Past Updates & Announcements

Our network notifications will help you stay aware of any changes to policies and procedures that may impact your practice, as well as any new processes to make doing business with us more efficient.

We will keep you updated through email, announcements posted on the Provider Portal and network notifications posted below.

Network notifications are published for Humana – CareSource^® health partners to communicate updates that impact claims, clinical guidelines, Provider Portal functions and more.

The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

2017	Date Posted
Navigate Change in Claim Timely Filing, Claim Appeal and Retrospective Review Timeframes	12/29/2017
Navigate Revised Provider Manual Available Now, Effective December 1, 2017	12/12/2017
Navigate Early Elective Deliveries (EED) Prior to 39 Weeks Gestation	11/28/2017
Navigate Provider Demographic Information Required by CMS	11/15/2017
Navigate PY-0158 Glycosylated Hemoglobin A1C Reimbursement Policy	11/1/2017
Navigate Blood Lead Testing Recommendations	10/23/2017
Navigate New Claim Filing Requirements for Ordering, Referring or Prescribing Providers	09/13/2017
Navigate Notification of New KDMS Process to Add, Update or Change NPI, Taxonomy or Both	08/25/2017
Navigate Provider Information Change	07/21/2017
Navigate Billing Humana – CareSource for Medicare Non-Covered Codes	07/06/2017
Navigate Cite AutoAuth – Inpatient PA Requests	07/05/2017
Navigate Retro-Termed Eligibility Process – Voiding of Claims and Encounters – UPDATE	06/22/2017
Navigate Third Party Liability (TPL)/Coordination of Benefits (COB) Avenues to Obtain Information	06/22/2017
Navigate Kentucky Health Information Exchange	05/15/2017
Navigate Kentucky Medicaid Electronic Health Record Incentive Program	04/10/2017
Navigate Retro-Termed Eligibility Process – Voiding of Claims and Encounters – See notification dated 06/22/2017	01/17/2017

2016	Date Posted
Navigate Cite AutoAuth Expansion for Inpatient Authorizations	12/15/2016
Navigate Podiatry & Dental 10-Day Quantity Limit for Prescribing Opioids	11/04/2016
Navigate Notice of Medical Documentation Requirements for Claim Modifiers	10/12/2016
Navigate Curbing Opioid Overdose with Naloxone	09/20/2016
Navigate Pregnant Women, Travel and the Zika Virus	09/14/2016
Navigate Claims Recoupment When Medicare is Primary	08/31/2016
Navigate Antipsychotic Medication Prescriptions	08/10/2016
Navigate Member Access Standards	07/18/2016
Navigate Home Infusion Therapy Prior Authorization Requirements, Pharmacy Criteria and Billing Guidelines	07/12/2016
Navigate Change in LCD Procedure Code Edits	06/07/2016
Navigate Guidelines for Submitting Claims for Dual-eligible Members	05/26/2016
Navigate Tamper Resistant Prescription Pads Reminder	05/23/2016
Navigate Members' Rights and Responsibilities – UPDATE	05/02/2016
Navigate Medical Necessity Criteria for Prior Authorization Requests	04/27/2016
Navigate Medical Record Network Notice – UPDATE	03/14/2016
Navigate Requirements for Corrected Claims Submissions	03/02/2016
Navigate Improvements to Prior Authorization and Other Procedures	02/09/2016
Navigate Members’ Rights and Responsibilities – See notification dated 05/02/2016	02/04/2016
Navigate Member Address Mismatch Disenrollment	01/28/2016
Navigate Behavioral Health PCP Toolkit	01/11/2016

