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 2022 Fourth Quarter Friday Forum11/07/2022
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures11/1/2022
Navigate Policy Updates November 202211/1/2022
Navigate Updated Prior Authorization List10/31/2022
Navigate Indiana Pregnancy Promise Program10/24/2022
Navigate Policy Updates October 202210/01/2022
Navigate Marketplace Member Grace Period & Termination Notice09/15/2022
Navigate Pharmacy Policy Updates - October 202209/12/2022
Navigate 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 Available On-Demand Behavioral Health Webinar Series & Provider Trainings08/02/2022
Navigate Policy Updates August 202208/01/2022
Navigate Save the Date: Third Quarter Friday Forum07/20/2022
Navigate We Want to Hear From You07/11/2022
Navigate Policy Updates July 202207/01/2022
Navigate Pharmacy Policy Updates - July 202207/01/2022
Navigate Upload Claim Submissions Seamlessly in Provider Portal06/01/2022
Navigate Policy Updates June 202206/01/2022
Navigate Chiropractic Manipulative Treatment and Rehabilitation Services05/19/2022
Navigate Policy Updates - May 202205/01/2022
Navigate Billing Updates: Chiropractic Unbundling04/26/2022
Navigate First Quarter Friday Forum Invitation04/15/2022
Navigate Clarification on Billing Requirements for Place of Service 1004/06/2022
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 Quality Patient Experience Guide (CAHPS resource)03/28/2022
Navigate Billing Updates: EDCf Evaluation & Management Policy03/25/2022
Navigate Retro Authorization Submission Guidelines03/15/2022
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 2021 Quarter 3 Provider Portal Updates12/31/2021
Navigate Reminder for Provider Claim Adjustment Submission Process12/17/2021
Navigate First Quarter Friday Forum Invitation12/10/2021
Navigate Prior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
Navigate Policy Updates December 202112/01/2021
Navigate Information on Obtaining Naloxone11/15/2021
Navigate 2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/02/2021
Navigate Policy Updates November 202111/01/2021
Navigate Marketplace Opioid Treatment Program Coverage10/25/2021
Navigate HIPAA CORE Compliant Codes10/15/2021
Navigate National Drug Code Billing Reminder10/15/2021
Navigate Policy Updates October 202110/01/2021
Navigate Coordination of Care Exchange of Information Form09/24/2021
Navigate Marketplace Member Grace Period & Termination Notice09/14/2021
Navigate Policy Updates September 202109/01/2021
Navigate September Friday Forum Invitation08/18/2021
Navigate Policy Updates August 202108/01/2021
Navigate SUD Residential Treatment Policy Reminder07/22/2021
Navigate Provider Portal Benefits07/14/2021
Navigate Policy Updates July 202107/01/2021
Navigate CMS Interoperability06/22/2021
Navigate July Friday Forum Invitation06/22/2021
Navigate Q4 2020 Provider Portal Updates06/21/2021
Navigate CareSource's Care Management Program06/14/2021
Navigate Policy Updates June 202106/01/2021
Navigate Introducing Virtual New Provider Orientation Webinars05/27/2021
Navigate Enhanced Credentialing Reminder05/21/2021
Navigate Utilization Management Process05/18/2021
Navigate Provider Portal Enhancements05/05/2021
Navigate Policy Updates May 202105/01/2021
Navigate We Want To Hear From You!04/26/2021
Navigate April Friday Forum Invitation04/12/2021
Navigate Policy Updates April 202104/01/2021
Navigate Policy Updates March 202103/01/2021
Navigate Equian Process Frequently Asked Questions02/26/2021
Navigate Cotiviti Payment Enhancement02/12/2021
Navigate After-Hours Guidelines02/05/2021
Navigate Policy Updates February 202102/01/2021
Navigate Annual Access & Availability Standard Requirements01/21/2021
Navigate Elective Transplant Process Change01/08/2021
Navigate UPDATE- Prior Authorization Requirements01/06/2021
