process05/18/2021
NavigateProvider Portal Enhancements05/05/2021
NavigatePolicy Updates May 202105/01/2021
NavigatePolicy Updates April 202104/01/2021
NavigateAnnual Access & Availability Standard Requirements03/11/2021
NavigateCareSource – Quarterly Town Hall Meeting03/04/2021
NavigatePolicy Updates March 202103/01/2021
NavigateEquian Process Frequently Asked Questions02/26/2021
NavigateTimely Filing for Claims Appeals02/17/2021
NavigateCotiviti Payment Enhancement02/12/2021
NavigateEviti Provider Training02/01/2021
NavigatePolicy Updates February 202102/01/2021
NavigateEviti Provider Notice01/15/2021
NavigateElective Transplant Process Change01/08/2021
NavigateUPDATE- Prior Authorization Requirements01/06/2021
NavigatePolicy Updates January 202101/01/2021
NavigateWelcome, Marketplace Providers!12/29/2020
NavigateIntroducing New Prior Authorization Procedure Code Look-Up Tool12/17/2020
NavigateRegister With Dental Partner DentaQuest - Reminder12/17/2020
Navigate2021 Prior Authorization List Reminder12/01/2020
NavigatePolicy Updates December 202012/01/2020
NavigateRegister with CareSource’s Payment Partner ECHO Health11/23/2020
Navigate2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/23/2020
NavigateCareSource Cultural Competency Training11/17/2020
NavigateQ4 2020 CareSource Town Hall Presentation11/09/2020
NavigatePolicy Updates November 202011/01/2020
NavigateHome Health Value Code Requirement10/26/2020
NavigateYou're Invited to a CareSource Provider Town Hall10/19/2020
NavigateUpdates to Marketplace Prior Authorization List10/19/2020
Navigate2020 Quarter 2 Provider Portal Updates10/15/2020
NavigateDentaQuest to Administer Marketplace Exchange Dental Benefits10/02/2020
NavigatePolicy Updates October 202010/01/2020
NavigateSite of Care for Drug Administration10/01/2020
NavigateClaim Payment Advice (835) Enhancements09/23/2020
NavigateEnhanced Claim Editing Implementation09/21/2020
NavigateRisk Adjustment Coding Education09/08/2020
NavigateClaim Remittance Delay09/03/2020
NavigatePolicy Updates September 202009/01/2020
NavigateProvider Directory Information Attestation08/04/2020
NavigatePolicy Updates August 202008/01/2020
NavigatePolicy Updates July 202007/01/2020
NavigateInteractive Voice Response (IVR) Enhancements for Providers06/25/2020
NavigateProvider Portal Claims Submittal Enhancement06/15/2020
NavigatePolicy Updates June 202006/01/2020
NavigateHoliday Claim Remittance Delays05/19/2020
NavigateRisk Adjustment Education05/14/2020
NavigateProvider Portal Claims Attachment Quick Start Guide05/07/2020
NavigatePolicy Updates May 202005/01/2020
NavigateDesignation of Availity as Exclusive EDI Gateway04/15/2020
NavigateYou're Invited to a CareSource Provider Town Hall04/15/2020
NavigateCorrect Payer ID for Claims Submissions04/06/2020
NavigatePolicy Updates April 202004/01/2020
NavigateRecent Provider Portal Updates03/30/2020
NavigateIssue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments03/13/2020
NavigateProvider Manual Correction03/09/2020
NavigatePolicy Updates March 202003/01/2020
NavigateJoin the CareSource MA/D-SNP Network!02/21/2020
NavigateInstructions on Attaching Medical Records in Provider Portal02/07/2020
NavigatePolicy Updates February 202002/01/2020
NavigateRecent Provider Portal Updates01/31/2020
NavigatePaper Checks Dated 1/21, 1/22, 1/2301/27/2020
NavigateProvider Payment Migration Complete01/13/2020