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.

2020Date
Navigate Introducing New Prior Authorization Procedure Code Look-Up Tool12/17/2020
Navigate Register With Dental Partner DentaQuest - Reminder12/17/2020
Navigate HEDIS Quality Measures Resources12/04/2020
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 DentaQuest to Administer Marketplace Exchange Dental Benefits10/02/2020
Navigate Policy Updates October 202010/01/2020
Navigate Claim Payment Advice (835) Enhancements09/23/2020
Navigate Enhanced Claim Editing Implementation09/21/2020
Navigate Behavioral Health HEDIS IET Telehealth Measure Update09/14/2020
Navigate Postpartum Visit HEDIS Update09/09/2020
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 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 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 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 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 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
Navigate Closing Quality Gaps in Care01/02/2020
Policy Updates January 2020 – This notification has been revised. See notification dated 01/22/2020.01/01/2020
2019Date
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 Policy Updates December 201912/01/2019
Navigate Claim Timely Filing and Appeals Timeframes11/08/2019
Navigate Policy Updates November 201911/01/2019
Navigate Registration Deadline Extended to December 1 for ECHO HealthThis notification has been revised. See notification dated 12/02/201910/08/2019
Navigate Policy Updates October 201910/01/2019
Navigate Recent Provider Portal Updates – UPDATED 10/309/23/2019
Navigate Enhancements to Prior Authorization on Provider Portal – This 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 25This notification has been updated. Please see the notification dated 10/08/1907/26/2019
Navigate Coordination of Benefits (COB) Reminder07/22/2019
Navigate Duplicate Modifier on the Claim Service Line07/17/2019
Navigate Provider Dispute Process – This 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 HEDIS: Initiation and Engagement of Alcohol and other Drug Dependence Treatment (IET) Measure06/13/2019
Navigate Inpatient Hospital Pre-payment Claims Reviews - Revised 6/6/201906/03/2019
Navigate Updates to Marketplace Prior Authorization List05/31/2019
Navigate Policy Updates June 201905/31/2019
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 Enhancements to Delivery and Newborn Notifications – UPDATE03/28/2019
Navigate Interventions to Prevent Perinatal Depression03/19/2019
Navigate How to Close Diabetes Care Gaps and Reward Members in 201903/12/2019
Navigate Policy Updates May 201903/01/2019
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 Enhancements to Delivery and Newborn Notifications02/01/2019
2018Date
Navigate Policy Updates March 201912/31/2018
Navigate Notice of Changes to Retro Prior Authorization Timeframe Requirements12/26/2018
Navigate Policy Updates January 201911/30/2018
Navigate Policy Updates January 201911/01/2018
Navigate Code Advisor Network Notification10/23/2018
Navigate Duplicate Claim Processing Update09/01/2018
Navigate Policy Updates October 201808/30/2018
08/27/2018
Navigate How to Close Diabetes Care Gaps and Reward Members in 201808/24/2018
Navigate Consent to Share Sensitive Health Information08/08/2018
Navigate Policy Updates September 201808/01/2018
Navigate Clarification of Indiana Network Closure Communication07/30/2018
Navigate New Address for Refund Checks07/03/2018
Navigate Policy Updates August 201806/29/2018
Navigate Notification of Claim Adjustments for Certain Edit Codes06/13/2018
Navigate Policy Updates July 201806/12/2018
Navigate Breast Imaging Reimbursement Policy06/05/2018
Navigate Policy Updates May 201803/29/2018
Navigate Update to Provider Billing Address Requirements on Claims03/29/2018
Navigate Update to Drug Testing Policy03/12/2018
Navigate Policy Updates April 201802/27/2018
Navigate Policy Updates March 201801/30/2018
Navigate Exchange of Information Checklist01/29/2018
Navigate Diabetes Retinal Eye Exam01/25/2018
2017Date
Navigate How to Close Diabetes Care Gaps and Reward Patients12/27/2017
Navigate Policies Effective January 201812/01/2017
Navigate Notice of Change to Cardiac Services Prior Authorization Requirements11/17/2017
Navigate Drug Screening Tests Reimbursement Policy – UPDATE08/31/2017
Navigate Blood Lead Testing Recommendations07/05/2017
Navigate PY-0108, PY-0109 Telemedicine-Telehealth Payment Policy05/04/2017
Navigate Health Partner Manual Addition & Revisions - Access Standards04/26/2017
Navigate PY-0037, PY-0205 Sexually Transmitted Infections Reimbursement Policy04/19/2017
Navigate Screening and Surveillance for Colorectal Cancer04/18/2017
Navigate MM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
Navigate PY-0206 Hepatitis Panel Payment Policy04/13/2017
Navigate Cite AutoAuth – Inpatient PA Requests04/03/2017
Navigate PY-0089 - Drug Screening Payment Policy – This notification has been revised. See notification dated 08/31/2017.03/20/2017
2015Date
Posted
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 Electronic Submission of Coordination of Benefits (COB) Claims04/13/2015
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 Claims03/10/2015
Navigate Reminder to Check Member Eligibility for CareSource Just4Me™01/22/2015