2015	Date Posted
Navigate ICD-10 Claims Code Qualifiers	12/21/2015
Navigate Provider Guidelines for Antipsychotic, Antidepressant Prescriptions	11/24/2015
Navigate ICD-10 Coding Resources	11/06/2015
Navigate New Facility Code Edits for Claims	11/04/2015
Navigate Medical Record Network Notice – See notification dated 03/14/2016	10/02/2015
Navigate Advance Directives	09/24/2015
Navigate CMS and AMA Issue FAQs to Clarify ICD-10 Preparation Guidance	09/21/2015
Navigate CMS “Road to 10” Offers Tips to Prepare for ICD-10	09/02/2015
Navigate CMS Offers Video and Quick Start Guide for ICD-10 Transition	09/01/2015
Navigate Behavioral Health Claims Information	08/24/2015
Navigate Revised Clinical Supporting Documentation Policy	08/06/2015
Navigate ICD-10 Transition Resources Reminder	07/13/2015
Navigate ICD-10 Readiness Assessment	07/13/2015
Navigate Clinical Guidelines Update for Pediatrics	07/13/2015
Navigate Primary Care Rate Increase (PCRI)/Adjusted Rate Ending	05/27/2015
Navigate New Requirement for Wheelchair Claims	05/12/2015
Navigate ICD-10 Transition Tips	04/30/2015
Navigate Dental Benefit Changes / Extraction Codes	04/27/2015
Navigate Electronic Submission of Coordination of Benefits (COB) Claims	04/13/2015
Navigate EDI Submission of Corrected Claims	03/10/2015
Navigate ICD-10 Training Needs and Provider Checklist	03/04/2015
Navigate Kentucky Medicaid Claim Forms For Different Provider Types Reminder	02/26/2015
Navigate Clarification on Processes for Behavioral Health Network	01/13/2015

2014	Date Posted
Navigate Seven Day and 30-Day Follow-up After Hospitalization for Mental Illness	12/17/2014
Navigate Chiropractic Claim Coding and Medical Necessity	12/05/2014
Navigate Kentucky Lock-in Program	10/14/2014
Navigate Provider ID Requirements for Paper Claim Forms	09/25/2014
Navigate Coordination of Dental and Orthodontic Benefits	08/28/2014
Navigate Provider ID Requirements for Paper Claim Forms – See notification dated 09/25/2014	06/24/2014
Navigate Delegated Network Information	05/07/2014
Navigate Behavioral Health Expanded Services	04/21/2014
Navigate New Speech Therapy Codes for EPSDT	04/07/2014
Navigate No Copayments for Members	03/27/2014
Navigate Delegated Network Information – See notification dated 05/07/2014	03/12/2014
Navigate Psychiatric Residential Treatment Facilities - Importance of PRTF II	03/11/2014
Navigate KDMS Announces New and Revised Essential Benefits for 2014; Humana – CareSource Will Continue With NO COPAYS	03/04/2014
Navigate KentuckyOne Health™ PAR/In Network	02/26/2014
Navigate Nonparticipating Provider Payment Policy	02/18/2014
Navigate ICD-10 Provider Readiness Assessment Survey – Deadline extended to February 10, 2014	02/05/2014
Navigate ICD-10 Provider Readiness Assessment Survey	01/24/2014
Navigate New Facility Code Edits for Hospital Claims	01/14/2014

2013	Date Posted
Navigate URGENT Claims Payment Process Change	12/11/2013
Navigate Synagis Prior Authorization Submission	11/22/2013
Navigate URGENT Claims Payment Process Change – See notification dated 12/11/2013	11/15/2013
Navigate New Payment Policies Page Added to www.caresource.com/KY	10/15/2013
Navigate Important Claims Information	10/04/2013
Navigate New Online Drug Formulary Search Tool	06/20/2013
Navigate Enhanced Primary Care Payments	04/30/2013
Navigate Claims Issues	04/25/2013
Navigate Medical Care Prior Authorization Process	04/25/2013
Navigate Introduction to Supporting Vendors	04/25/2013
Navigate Humana – CareSource Information Now Available on Availity	03/29/2013
Navigate Provider Web and Portal Announcement	02/25/2013
Navigate Electronic Funds Transfer Enrollment	02/15/2013

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Past Updates & Announcements

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