Navigate Demographic Information Change Update01/04/2021
Navigate Policy Updates January 202101/01/2021
Navigate SolarWinds Cyberattack12/22/2020
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 Policy Updates November 202011/01/2020
Navigate Home Health Value Code Requirement10/26/2020
Navigate Updates to Marketplace Prior Authorization List10/19/2020
Navigate 2020 Quarter 2 Provider Portal Updates10/15/2020
Navigate Enhanced Credentialing Process10/06/2020
Navigate DentaQuest to Administer Marketplace Exchange Dental Benefits10/02/2020
Navigate Notice of Dental Benefits Manager10/02/2020
Navigate Policy Updates October 202010/01/2020
Navigate Claim Payment Advice (835) Enhancements09/23/2020
Navigate Magellan Healthcare Provider Feedback Session09/22/2020
Navigate Enhanced Claim Editing Implementation09/21/2020
Navigate Modifier 59 Mental Health Billing Guidance09/10/2020
Navigate Risk Adjustment Coding Education09/08/2020
Navigate Claim Remittance Delay09/03/2020
Navigate Policy Updates September 202009/01/2020
Navigate Provider Portal Claims Quick Start Guide08/19/2020
Navigate Medication-Assisted Treatment (MAT) Waiver Training08/17/2020
Navigate Provider Directory Information Attestation08/04/2020
Navigate Policy Updates August 202008/01/2020
Navigate Enhancements to Prior Authorizations on Provider PortalUPDATE07/27/2020
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 HPV Vaccine Initiative05/27/2020
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 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 Policy Updates March 202003/01/2020
Navigate Timely Filing Limit Update02/28/2020
Navigate Provider Dispute ProcessUPDATE02/19/2020
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 Clarification for Opioid Treatment Program Rates01/28/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/2301/27/2020
Navigate Policy Updates January 2020UPDATE01/22/2020
Navigate Provider Payment Migration Complete01/13/2020
Navigate High Dollar Claims Cover SheetUPDATE01/07/2020
Policy Updates January 2020 – This notification has been revised. See notification dated 01/22/2020.01/01/2020
Navigate Holiday Checkwrite Schedule12/26/2019
Navigate Updates to Marketplace Prior Authorization List12/09/2019
Navigate Register with New Payment Partner ECHO Health by December 13Deadline Extended Again!12/02/2019
Navigate Authorizations for Advanced Life Support (ALS) Policy Update12/02/2019
Navigate Policy Updates December 201912/01/2019
Navigate Policy Updates November 201911/01/2019
Navigate Registration Deadline Extended to December 1 for ECHO HealthThis notification has been revised. See notification dated 12/02/201910/11/2019
Navigate Update to UB-04 Billing Requirements10/01/2019
Navigate SkyGen Portal Clarification Notification10/01/2019
Navigate Policy Updates October 201910/01/2019
Navigate Recent Provider Portal UpdatesUPDATED 10/309/23/2019
Navigate Enhancements to Prior Authorization on Provider PortalThis notification has been revised. See notification dated 07/27/2020.09/05/2019
Navigate Policy Updates September 201909/01/2019
Navigate Facility Claim Cost Share08/01/2019
Navigate Policy Updates August 201908/01/2019
Navigate Site of Care Transition Notice08/01/2019
Navigate Register with New Payment Partner ECHO Health by October 25 – This notification has been updated. Please see the notification dated 10/11/201907/26/2019
Navigate Coordination of Benefits (COB) Reminder07/22/2019
Navigate Duplicate Modifier on the Claim Service Line07/17/2019
Navigate Provider Dispute ProcessThis notification has been revised. See notification dated 02/19/2020.07/05/2019
Navigate Policy Updates July 201907/01/2019
Navigate Multi-Factor Authentication Scheduled for SKYGEN CWP06/21/2019
Navigate Inpatient Hospital Pre-payment Claims Reviews - Revised 6/6/201906/03/2019
Navigate Policy Updates June 201905/31/2019
