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.

2022Date
Navigate Obstetrics Quality VBR Program12/21/2022
Navigate Pharmacy Policy Updates-January 202312/09/2022
Navigate 2023 Quality Enhancer Program for Providers Not Enrolled in a VBR12/06/2022
Navigate FREE Training Available! Join Us for Our December Training of the Month12/06/2022
Navigate Policy Updates December 202212/01/2022
Navigate Billing Update Re: Multiple Outpatient Claims11/18/2022
Navigate Quarter 2 Avalon Medical Policy Update11/1/2022
Navigate Quarter 2 Avalon Medical Policy Update11/1/2022
Navigate Policy Updates November 202211/1/2022
Navigate Wellstar Atlanta Medical Center Closure10/31/2022
Navigate Billing Update: Incorrect Billing of Modifier 5810/28/2022
Navigate GA MCD - October 2022 Versant Vision Policies Updates10/01/2022
Navigate CLIA-Waived Tests Update09/15/2022
Navigate Pharmacy Policy Updates - October 202209/12/2022
Navigate Policy Updates September 202209/01/2022
Navigate Policy Updates September 202209/01/2022
Navigate Continuity of Care Billing Guidance Notification08/25/2022
Navigate Life Services Referral Form08/12/2022
Navigate Policy Updates August 202208/01/2022
Navigate We Want to Hear from You!07/15/2022
Navigate OB VBR Program Reminders07/14/2022
Navigate Pharmacy Policy Updates - July 202207/01/2022
Navigate Reimbursement for Automated Tests06/30/2022
Navigate Quarter 2 Avalon Medical Policy Update06/30/2022
Navigate Quarter 2 Avalon Reimbursement Policy Update06/30/2022
Navigate Quarter 3 & 4 Avalon Medical Policy Update06/30/2022
Navigate Semglee Biosimilar Access for Members06/16/2022
Navigate 276/277 Claim Status Inquiry and Response Enhancement06/16/2022
Navigate Upload Claim Submissions Seamlessly in Provider Portal06/13/2022
Navigate Introducing Teladoc, CareSource's New Telehealth Vendor05/31/2022
Navigate Dental Fee Schedule Increases05/31/2022
Navigate Policy Updates June 202205/31/2022
Navigate Updated Dental Provider Resources - Policy Clarifications and Revisions05/26/2022
Navigate Policy Updates - June 202205/23/2022
Navigate Retro Authorization Submission Guidelines Notification05/12/2022
Navigate Evaluation and Management CPT Code Guidance05/12/2022
Navigate Claim Payment Disputes Reminder05/10/2022
Navigate Member Redetermination Reminder05/10/2022
Navigate Policy Updates - May 202205/01/2022
Navigate Billing Update: Chiropractic Unbundling Notification04/29/2022
Navigate Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/12/2022
Navigate Quality Patient Experience Guide (CAHPS resource)04/11/2022
Navigate Maintaining Provider Information in GAMMIS04/06/2022
Navigate Pharmacy Policy Updates - April 202204/01/2022
Navigate Correct Coding Claims Update03/25/2022
Navigate Billing Update: DME Frequency 120 per Month Without Modifier03/14/2022
Navigate Provider Portal Account Linking Enhancement02/21/2022
Navigate Orthotics and Prosthetics Claim02/16/2022
Navigate Policy Updates December 202102/01/2022
Navigate Additional Policy Updates February 202202/01/2022
Navigate Clarification on Dental Electronic Payment Process Change01/21/2022
2021Date
Navigate UPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation12/31/2021
Navigate Prior Authorization Requirement for Non-Participating Laboratory Services12/23/2021
Navigate Orthotics and Prosthetics Claim12/20/2021
Navigate 2021 Quarter 3 Provider Portal Updates12/17/2021
Navigate Phototherapy (Bilirubin) Light with Photometer12/17/2021
Navigate Support For Your Patients – The CareSource Care Management Program11/10/2021
Navigate Members on Basaglar or Lantus transitioning to Semglee11/02/2021
Navigate Policy Updates November 202111/01/2021
Navigate Avalon Provider Education Webinars10/28/2021
Navigate HIPAA CORE Compliant Codes10/25/2021
Navigate 2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria10/15/2021
Navigate CareSource Cultural Competency Training10/08/2021
Navigate Policy Updates October 202110/01/2021
Navigate Dental Electronic Payment Process Change10/01/2021
Navigate New Laboratory Benefit Management Program for Genetic Testing Management10/01/2021
Navigate Quality Enhancer Value-Based Reimbursement Program – UPDATE09/13/2021
Navigate Additional Policy Updates September 202109/01/2021
Navigate Policy Updates September 202109/01/2021
Navigate Updates to Assist with Avalon Laboratory Benefit Management Transition08/31/2021
Navigate Provider Data Impacting Dental Claims08/26/2021
