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.

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
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
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