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

Navigate2021 Quarter 3 Provider Portal Updates12/31/2021
NavigatePrior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
NavigatePolicy Updates December 202112/01/2021
NavigateNew Laboratory Benefit Management Program12/01/2021
NavigateHEDIS Measure Update11/10/2021
Navigate2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/02/2021
NavigatePolicy Updates November 202111/01/2021
NavigateMarketplace Opioid Treatment Program Coverage10/25/2021
NavigateHIPAA CORE Compliant Codes10/08/2021
NavigatePolicy Updates October 202110/01/2021
NavigateRSV Prevalence Alert in Young Children09/23/2021
NavigateMarketplace Member Grace Period & Termination Notice09/10/2021
NavigatePolicy Updates September 202109/01/2021
NavigatePolicy Updates August 202108/01/2021
New NCQA® Kidney Health Measure – Notification removed as this is not a required measure for Marketplace in 2021.07/28/2021
NavigatePharmacy Prior Authorization Provider Portal Enhancement07/13/2021
NavigatePolicy Updates July 202107/01/2021
NavigateCMS Interoperability06/22/2021
NavigateQ4 2020 Provider Portal Updates06/21/2021
NavigateCareSource's Care Management Program06/14/2021
NavigateWe Want to Hear From You!06/07/2021
NavigatePolicy Updates June 202106/01/2021
NavigateUtilization Management Process05/18/2021
NavigateProvider Portal Enhancements05/05/2021
NavigatePolicy Updates May 202105/01/2021
NavigatePolicy Updates April 202104/01/2021
NavigateEquian Process Frequently Asked Questions02/26/2021
NavigateCotiviti Payment Enhancement02/12/2021
NavigatePolicy Updates February 202102/01/2021
NavigateSolarWinds Cyberattack01/08/2021
NavigateElective Transplant Process Change01/08/2021
NavigateUPDATE- Prior Authorization Requirements01/06/2021
NavigatePolicy Updates January 202101/01/2021
NavigateIntroducing New Prior Authorization Procedure Code Look-Up Tool12/17/2020
NavigateRegister With Dental Partner DentaQuest - Reminder12/17/2020
NavigateHEDIS Quality Measures Resources12/04/2020
Navigate2021 Prior Authorization List Reminder12/01/2020
NavigatePolicy Updates December 202012/01/2020
NavigateRegister with CareSource’s Payment Partner ECHO Health11/23/2020
Navigate2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/23/2020
NavigateCareSource Cultural Competency Training11/17/2020
NavigatePolicy Updates November 202011/01/2020
NavigateHome Health Value Code Requirement10/26/2020
NavigateUpdates to Marketplace Prior Authorization List10/19/2020
Navigate2020 Quarter 2 Provider Portal Updates10/15/2020
NavigateDentaQuest to Administer Marketplace Exchange Dental Benefits10/02/2020
NavigatePolicy Updates October 202010/01/2020
NavigateClaim Payment Advice (835) Enhancements09/23/2020
NavigateEnhanced Claim Editing Implementation09/21/2020
NavigateBehavioral Health HEDIS IET Telehealth Measure Update09/14/2020
NavigatePostpartum Visit HEDIS Update09/09/2020
NavigateRisk Adjustment Coding Education09/08/2020
NavigateClaim Remittance Delay09/03/2020
NavigatePolicy Updates September 202009/01/2020
NavigateProvider Portal Claims Quick Start Guide08/19/2020
NavigateProvider Directory Information Attestation08/04/2020
NavigatePolicy Updates August 202008/01/2020
NavigateEnhancements to Prior Authorizations on Provider PortalUPDATE07/27/2020
NavigatePolicy Updates July 202007/01/2020
NavigateInteractive Voice Response (IVR) Enhancements for Providers06/25/2020
NavigateProvider Portal Claims Submittal Enhancement06/15/2020
NavigatePolicy Updates June 202006/01/2020
NavigateHoliday Claim Remittance Delays05/19/2020
NavigateRisk Adjustment Education05/14/2020
NavigateProvider Portal Claims Attachment Quick Start Guide05/07/2020
NavigatePolicy Updates May 202005/01/2020
NavigateDesignation of Availity as Exclusive EDI Gateway04/15/2020
NavigatePolicy Updates April 202004/01/2020
NavigateRecent Provider Portal Updates03/30/2020
NavigateIssue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments03/13/2020
NavigatePolicy Updates March 202003/01/2020
NavigateProvider Dispute ProcessUPDATE02/19/2020
NavigateInstructions on Attaching Medical Records in Provider Portal02/07/2020
NavigatePolicy Updates February 202002/01/2020
NavigateRecent Provider Portal Updates01/31/2020
NavigatePaper Checks Dated 1/21, 1/22, 1/2301/27/2020
NavigatePolicy Updates January 2020UPDATE01/22/2020
NavigateProvider Payment Migration Complete01/13/2020
NavigateHigh Dollar Claims Cover SheetUPDATE01/07/2020
NavigateClosing Quality Gaps in Care01/02/2020
Policy Updates January 2020 – This notification has been revised. See notification dated 01/22/2020.01/01/2020