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 Pharmacy Policy Update - Bimzelx - December 202412/20/2024
Navigate Newborn RSV Prevention12/13/2024
Navigate Interactive Health Library12/06/2024
Navigate Avalon Policy Updates12/01/2024
Navigate Pharmacy Policy Updates December 202412/01/2024
Navigate Policy Updates December 202412/01/2024
Navigate Updated 2025 Access Standards11/11/2024
Navigate QHP ESRD Notification – REVISION11/08/2024
Navigate QHP Hypoglossal/Allergen Modifiers Notification – REVISION11/07/2024
Navigate 2025 Prior Authorization Update11/06/2024
Navigate Modifiers JZ and JW11/04/2024
Navigate TurningPoint Policy Updates11/01/2024
Navigate Evolent Policy Updates11/01/2024
Navigate November 2024 Policy Updates11/01/2024
Navigate QHP DME Modifiers10/11/2024
Navigate Perinatal Depression Screening - Edinburgh Depression Tool10/07/2024
Navigate October 2024 Policy Updates10/01/2024
Navigate ICD-10-CM Excludes1 Note09/25/2024
Navigate Policy Updates September 202409/01/2024
Navigate Pharmacy Policy Updates September 202409/01/2024
Navigate Single Dose Vial-Claims Modifiers08/23/2024
Navigate Kidney Health Evaluation for Patients with Diabetes08/19/2024
Navigate Policy Updates August 202408/01/2024
Navigate Policy Updates July 202407/01/2024
Navigate PharmScript Pharmacy Termination Disclosure07/01/2024
Navigate Independent Laboratory 06/13/2024
Navigate Provider Satisfaction Survey06/12/2024
Navigate Prior Authorization Update06/04/2024
Navigate Pharmacy Policy Updates June 202406/01/2024
Navigate Q1 2024 Avalon Policy Updates06/01/2024
Navigate Policy Updates June 202406/01/2024
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 It’s Patient Experience Survey Season!03/04/2024
Navigate Change Healthcare Cybersecurity Incident03/04/2024
Navigate Policy Updates March 202403/01/2024
Navigate Q4 Avalon Policy Updates March 202403/01/2024
Navigate Pharmacy Policy Updates March 202403/01/2024
Navigate Policy Updates February 202402/01/2024
Navigate Policy Updates January 202401/01/2024
Navigate Avaolon Policy Updates - January 202401/01/2024
2023Date
Navigate Provider Depression Reference Guide Available12/13/2023
Navigate Pharmacy Policy Updates December 202312/01/2023
Navigate Policy Updates December 202312/01/2023
Navigate Update in Continuous Glucose Monitor (CGM) Billing11/15/2023
Navigate New Diabetes Marketplace Plans for 202411/13/2023
Navigate Adult Type 2 Diabetes Reference Guide - UPDATE11/06/2023
Navigate TurningPoint Policy Updates - November 202311/01/2023
Navigate Policy Updates November 202311/01/2023
Navigate Adult Type 2 Diabetes Reference Guide – This notification has been revised. See notification dated 11/06/202310/20/2023
Navigate 2024 Prior Authorization Requirement Updates10/19/2023
Navigate Kidney Health Evaluation for Patients with Diabetes Measure10/02/2023
Navigate NIA Policy Updates October 202310/01/2023
Navigate Avalon Policy Updates October 202310/01/2023
Navigate Policy Updates October 202310/01/2023
Navigate Pharmacy Policy Updates November 202310/01/2023
Navigate Multi-Factor Authentication Implementation – UPDATE10/03/2023
Navigate Closing Diabetes Care Gap09/20/2023
Navigate Oncology Drug Shortage Notification09/13/2023
Navigate Pharmacy Policy Updates October 202309/01/2023
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 Policy Updates July 202307/01/2023
Navigate Pharmacy Policy Updates July 202307/01/2023
Navigate Policy Updates June 202306/01/2023
Navigate No Surprises Act – UPDATE05/30/2023
Navigate Independent Laboratory05/30/2023
Navigate Public Health Emergency Ending – Copayment Requirements05/11/2023
Navigate Q3/Q4 Avalon Policies05/01/2023
Navigate Policy Updates May 202305/01/2023
