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

NavigateQuarter 3 & 4 Avalon Medical Policy Update06/30/2022
NavigatePolicy Updates July 202206/30/2022
NavigateUpload Claim Submissions Seamlessly in Provider Portal06/01/2022
NavigatePolicy Updates June 202206/01/2022
NavigatePolicy Updates June 202206/01/2022
NavigateQuarter 2 Avalon Medical Policy Update05/31/2022
NavigateQuarter 2 Avalon Reimbursement Policy Update05/31/2022
NavigatePolicy Updates - May 202205/01/2022
NavigateBilling Updates: Chiropractic Unbundling04/26/2022
NavigatePolicy Updates - April 202204/01/2022
NavigateBilling Update: Medicare Bundled Services04/01/2022
NavigatePharmacy Policy Updates - April 202204/01/2022
NavigateBilling Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/01/2022
NavigateIntroducing Teladoc, CareSource’s New Telehealth Partner03/29/2022
NavigateBilling Updates: EDCf Evaluation & Management Policy03/25/2022
NavigateQuality Patient Experience Guide (CAHPS resource)03/22/2022
NavigateRetro Authorization Submission Guidelines03/15/2022
NavigateProvider Directory Requirements03/03/2022
NavigatePolicy Updates March 202203/01/2022
NavigateProvider Portal Account Linking Enhancement02/21/2022
NavigateNo Surprises Act Update01/24/2022
NavigatePrior Authorization Requirement Updates01/14/2022
NavigateCorrect Coding Claims Update01/11/2022
NavigateUPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation01/05/2022
NavigatePolicy Updates January 202201/01/2022
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