Navigate CareSource Partnership with Avalon Healthcare for Laboratory Benefit Management08/19/2021
Navigate Additional Policy Updates August 202108/01/2021
Navigate Policy Updates August 202108/01/2021
Navigate We Want to Hear From You!07/22/2021
Navigate Synagis Change for RSV Season 2020-202107/19/2021
Navigate How to Reach Your Dental Health Partner Network Manager07/16/2021
Navigate Utilization Management Process07/08/2021
Navigate EPSDT Referral Codes07/02/2021
Navigate Policy Updates July 202107/01/2021
Navigate CMS Interoperability06/24/2021
Navigate Policy Updates June 202106/01/2021
Navigate Prior Authorization Updates05/26/2021
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 Enhancements05/05/2021
Navigate Additional Policy Updates May 202105/01/2021
Navigate Additional Policy Updates May 202105/01/2021
Navigate Policy Updates May 202105/01/2021
Navigate Utilization Review, Care Management Organizations, and Adverse Actions 04/27/2021
Navigate Equian Process Frequently Asked Questions04/27/2021
Navigate Annual Access & Availability Standard Requirements03/11/2021
Navigate 2020 Quarter 4 Provider Portal Updates03/11/2021
Navigate CareSource – Quarterly Town Hall Meeting03/04/2021
Navigate Policy Updates March 202103/01/2021
Navigate Reminder to Check Member Eligibility02/02/2021
Navigate HIPAA Exchange of Information02/01/2021
Navigate Policy Updates February 202102/01/2021
Navigate Updated Dental Provider Resources - Policy Clarifications and Revisions01/07/2021
Navigate UPDATE - Prior Authorization Requirements01/05/2021
Navigate SolarWinds Cyberattack01/04/2021
2020Date
Navigate Cotiviti Payment Enhancement Notification12/28/2020
Navigate Elective Transplant Process Change12/28/2020
Navigate CareSource Cultural Competency Training12/02/2020
Navigate 2021 Prior Authorization List Reminder12/01/2020
Navigate Policy Updates December 202012/01/2020
Navigate Inpatient Psychiatric Hospital Billing Update11/16/2020
Navigate Appeal and Dispute Submissions11/16/2020
Navigate 2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/16/2020
Navigate Q4 2020 CareSource Town Hall Presentation11/09/2020
Navigate 2020 Q2 Provider Portal Updates11/06/2020
Navigate Claim Payment Advice (835) Enhancements - Georgia Hospital Add-on10/21/2020
Navigate You're Invited to a CareSource Provider Town Hall10/19/2020
Navigate Temporary – UPDATE: Georgia Medicaid Speech Therapy and Language Requirement10/05/2020
Navigate Updates to Georgia Medicaid Prior Authorization List10/05/2020
Navigate Policy Updates October 202010/01/2020
Navigate Site of Care for Drug Administration10/01/2020
Navigate Home Health Value Code Requirement09/24/2020
Navigate Claim Payment Advice (835) Enhancements09/23/2020
Navigate Enhancement to Prior Authorization (PA) on Provider Portal09/15/2020
Navigate Enhanced Claim Editing Implementation09/11/2020
Navigate You're Invited to a CareSource Provider Town Hall09/09/2020
VIDEO: Q2 2020 Medicaid Town Hall Recorded Presentation09/08/2020
Navigate Claim Remittance Delay09/03/2020
Navigate BH HEDIS Measure Improvement Survey09/01/2020
Navigate Georgia Suicide Initiative09/01/2020
Navigate Provider Portal Claims Quick Start Guide08/24/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers08/11/2020
Navigate Policy Updates August 202008/01/2020
Navigate Updates to Georgia Medicaid Prior Authorization List07/30/2020
Navigate Provider Portal Claims Attachment07/30/2020
Navigate Risk Adjustment Coding Education07/27/2020
Navigate Correct Payer ID for Claims Submissions – REMINDER07/22/2020
Navigate Notification of Pregnancy Incentive Program07/14/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Policy Updates July 202007/01/2020
Navigate Correct Payer ID for Claims Submissions06/22/2020
Navigate Provider Portal Claims Submittal Enhancement06/15/2020
Navigate Superior Vision Frequently Asked Questions (FAQs)06/01/2020
Navigate Superior Vision Webinar Invite06/01/2020
Navigate Recent Provider Portal Updates05/27/2020
Navigate Holiday Claim Remittance Delays05/19/2020
Navigate Enhancement to Provider Portal - Updating Prior Authorization Requests05/07/2020
Navigate Additional Policy Updates May 202005/01/2020
Navigate Policy Updates May 202005/01/2020
Navigate Patient-Driven Payment Model04/24/2020
Navigate Designation of Availity as Exclusive EDI Gateway04/20/2020
Navigate Recent Provider Portal Updates04/20/2020
