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.

NavigateCotiviti Payment Enhancement Notification12/28/2020
NavigateElective Transplant Process Change12/28/2020
NavigateCareSource Cultural Competency Training12/02/2020
Navigate2021 Prior Authorization List Reminder12/01/2020
NavigatePolicy Updates December 202012/01/2020
NavigateInpatient Psychiatric Hospital Billing Update11/16/2020
NavigateAppeal and Dispute Submissions11/16/2020
Navigate2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/16/2020
NavigateQ4 2020 CareSource Town Hall Presentation11/09/2020
Navigate2020 Q2 Provider Portal Updates11/06/2020
NavigateClaim Payment Advice (835) Enhancements - Georgia Hospital Add-on10/21/2020
NavigateYou're Invited to a CareSource Provider Town Hall10/19/2020
NavigateTemporary – UPDATE: Georgia Medicaid Speech Therapy and Language Requirement10/05/2020
NavigateUpdates to Georgia Medicaid Prior Authorization List10/05/2020
NavigatePolicy Updates October 202010/01/2020
NavigateSite of Care for Drug Administration10/01/2020
NavigateHome Health Value Code Requirement09/24/2020
NavigateClaim Payment Advice (835) Enhancements09/23/2020
NavigateEnhancement to Prior Authorization (PA) on Provider Portal09/15/2020
NavigateEnhanced Claim Editing Implementation09/11/2020
NavigateYou're Invited to a CareSource Provider Town Hall09/09/2020
VIDEO: Q2 2020 Medicaid Town Hall Recorded Presentation09/08/2020
NavigateClaim Remittance Delay09/03/2020
NavigateBH HEDIS Measure Improvement Survey09/01/2020
NavigateGeorgia Suicide Initiative09/01/2020
NavigateProvider Portal Claims Quick Start Guide08/24/2020
NavigateInteractive Voice Response (IVR) Enhancements for Providers08/11/2020
NavigatePolicy Updates August 202008/01/2020
NavigateUpdates to Georgia Medicaid Prior Authorization List07/30/2020
NavigateProvider Portal Claims Attachment07/30/2020
NavigateRisk Adjustment Coding Education07/27/2020
NavigateCorrect Payer ID for Claims SubmissionsREMINDER07/22/2020
NavigateNotification of Pregnancy Incentive Program07/14/2020
NavigateAdditional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
NavigatePolicy Updates July 202007/01/2020
NavigateCorrect Payer ID for Claims Submissions06/22/2020
NavigateProvider Portal Claims Submittal Enhancement06/15/2020
NavigateSuperior Vision Frequently Asked Questions (FAQs)06/01/2020
NavigateSuperior Vision Webinar Invite06/01/2020
NavigateRecent Provider Portal Updates05/27/2020
NavigateHoliday Claim Remittance Delays05/19/2020
NavigateEnhancement to Provider Portal - Updating Prior Authorization Requests05/07/2020
NavigateAdditional Policy Updates May 202005/01/2020
NavigatePolicy Updates May 202005/01/2020
NavigatePatient-Driven Payment Model04/24/2020
NavigateDesignation of Availity as Exclusive EDI Gateway04/20/2020
NavigateRecent Provider Portal Updates04/20/2020
NavigateYou're Invited to a CareSource Provider Town Hall04/15/2020
NavigateConsent Form Upload Enhancement to the Provider Portal04/13/2020
NavigateHigh Dollar Claims Cover SheetUPDATE04/07/2020
NavigatePregnancy Related Services Aid Category04/03/2020
NavigateSuperior Vision Go-Live Date Change04/01/2020
NavigateAdditional Policy Updates April 202004/01/2020
NavigateAdditional Policy Updates April 202004/01/2020
NavigatePolicy Updates April 202004/01/2020
NavigateProvider Audits03/23/2020
NavigatePrior/Retro Authorization Requirement for Ancillary Providers03/12/2020
NavigateCoordination of Benefits (COB) Requirement Reminder03/12/2020
NavigateReminder: Provider Claim Reporting to Georgia Medicaid Management Information System (GAMMIS)03/10/2020
