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.

Visit the Updates & Announcements page frequently to find all the latest CareSource news. We share updates regarding:

COVID-19 information
Pharmacy information, including our Preferred Drug Lists (PDLs)
Medical, pharmacy, reimbursement and administrative policies
Authorization requirements as communicated through network notifications below

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

COVID-19 Updates

Latest Updates	Date
Navigate COVID-19: Vaccination Billing Resource – UPDATE	07/14/2021
Navigate COVID-19: CareSource Vaccination Billing Guidance	03/08/2021
Navigate COVID-19: Vaccination Billing Resource – This notification has been revised. See notification dated 07/14/2021.	01/29/2021
Navigate COVID-19: CARES Act Provider Relief Fund Update	06/22/2020
Navigate COVID-19: CDC Health Alert on Chloroquine	05/28/2020
Navigate COVID-19: Dental Provider Resources	04/28/2020
Navigate COVID-19: Temporary Telehealth Services	04/09/2020
Navigate Protecting Members and Reducing the Spread of COVID-19	03/23/2020
Navigate Promoting Telehealth for COVID-19	03/23/2020

General Updates

2021	Date
Navigate 2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria	10/15/2021
Navigate CareSource Cultural Competency Training	10/08/2021
Navigate Policy Updates October 2021	10/01/2021
Navigate Dental Electronic Payment Process Change	10/01/2021
Navigate New Laboratory Benefit Management Program for Genetic Testing Management	10/01/2021
Navigate Quality Enhancer Value-Based Reimbursement Program – UPDATE	09/13/2021
Navigate Additional Policy Updates September 2021	09/01/2021
Navigate Policy Updates September 2021	09/01/2021
Navigate Updates to Assist with Avalon Laboratory Benefit Management Transition	08/31/2021
Navigate Provider Data Impacting Dental Claims	08/26/2021
Navigate CareSource Partnership with Avalon Healthcare for Laboratory Benefit Management	08/19/2021
Navigate Additional Policy Updates August 2021	08/01/2021
Navigate Policy Updates August 2021	08/01/2021
Navigate We Want to Hear From You!	07/22/2021
Navigate Synagis Change for RSV Season 2020-2021	07/19/2021
Navigate How to Reach Your Dental Health Partner Network Manager	07/16/2021
Navigate Utilization Management Process	07/08/2021
Navigate EPSDT Referral Codes	07/02/2021
Navigate Policy Updates July 2021	07/01/2021
Navigate CMS Interoperability	06/24/2021
Navigate Policy Updates June 2021	06/01/2021
Navigate Prior Authorization Updates	05/26/2021
Navigate Maternity Services, Coordination of Benefits (COB)	05/19/2021
Navigate Quality Enhancer Value Based Reimbursement Program – This notification has been revised. See notification dated 09/13/2021.	05/07/2021
Navigate Provider Portal Enhancements	05/05/2021
Navigate Additional Policy Updates May 2021	05/01/2021
Navigate Additional Policy Updates May 2021	05/01/2021
Navigate Policy Updates May 2021	05/01/2021
Navigate Utilization Review, Care Management Organizations, and Adverse Actions	04/27/2021
Navigate Equian Process Frequently Asked Questions	04/27/2021
Navigate Annual Access & Availability Standard Requirements	03/11/2021
Navigate 2020 Quarter 4 Provider Portal Updates	03/11/2021
Navigate CareSource – Quarterly Town Hall Meeting	03/04/2021
Navigate Policy Updates March 2021	03/01/2021
Navigate Reminder to Check Member Eligibility	02/02/2021
Navigate HIPAA Exchange of Information	02/01/2021
Navigate Policy Updates February 2021	02/01/2021
Navigate Updated Dental Provider Resources - Policy Clarifications and Revisions	01/07/2021
Navigate UPDATE - Prior Authorization Requirements	01/05/2021
Navigate SolarWinds Cyberattack	01/04/2021