Navigate Access Standards Updates05/30/2019
Navigate Post-Payment Diagnosis Related Group (DRG) Validation Audits05/20/2019
Navigate Applied Behavior Analysis (ABA) Rate Setting05/08/2019
Navigate Retrospective Authorization for Advanced Life Support (ALS)05/06/2019
Navigate Policy Updates May 201905/01/2019
Navigate Update to Emergency Room Cost Share Application04/01/2019
Navigate Policy Updates April 201904/01/2019
Navigate Interventions to Prevent Perinatal Depression03/13/2019
Navigate Policy Updates May 201903/01/2019
Navigate Intensive Outpatient & Partial Hospitalization Program Authorization Requirements02/20/2019
Navigate High Dollar Claims – This notification has been revised. See notification dated 01/07/202002/19/2019
Navigate Place of Service Code for Claim Submissions02/14/2019
Navigate Diagnosis Related Group (DRG) Validation Audits01/29/2019
Navigate Dental Eligibility Update01/11/2019
Navigate Policy Update March 201912/31/2018
Navigate Notice of Changes to Retro Prior Authorization Timeframe Requirements12/26/2018
Navigate Policy Update January 201911/30/2018
Navigate New address for Refund Checks11/09/2018
Navigate Policy Updates January 201911/01/2018
Navigate Duplicate Claim Processing Update09/01/2018
Navigate Clarification of Indiana Network Closure Communication08/27/2018
Navigate Well-Child Care08/15/2018
Navigate Consent to Share Sensitive Health Information08/07/2018
Navigate Claim Refund Check Form07/31/2018
Navigate Policy Updates September 201807/27/2018
Navigate Claim Refund Check Form07/26/2018
Navigate Policy Updates August 201806/28/2018
Navigate Notification of Claim Adjustments for Certain Edit Codes06/13/2018
Navigate Breast Imaging Reimbursement Policy06/05/2018
Navigate Policy Updates July 201805/16/2018
Navigate Policy Updates June 201804/30/2018
Navigate PY-0329 and MM-0130 Drug Testing Policies04/23/2018
Navigate Update to Provider Billing Address Requirements on Claims.04/09/2018
Navigate Policy Updates April 201802/27/2018
Navigate Update to Health Partner Engagement Representatives02/26/2018
Navigate Diabetes Retinal Eye Exam02/12/2018
Navigate Policy Updates March 201802/01/2018
Navigate PY-0329 and MM-0130 Drug Testing Policies02/01/2018
Navigate New Approach to Educate and Reduce Evaluation and Management Billing Errors01/12/2018
Navigate ICD-10 Qualifiers11/12/2015
Navigate Health Partner Network Notification11/04/2015
Navigate Credentialing Process10/19/2015
Navigate ICD-10 Coding Guidelines Available from CMS09/16/2015
Navigate Getting Ready for ICD-1009/09/2015
Navigate New Facility Code Edits for Claims09/03/2015
Navigate CMS Posts ICD-10-CM and PCS Code Lists08/13/2015
Navigate CMS and AMA Issue FAQs to Clarify ICD-10 Preparation Guidance08/06/2015
Navigate New Requirements for Corrected Claims Submissions Effective August 20, 201507/22/2015
Navigate CMS Creates Countdown Video, Infographic to Ease ICD-10 Transition07/22/2015
Navigate Home Health and Hospice ICD-10 Coding Training Opportunity07/15/2015
Navigate CMS and AMA Partner on ICD-10 Preparations07/10/2015
Navigate CMS Case Studies Available to Explore ICD-10 Concepts06/11/2015
Navigate CareSource Webinar, CMS Videos and Call Available for ICD-10 Prep06/04/2015
Navigate Submit Claims Online Through Provider Portal06/01/2015
Navigate ICD-10 Readiness Assessment05/14/2015
Navigate Revised Clinical Supporting Documentation Policy05/06/2015
Navigate Road to 10 Resource for ICD-10 Implementation04/30/2015
Navigate Pediatric Clinical Guideline04/15/2015
Navigate ICD-10 Webinars Scheduled04/13/2015
Navigate J4M Cite Auto Auth04/08/2015
Navigate ICD-10 Transition Tips03/30/2015
Navigate EDI Submission of Corrected Claims02/16/2015
Navigate Electronic Submission of Coordination of Benefits (COB) Claims02/12/2015
Navigate Reminder to Check Member Eligibility for CareSource Just4Me™01/22/2015