NavigatePolicy Updates February 202002/01/2020
NavigateCoordination of Healthcare Exchange of Information Update01/31/2020
NavigatePaper Checks Dated 1/21, 1/22, 1/2301/27/2020
NavigatePharmacy Network Change (Walgreens)12/11/2019
NavigateCrisis Stabilization Prior Authorization12/06/2019
NavigateRegister with New Payment Partner ECHO Health by December 13UPDATE12/03/2019
NavigateDBHDD CORE Provider Memorandum12/02/2019
NavigateDecember 2019 Policy Updates12/01/2019
NavigateMedically Unlikely Edits10/01/2019
NavigateUpdate Your Information09/05/2019
NavigateRegister with New Payment Partner ECHO Health by December 1This notification has been revised. See notification dated 12/03/201908/16/2019
NavigateHigh Dollar Claims InstructionsThis notification has been revised. See notification dated 04/07/202008/12/2019
NavigatePolicy Updates August 201908/01/2019
NavigateInterventions to Prevent Perinatal Depression07/31/2019
NavigateDuplicate Modifiers on a Claim Service Line07/17/2019
NavigateInpatient Hospital Pre-payment Claims Reviews07/15/2019
NavigateNotice of Changes to Prior Authorization Requirements07/12/2019
NavigatePolicy Updates July 201907/01/2019
NavigatePlace of Service Code for Claim Submissions06/24/2019
NavigatePolicy Updates June 201905/31/2019
NavigateProvider Dispute Process05/28/2019
NavigateCare Coordination​ and HIPAA Information04/17/2019
NavigateSpring Medicaid Fair04/12/2019
NavigateCredentialed Department of Behavioral Health and Developmental Disabilities (DBHDD) Network Notice03/22/2019
NavigateNew Approach to Educate and Reduce Evaluation and Management Billing Errors02/19/2019
NavigatePsychiatric Residential Treatment Facility (PRTF) Overnight Passes02/18/2019
NavigatePolicy Updates April 201902/01/2019
NavigateNotice of Changes to Retrospective Authorization Timeframe Requirements01/24/2019
NavigateChiropractic Services benefit Change01/15/2019
NavigateBilling for Long-Acting Reversible Contraception (LARC) Devices in Non-Inpatient Settings12/05/2018
Navigate340B Drug Pricing Program Claim Requirement - UPDATE11/30/2018
NavigatePolicy Update February 201811/30/2018
NavigatePO Box Update11/12/2018
NavigateDelivery Event Claim Diagnosis Codes11/03/2018
NavigateDuplicate Claim Processing Update10/12/2018
NavigateGeorgia Fall Medicaid Fair Invitation10/09/2018
NavigateOpioid Quantity Limit Update - 60 MED08/29/2018
NavigateClarification of Indiana Network Closure Communication08/20/2018
NavigateConsent to Share Sensitive Health Information08/10/2018
NavigatePolicy Updates September 201807/30/2018
NavigateNew Address for Refund Checks07/20/2018
Navigate340B Drug Pricing Program Claim Requirement – This notification has been revised. See notification dated 11/30/2018.07/09/2018
NavigateOpioid Quantity Limit Update06/27/2018
NavigatePolicy Updates August 201806/27/2018
NavigateCareSource Secure Email Portal Security Enhancements06/13/2018
NavigatePY-0156 and MM-0127 Drug Testing Policies06/12/2018
NavigatePolicy Updates July 201806/01/2018
Early and Periodic Screening, Diagnostic, and Treatment Medicaid.gov05/10/2018
NavigateClinical Practice Guidelines Audit Information05/10/2018
NavigateUpdate to Provider Billing Address Requirements on Claims04/23/2018
NavigateLong-Acting Reversible Contraceptive Billing Instructions04/19/2018
NavigatePolicy Updates May 201803/30/2018
NavigateHospital Statistical & Reimbursement (HS&R) Reports03/06/2018
NavigateDiabetes Retinal Eye Exam02/28/2018
NavigatePolicy Updates March 201801/30/2018
NavigateNew Applied Behavior Analysis/Services (ABA/ABS) Medical Policy01/25/2018