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:

The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

COVID-19 Updates

General Updates

NavigateSupport For Your Patients – The CareSource Care Management Program11/10/2021
NavigateMembers on Basaglar or Lantus transitioning to Semglee11/02/2021
NavigatePolicy Updates November 202111/01/2021
NavigateAvalon Provider Education Webinars10/28/2021
NavigateHIPAA CORE Compliant Codes10/25/2021
Navigate2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria10/15/2021
NavigateCareSource Cultural Competency Training10/08/2021
NavigatePolicy Updates October 202110/01/2021
NavigateDental Electronic Payment Process Change10/01/2021
NavigateNew Laboratory Benefit Management Program for Genetic Testing Management10/01/2021
NavigateQuality Enhancer Value-Based Reimbursement ProgramUPDATE09/13/2021
NavigateAdditional Policy Updates September 202109/01/2021
NavigatePolicy Updates September 202109/01/2021
NavigateUpdates to Assist with Avalon Laboratory Benefit Management Transition08/31/2021
NavigateProvider Data Impacting Dental Claims08/26/2021
NavigateCareSource Partnership with Avalon Healthcare for Laboratory Benefit Management08/19/2021
NavigateAdditional Policy Updates August 202108/01/2021
NavigatePolicy Updates August 202108/01/2021
NavigateWe Want to Hear From You!07/22/2021
NavigateSynagis Change for RSV Season 2020-202107/19/2021
NavigateHow to Reach Your Dental Health Partner Network Manager07/16/2021
NavigateUtilization Management Process07/08/2021
NavigateEPSDT Referral Codes07/02/2021
NavigatePolicy Updates July 202107/01/2021
NavigateCMS Interoperability06/24/2021
NavigatePolicy Updates June 202106/01/2021
NavigatePrior Authorization Updates05/26/2021
NavigateMaternity Services, Coordination of Benefits (COB)05/19/2021
NavigateQuality Enhancer Value Based Reimbursement ProgramThis notification has been revised. See notification dated 09/13/2021.05/07/2021
NavigateProvider Portal Enhancements05/05/2021
NavigateAdditional Policy Updates May 202105/01/2021
NavigateAdditional Policy Updates May 202105/01/2021
NavigatePolicy Updates May 202105/01/2021
NavigateUtilization Review, Care Management Organizations, and Adverse Actions 04/27/2021
NavigateEquian Process Frequently Asked Questions04/27/2021
NavigateAnnual Access & Availability Standard Requirements03/11/2021
Navigate2020 Quarter 4 Provider Portal Updates03/11/2021
NavigateCareSource – Quarterly Town Hall Meeting03/04/2021
NavigatePolicy Updates March 202103/01/2021
NavigateReminder to Check Member Eligibility02/02/2021
NavigateHIPAA Exchange of Information02/01/2021
NavigatePolicy Updates February 202102/01/2021
NavigateUpdated Dental Provider Resources - Policy Clarifications and Revisions01/07/2021
NavigateUPDATE - Prior Authorization Requirements01/05/2021
NavigateSolarWinds Cyberattack01/04/2021
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