Navigate Prior Authorization Requirement for Non-Emergent NICU Transfers and Transports04/10/2023
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 2023 04/01/2023
Navigate White Bagging Prohibited: State-Issued Directive 03/22/2023
Navigate Policy Updates March 202303/01/2023
Navigate Pharmacy Policy Updates April 202302/27/2023
Navigate 2023 Pharmacy Network Change02/23/2023
Navigate Policy Updates February 202302/01/2023
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE01/26/2023
Navigate Coding for Cancer Screening Compliance and Exclusions01/18/2023
Navigate Synagis Prior Authorization Resources01/06/2023
Navigate Policy Updates January 202301/01/2023
2022Date
Navigate Pharmacy Policy Updates-January 202312/09/2022
Navigate Policy Updates December 202212/01/2022
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 202209/12/2022Navigate 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
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 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
2020Date
Navigate Welcome, Marketplace Providers!12/29/2020
Navigate Introducing New Prior Authorization Procedure Code Look-Up Tool12/17/2020
Navigate Register With Dental Partner DentaQuest - Reminder12/17/2020
Navigate 2021 Prior Authorization List Reminder12/01/2020
Navigate Policy Updates December 202012/01/2020
Navigate Register with CareSource’s Payment Partner ECHO Health11/23/2020
Navigate 2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/23/2020
Navigate CareSource Cultural Competency Training11/17/2020
Navigate Q4 2020 CareSource Town Hall Presentation11/09/2020
Navigate Policy Updates November 202011/01/2020
Navigate Home Health Value Code Requirement10/26/2020
Navigate You're Invited to a CareSource Provider Town Hall10/19/2020
Navigate Updates to Marketplace Prior Authorization List10/19/2020
Navigate 2020 Quarter 2 Provider Portal Updates10/15/2020
Navigate DentaQuest to Administer Marketplace Exchange Dental Benefits10/02/2020
Navigate Policy Updates October 202010/01/2020
Navigate Site of Care for Drug Administration10/01/2020
Navigate Claim Payment Advice (835) Enhancements09/23/2020
Navigate Enhanced Claim Editing Implementation09/21/2020
Navigate Risk Adjustment Coding Education09/08/2020
Navigate Claim Remittance Delay09/03/2020
Navigate Policy Updates September 202009/01/2020
Navigate Provider Directory Information Attestation08/04/2020
Navigate Policy Updates August 202008/01/2020
Navigate Policy Updates July 202007/01/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers06/25/2020
Navigate Provider Portal Claims Submittal Enhancement06/15/2020
Navigate Policy Updates June 202006/01/2020
Navigate Holiday Claim Remittance Delays05/19/2020
Navigate Risk Adjustment Education05/14/2020
Navigate Provider Portal Claims Attachment Quick Start Guide05/07/2020
Navigate Policy Updates May 202005/01/2020
Navigate Designation of Availity as Exclusive EDI Gateway04/15/2020
Navigate You're Invited to a CareSource Provider Town Hall04/15/2020
Navigate Correct Payer ID for Claims Submissions04/06/2020
Navigate Policy Updates April 202004/01/2020
Navigate Recent Provider Portal Updates03/30/2020
Navigate Issue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments03/13/2020
Navigate Provider Manual Correction03/09/2020
Navigate Policy Updates March 202003/01/2020
Navigate Join the CareSource MA/D-SNP Network!02/21/2020
Navigate Instructions on Attaching Medical Records in Provider Portal02/07/2020
Navigate Policy Updates February 202002/01/2020
Navigate Recent Provider Portal Updates01/31/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/2301/27/2020
Navigate Provider Payment Migration Complete01/13/2020