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
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
2019Date
NavigateHoliday Checkwrite Schedule12/26/2019
NavigateUpdates to Marketplace Prior Authorization List12/09/2019
NavigateRegister with New Payment Partner ECHO Health by December 13Deadline Extended Again!12/02/2019
NavigatePolicy Updates December 201912/01/2019
NavigateClaim Timely Filing and Appeals Timeframes11/08/2019
NavigatePolicy Updates November 201911/01/2019
NavigateRegistration Deadline Extended to December 1 for ECHO HealthThis notification has been revised. See notification dated 12/02/201910/08/2019
NavigatePolicy Updates October 201910/01/2019
NavigateRecent Provider Portal Updates – UPDATED 10/309/23/2019
NavigateEnhancements to Prior Authorization on Provider Portal – This notification has been revised. See notification dated 07/27/2020.09/05/2019
NavigatePolicy Updates September 201909/01/2019
NavigateFacility Claim Cost Share08/01/2019
NavigatePolicy Updates August 201908/01/2019
NavigateSite of Care Transition Notice08/01/2019 
NavigateRegister with New Payment Partner ECHO Health by October 25This notification has been updated. Please see the notification dated 10/08/1907/26/2019
NavigateCoordination of Benefits (COB) Reminder07/22/2019
NavigateDuplicate Modifier on the Claim Service Line07/17/2019
NavigateProvider Dispute Process – This notification has been revised. See notification dated 02/19/2020.07/05/2019
NavigatePolicy Updates July 201907/01/2019
NavigateMulti-Factor Authentication Scheduled for SKYGEN CWP06/21/2019
NavigateHEDIS: Initiation and Engagement of Alcohol and other Drug Dependence Treatment (IET) Measure06/13/2019
NavigateInpatient Hospital Pre-payment Claims Reviews - Revised 6/6/201906/03/2019
NavigateUpdates to Marketplace Prior Authorization List05/31/2019
NavigatePolicy Updates June 201905/31/2019
NavigatePolicy Updates May 201905/01/2019
NavigateUpdate to Emergency Room Cost Share Application04/01/2019
NavigatePolicy Updates April 201904/01/2019
NavigateEnhancements to Delivery and Newborn Notifications – UPDATE03/28/2019
NavigateInterventions to Prevent Perinatal Depression03/19/2019
NavigateHow to Close Diabetes Care Gaps and Reward Members in 201903/12/2019
NavigatePolicy Updates May 201903/01/2019
NavigateHigh Dollar Claims – This notification has been revised. See notification dated 01/07/202002/19/2019
NavigatePlace of Service Code for Claim Submissions02/14/2019
NavigateEnhancements to Delivery and Newborn Notifications02/01/2019
2018Date
NavigatePolicy Updates March 201912/31/2018
NavigateNotice of Changes to Retro Prior Authorization Timeframe Requirements12/26/2018
NavigatePolicy Updates January 201911/30/2018
NavigatePolicy Updates January 201911/01/2018
NavigateCode Advisor Network Notification10/23/2018
NavigateDuplicate Claim Processing Update09/01/2018
NavigatePolicy Updates October 201808/30/2018
08/27/2018
NavigateHow to Close Diabetes Care Gaps and Reward Members in 201808/24/2018
NavigateConsent to Share Sensitive Health Information08/08/2018
NavigatePolicy Updates September 201808/01/2018
NavigateClarification of Indiana Network Closure Communication07/30/2018
NavigateNew Address for Refund Checks07/03/2018
NavigatePolicy Updates August 201806/29/2018
NavigateNotification of Claim Adjustments for Certain Edit Codes06/13/2018
NavigatePolicy Updates July 201806/12/2018
NavigateBreast Imaging Reimbursement Policy06/05/2018
NavigatePolicy Updates May 201803/29/2018
NavigateUpdate to Provider Billing Address Requirements on Claims03/29/2018
NavigateUpdate to Drug Testing Policy03/12/2018
NavigatePolicy Updates April 201802/27/2018
NavigatePolicy Updates March 201801/30/2018
NavigateExchange of Information Checklist01/29/2018
NavigateDiabetes Retinal Eye Exam01/25/2018
2017Date
NavigateHow to Close Diabetes Care Gaps and Reward Patients12/27/2017
NavigatePolicies Effective January 201812/01/2017
NavigateNotice of Change to Cardiac Services Prior Authorization Requirements11/17/2017
NavigateDrug Screening Tests Reimbursement Policy – UPDATE08/31/2017
NavigateBlood Lead Testing Recommendations07/05/2017
NavigatePY-0108, PY-0109 Telemedicine-Telehealth Payment Policy05/04/2017
NavigateHealth Partner Manual Addition & Revisions - Access Standards04/26/2017
NavigatePY-0037, PY-0205 Sexually Transmitted Infections Reimbursement Policy04/19/2017
NavigateScreening and Surveillance for Colorectal Cancer04/18/2017
NavigateMM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
NavigatePY-0206 Hepatitis Panel Payment Policy04/13/2017
NavigateCite AutoAuth – Inpatient PA Requests04/03/2017
NavigatePY-0089 - Drug Screening Payment Policy – This notification has been revised. See notification dated 08/31/2017.03/20/2017
2015Date
Posted
NavigateICD-10 Qualifiers11/12/2015
NavigateHealth Partner Network Notification11/04/2015
NavigateCredentialing Process10/19/2015
NavigateICD-10 Coding Guidelines Available from CMS09/16/2015
NavigateGetting Ready for ICD-1009/09/2015
NavigateNew Facility Code Edits for Claims09/03/2015
NavigateCMS Posts ICD-10-CM and PCS Code Lists08/13/2015
NavigateCMS and AMA Issue FAQs to Clarify ICD-10 Preparation Guidance08/06/2015
NavigateNew Requirements for Corrected Claims Submissions Effective August 20, 201507/22/2015
NavigateCMS Creates Countdown Video, Infographic to Ease ICD-10 Transition07/22/2015
NavigateHome Health and Hospice ICD-10 Coding Training Opportunity07/15/2015
NavigateCMS and AMA Partner on ICD-10 Preparations07/10/2015
NavigateCMS Case Studies Available to Explore ICD-10 Concepts06/11/2015
NavigateCareSource Webinar, CMS Videos and Call Available for ICD-10 Prep06/04/2015
NavigateSubmit Claims Online Through Provider Portal06/01/2015
NavigateICD-10 Readiness Assessment05/14/2015
NavigateRevised Clinical Supporting Documentation Policy05/06/2015
NavigateRoad to 10 Resource for ICD-10 Implementation04/30/2015
NavigatePediatric Clinical Guideline04/15/2015
NavigateElectronic Submission of Coordination of Benefits (COB) Claims04/13/2015
NavigateICD-10 Webinars Scheduled04/13/2015
NavigateJ4M Cite Auto Auth04/08/2015
NavigateICD-10 Transition Tips03/30/2015
NavigateEDI Submission of Corrected Claims03/10/2015
NavigateReminder to Check Member Eligibility for CareSource Just4Me™01/22/2015