2020	Date
Navigate Cotiviti Payment Enhancement Notification	12/28/2020
Navigate Elective Transplant Process Change	12/28/2020
Navigate CareSource Cultural Competency Training	12/02/2020
Navigate 2021 Prior Authorization List Reminder	12/01/2020
Navigate Policy Updates December 2020	12/01/2020
Navigate Inpatient Psychiatric Hospital Billing Update	11/16/2020
Navigate Appeal and Dispute Submissions	11/16/2020
Navigate 2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria	11/16/2020
Navigate Q4 2020 CareSource Town Hall Presentation	11/09/2020
Navigate 2020 Q2 Provider Portal Updates	11/06/2020
Navigate Claim Payment Advice (835) Enhancements - Georgia Hospital Add-on	10/21/2020
Navigate You're Invited to a CareSource Provider Town Hall	10/19/2020
Navigate Temporary – UPDATE: Georgia Medicaid Speech Therapy and Language Requirement	10/05/2020
Navigate Updates to Georgia Medicaid Prior Authorization List	10/05/2020
Navigate Policy Updates October 2020	10/01/2020
Navigate Site of Care for Drug Administration	10/01/2020
Navigate Home Health Value Code Requirement	09/24/2020
Navigate Claim Payment Advice (835) Enhancements	09/23/2020
Navigate Enhancement to Prior Authorization (PA) on Provider Portal	09/15/2020
Navigate Enhanced Claim Editing Implementation	09/11/2020
Navigate You're Invited to a CareSource Provider Town Hall	09/09/2020
VIDEO: Q2 2020 Medicaid Town Hall Recorded Presentation	09/08/2020
Navigate Claim Remittance Delay	09/03/2020
Navigate BH HEDIS Measure Improvement Survey	09/01/2020
Navigate Georgia Suicide Initiative	09/01/2020
Navigate Provider Portal Claims Quick Start Guide	08/24/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers	08/11/2020
Navigate Policy Updates August 2020	08/01/2020
Navigate Updates to Georgia Medicaid Prior Authorization List	07/30/2020
Navigate Provider Portal Claims Attachment	07/30/2020
Navigate Risk Adjustment Coding Education	07/27/2020
Navigate Correct Payer ID for Claims Submissions – REMINDER	07/22/2020
Navigate Notification of Pregnancy Incentive Program	07/14/2020
Navigate Additional Policy Updates July 2020	07/01/2020
Navigate Additional Policy Updates July 2020	07/01/2020
Navigate Policy Updates July 2020	07/01/2020
Navigate Correct Payer ID for Claims Submissions	06/22/2020
Navigate Provider Portal Claims Submittal Enhancement	06/15/2020
Navigate Superior Vision Frequently Asked Questions (FAQs)	06/01/2020
Navigate Superior Vision Webinar Invite	06/01/2020
Navigate Recent Provider Portal Updates	05/27/2020
Navigate Holiday Claim Remittance Delays	05/19/2020
Navigate Enhancement to Provider Portal - Updating Prior Authorization Requests	05/07/2020
Navigate Additional Policy Updates May 2020	05/01/2020
Navigate Policy Updates May 2020	05/01/2020
Navigate Patient-Driven Payment Model	04/24/2020
Navigate Designation of Availity as Exclusive EDI Gateway	04/20/2020
Navigate Recent Provider Portal Updates	04/20/2020
Navigate You're Invited to a CareSource Provider Town Hall	04/15/2020
Navigate Consent Form Upload Enhancement to the Provider Portal	04/13/2020
Navigate High Dollar Claims Cover Sheet – UPDATE	04/07/2020
Navigate Pregnancy Related Services Aid Category	04/03/2020
Navigate Superior Vision Go-Live Date Change	04/01/2020
Navigate Additional Policy Updates April 2020	04/01/2020
Navigate Additional Policy Updates April 2020	04/01/2020
Navigate Policy Updates April 2020	04/01/2020
Navigate Provider Audits	03/23/2020
Navigate Prior/Retro Authorization Requirement for Ancillary Providers	03/12/2020
Navigate Coordination of Benefits (COB) Requirement Reminder	03/12/2020
Navigate Reminder: Provider Claim Reporting to Georgia Medicaid Management Information System (GAMMIS)	03/10/2020
Navigate Policy Updates February 2020	02/01/2020
Navigate Coordination of Healthcare Exchange of Information Update	01/31/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/23	01/27/2020

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