Navigate You're Invited to a CareSource Provider Town Hall04/15/2020
Navigate Consent Form Upload Enhancement to the Provider Portal04/13/2020
Navigate High Dollar Claims Cover Sheet – UPDATE04/07/2020
Navigate Pregnancy Related Services Aid Category04/03/2020
Navigate Superior Vision Go-Live Date Change04/01/2020
Navigate Additional Policy Updates April 202004/01/2020
Navigate Additional Policy Updates April 202004/01/2020
Navigate Policy Updates April 202004/01/2020
Navigate Provider Audits03/23/2020
Navigate Prior/Retro Authorization Requirement for Ancillary Providers03/12/2020
Navigate Coordination of Benefits (COB) Requirement Reminder03/12/2020
Navigate Reminder: Provider Claim Reporting to Georgia Medicaid Management Information System (GAMMIS)03/10/2020
Navigate Policy Updates February 202002/01/2020
Navigate Coordination of Healthcare Exchange of Information Update01/31/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/2301/27/2020
2019Date
Navigate Pharmacy Network Change (Walgreens)12/11/2019
Navigate Crisis Stabilization Prior Authorization12/06/2019
Navigate Register with New Payment Partner ECHO Health by December 13 – UPDATE12/03/2019
Navigate DBHDD CORE Provider Memorandum12/02/2019
Navigate December 2019 Policy Updates12/01/2019
Navigate Medically Unlikely Edits10/01/2019
Navigate Update Your Information09/05/2019
Navigate Register with New Payment Partner ECHO Health by December 1 – This notification has been revised. See notification dated 12/03/201908/16/2019
Navigate High Dollar Claims Instructions – This notification has been revised. See notification dated 04/07/202008/12/2019
Navigate Policy Updates August 201908/01/2019
Navigate Interventions to Prevent Perinatal Depression07/31/2019
Navigate Duplicate Modifiers on a Claim Service Line07/17/2019
Navigate Inpatient Hospital Pre-payment Claims Reviews07/15/2019
Navigate Notice of Changes to Prior Authorization Requirements07/12/2019
Navigate Policy Updates July 201907/01/2019
Navigate Place of Service Code for Claim Submissions06/24/2019
Navigate Policy Updates June 201905/31/2019
Navigate Provider Dispute Process05/28/2019
Navigate Care Coordination​ and HIPAA Information04/17/2019
Navigate Spring Medicaid Fair04/12/2019
Navigate Credentialed Department of Behavioral Health and Developmental Disabilities (DBHDD) Network Notice03/22/2019
Navigate New Approach to Educate and Reduce Evaluation and Management Billing Errors02/19/2019
Navigate Psychiatric Residential Treatment Facility (PRTF) Overnight Passes02/18/2019
Navigate Policy Updates April 201902/01/2019
Navigate Notice of Changes to Retrospective Authorization Timeframe Requirements01/24/2019
Navigate Chiropractic Services benefit Change01/15/2019
2018Date
Navigate Billing for Long-Acting Reversible Contraception (LARC) Devices in Non-Inpatient Settings12/05/2018
Navigate 340B Drug Pricing Program Claim Requirement - UPDATE11/30/2018
Navigate Policy Update February 201811/30/2018
Navigate PO Box Update11/12/2018
Navigate Delivery Event Claim Diagnosis Codes11/03/2018
Navigate Duplicate Claim Processing Update10/12/2018
Navigate Georgia Fall Medicaid Fair Invitation10/09/2018
Navigate Opioid Quantity Limit Update - 60 MED08/29/2018
Navigate Clarification of Indiana Network Closure Communication08/20/2018
Navigate Consent to Share Sensitive Health Information08/10/2018
Navigate Policy Updates September 201807/30/2018
Navigate New Address for Refund Checks07/20/2018
Navigate 340B Drug Pricing Program Claim Requirement – This notification has been revised. See notification dated 11/30/2018.07/09/2018
Navigate Opioid Quantity Limit Update06/27/2018
Navigate Policy Updates August 201806/27/2018
Navigate CareSource Secure Email Portal Security Enhancements06/13/2018
Navigate PY-0156 and MM-0127 Drug Testing Policies06/12/2018
Navigate Policy Updates July 201806/01/2018
Early and Periodic Screening, Diagnostic, and Treatment Medicaid.gov05/10/2018
Navigate Clinical Practice Guidelines Audit Information05/10/2018
Navigate Update to Provider Billing Address Requirements on Claims04/23/2018
Navigate Long-Acting Reversible Contraceptive Billing Instructions04/19/2018
Navigate Policy Updates May 201803/30/2018
Navigate Hospital Statistical & Reimbursement (HS&R) Reports03/06/2018
Navigate Diabetes Retinal Eye Exam02/28/2018
Navigate Policy Updates March 201801/30/2018
Navigate New Applied Behavior Analysis/Services (ABA/ABS) Medical Policy01/25/2018