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

COVID-19 Updates

General Updates

2021Date
NavigatePolicy Updates August 202108/01/2021
NavigateDid You Know? CareSource JobConnect Program07/28/2021
NavigateHEDIS Incentive Payment07/08/2021
NavigateDispute and Appeal Clarification07/02/2021
NavigatePolicy Updates July 202107/01/2021
NavigateDid You Know? CareSource’s Maternal Child Program06/24/2021
NavigateJuly Friday Forum Invitation06/22/2021
NavigateDid You Know? CareSource’s Re-Entry Program06/22/2021
NavigateCMS Interoperability06/21/2021
NavigateProvider Portal Enhancements06/14/2021
NavigateUpdated Dental Provider Resources06/09/2021
NavigateUtilization Management Process06/07/2021
NavigatePolicy Updates June 202106/01/2021
NavigateIntroducing Virtual New Provider Orientation Webinars05/27/2021
NavigateEnhanced Credentialing Reminder05/21/2021
NavigateReminder when Billing Antepartum Care05/17/2021
NavigateDid You Know? CareSource’s Nurse Family Practitioner Program05/11/2021
NavigatePolicy Updates May 202105/01/2021
NavigateDid You Know? CareSource’s School-Based Health Programs04/27/2021
NavigateWe Want To Hear From You!04/26/2021
NavigateEquian Process Frequently Asked Questions04/15/2021
NavigateAmondys 45 Rx Update04/12/2021
NavigateApril Friday Forum Invitation04/12/2021
NavigateAdditional Policy Update April 202104/09/2021
NavigatePolicy Updates April 202104/01/2021
NavigatePharmacy Carve-Out Drugs03/16/2021
Navigate2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria02/16/2021
NavigateAfter-Hours Guidelines02/05/2021
NavigatePolicy Updates February 202102/01/2021
NavigateUPDATE - Prior Authorization Requirements01/22/2021
NavigateAnnual Access & Availability Standard Requirements01/21/2021
NavigateIntroducing New Prior Authorization Procedure Code Look-Up Tool01/14/2021
NavigateAvailable On-Demand Behavioral Health Webinar Series01/11/2021
NavigateElective Transplant Process Change01/08/2021
NavigateDemographic Information Change Update01/04/2021
NavigateJanuary 2021 Policy Updates01/01/2021
2020Date
NavigateHIP Maternity Benefits Reminder12/29/2020
NavigateCotiviti Payment Enhancement12/21/2020
NavigateCareSource Cultural Competency Training12/15/2020
NavigateBehavioral Health Member Profile for Coordination of Care12/04/2020
NavigateMaternal Depression Screening Resources12/02/2020
NavigateSynagis Billing Update12/01/2020
Navigate2021 Prior Authorization List Reminder12/01/2020
NavigatePolicy Updates December 202012/01/2020
NavigateAppeal and Dispute Submissions11/20/2020
NavigateEmergency Room Department Reimbursement Requests11/10/2020
Navigate2020 Quarter 2 Provider Portal Updates11/06/2020
NavigatePolicy Updates November 202011/01/2020
NavigateEnhanced Credentialing Process10/12/2020
NavigateClaims Submission and Matching Logic Reminder10/12/2020
NavigateNotice of Dental Benefits Manager10/09/2020
NavigatePolicy Updates October 202010/01/2020
NavigateClaim Payment Advice (835) Enhancements09/23/2020
NavigateInpatient Hospital Pre-payment Claims Reviews09/22/2020
NavigateEmergency Claim Processing Update09/22/2020
NavigateEnhanced Claim Editing Implementation09/15/2020
NavigateModifier 59 Mental Health Billing Guidance09/10/2020
NavigateClaim Remittance Delay09/03/2020
NavigatePolicy Updates September 202009/01/2020
NavigateRisk Adjustment Coding Education08/14/2020
NavigateMedication-Assisted Treatment (MAT) Waiver Training08/14/2020
NavigateProvider Directory Information Attestation08/04/2020
NavigatePolicy Updates August 202008/01/2020
NavigateTobacco Cessation Resources Reminder07/30/2020
NavigateEnhancements to Prior Authorizations on Provider Portal – UPDATE07/23/2020
NavigateInteractive Voice Response (IVR) Enhancements for Providers07/17/2020
NavigateUpdates to HHW/HIP Prior Authorization List - Effective 1/1/202107/17/2020
NavigateUpdates to HHW/HIP Prior Authorization List - Effective 9/1/202007/17/2020
NavigateRisk Adjustment Coding Education07/15/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateSUD Residential Billing Reminder07/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigateAdditional Policy Updates July 202007/01/2020
NavigatePolicy Updates July 202007/01/2020
NavigateSubstance Use Disorder Billing Clarification06/19/2020
NavigateProvider Portal Claims Submittal Enhancement06/15/2020
NavigateProvider Portal Claims Attachment06/12/2020
NavigateRecent Provider Portal Updates06/03/2020
NavigateSuperior Vision Frequently Asked Questions (FAQs)06/01/2020
NavigateSuperior Vision Webinar Invite06/01/2020
NavigateTobacco Quitline Education05/29/2020
NavigateHPV Vaccine Initiative05/27/2020
NavigateProvider Billing Reminders05/07/2020
NavigateOccurrence Code 42 Update05/04/2020
NavigatePolicy Updates May 202005/01/2020
NavigateCorrect Payer ID for Claims Submissions04/24/2020
NavigateDesignation of Availity as Exclusive EDI Gateway04/15/2020
NavigateSuperior Vision Go-Live Date04/14/2020
NavigateInstructions on Attaching Medical Record in Provider Portal03/11/2020
NavigateRecent Provider Portal Updates02/21/2020
NavigateAdditional Policy Updates February 202002/01/2020
NavigateAdditional Policy Updates – February 202002/01/2020
NavigatePolicy Updates February 202002/01/2020
NavigateHigh-Dollar Claims Cover Sheet – UPDATE01/28/2020
NavigateClaims Submission and Matching Logic Reminder01/28/2020
NavigatePaper Checks Dated 1/21, 1/22, 1/2301/27/2020
NavigateUpdates to AHS Consent Form on Provider Portal01/14/2020
NavigateEnhancements to Prior Authorizations on Provider Portal – This notification has been revised. See notification dated 07/23/2020.01/13/2020
NavigateDental Providers May Disregard ECHO Health Registration Notification01/13/2020