Past 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:

  • 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.

2024Date
Navigate Interactive Health Library12/06/2024
Navigate Policy Updates December 202412/01/2024
Navigate Avalon Policy Updates12/01/2024
Navigate 2025 Prior Authorization Update11/06/2024
Navigate Modifiers JZ and JW11/04/2024
Navigate November 2024 Policy Updates11/01/2024
Navigate QHP ESRD Notification – Notification is not applicable to D-SNP providers10/22/2024
Navigate QHP Hypoglossal/Allergen Modifiers Notification – Notification is not applicable to D-SNP providers.10/21/2024
Navigate October 2024 Policy Updates 10/01/2024
Navigate ICD-10-CM Excludes1 Note09/25/2024
Navigate Policy Updates September 202409/01/2024
Navigate ASH Acupuncture Policies08/01/2024
Navigate Policy Updates August 202408/01/2024
Navigate Change to Prior Authorization Request Process for Part B (Medical Drugs) – UPDATE07/01/2024
Navigate PharmScript Pharmacy Termination Disclosure07/01/2024
Navigate Prior Authorization Update06/04/2024
Navigate Q1 2024 Avalon Policy Updates06/01/2024
Navigate Policy Updates June 202406/01/2024
Navigate Change to Prior Authorization Request Process for Part B (Medical Drugs)05/31/2024
Navigate Visit the CareSource Health Equity Webpage for Resources and Trainings!05/20/2024
Navigate NIA/Evolent Policy Updates (Q2 2024) - May 202405/01/2024
Navigate DentaQuest Policy Updates (Q2 2024) - May 202405/01/2024
Navigate Policy Updates May 202405/01/2024
Navigate Provider Portal Claim Submission Tool Update04/11/2024
Navigate Policy Updates April 202404/01/2024
Navigate Availity Essentials Live Webinar Training03/06/2024
Navigate Change Healthcare Cybersecurity Incident03/04/2024
Navigate Policy Updates March 202403/01/2024
Navigate Q4 Avalon Policy Updates March 202403/01/2024
Navigate Member Balance Billing01/23/2024
Navigate Changes in D-SNP Pharmacy Coverage: Preferred Diabetic Part B Glucometers, Test Strips and Continuous Glucose Monitors (CGMs)01/03/2024
Navigate Avaolon Policy Updates - January 202401/01/2024
Navigate Policy Updates January 202401/01/2024
Navigate D-SNP Access to Care Updates01/01/2024
2023Date
Navigate Policy Updates December 202312/01/2023
Navigate Policy Updates November 202311/01/2023
Navigate 2024 Prior Authorization Requirement Updates10/19/2023
Navigate NIA Policy Updates October 202310/01/2023
Navigate Policy Updates October 202310/01/2023
Navigate Multi-Factor Authentication Implementation – UPDATE10/03/2023
Navigate Multi-Language Insert Requirement10/02/2023
Navigate Policy Updates September 202309/01/2023
Navigate Multi-Factor Authentication Implementation – UPDATE08/08/2023
Navigate Policy Updates August 202308/01/2023
Navigate August 2023 Avalon Policies08/01/2023
Navigate August 2023 DentaQuest Policies08/01/2023
Navigate August 2023 NIA Policies08/01/2023
Navigate Multi-Factor Authentication Implementation07/27/2023
Navigate Inflation Reduction Act Implementation Notice07/12/2023
Navigate Policy Updates June 202306/01/2023
Navigate Closing Diabetes Retinopathy Screening Care Gaps05/24/2023
Navigate Q3/Q4 Avalon Policies05/01/2023
Navigate Policy Updates May 202305/01/2023
Navigate Public Health Emergency Ending – Updates to Benefits and Rates04/10/2023
Navigate CAHPS Email Campaign and Quality Patient Experience Guide04/03/2023
Navigate Policy Updates April 202304/01/2023
Navigate White Bagging Prohibited: State-Issued Directive 03/22/2023
Navigate 2023 D-SNP and Ohio MyCare Model of Care Training Requirement03/14/2023
Navigate Member Balance Billing Update03/09/2023
Navigate Policy Updates March 202303/01/2023
Navigate 2023 Pharmacy Network Change02/23/2023
2022Date
Navigate Multi-Language Insert Requirement12/08/2022
Navigate Policy Updates December 202212/01/2022
Navigate Face-to-Face Visit Encounter Requirement11/21/2022
Navigate Provider Alternative Format Request11/10/2022
Navigate Policy Updates November 202211/1/2022
Navigate Updated Prior Authorization List11/1/2022
Navigate Wellstar Atlanta Medical Center Closure10/31/2022
Navigate Policy Updates October 202210/01/2022
Navigate Prior Authorization Updates10/01/2022
Navigate Quarter 2 Avalon Medical Policy Update10/01/2022
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 Quarter 1 2022 Avalon Medical Policy Update08/01/2022
Navigate We Want to Hear from You!07/08/2022
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 Introducing Teladoc, CareSource’s New Telehealth Partner05/31/2022
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 Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/01/2022
Navigate Billing Updates: EDCf Evaluation & Management Policy03/25/2022
Navigate Policy Updates March 202203/01/2022 
Navigate Provider Portal Account Linking Enhancement02/21/2022
Navigate Prior Authorization Requirement Updates01/14/2022
Navigate Correct Coding Claims Update01/11/2022
Navigate Policy Updates January 202201/01/2022
2021Date
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 Updates11/15/2021
Navigate Avalon Provider Education Webinars10/29/2021
Navigate HIPAA CORE Compliant Codes10/15/2021
Navigate New Laboratory Benefit Management Program10/01/2021
Navigate Policy Updates July 202107/01/2021
Navigate CMS Interoperability06/22/2021
Navigate Balance Billing Reminder05/21/2021
Navigate Utilization Management Process05/18/2021
Navigate Policy Updates May 202105/01/2021
Navigate Annual Access & Availability Standard Requirements03/11/2021
Navigate Policy Updates March 202103/01/2021
Navigate Policy Updates February 202102/01/2021
Navigate Elective Transplant Process Change01/08/2021