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.

2017Date
Posted
NavigateChange in Claim Timely Filing, Claim Appeal and Retrospective Review Timeframes12/29/2017
NavigateRevised Provider Manual Available Now, Effective December 1, 201712/12/2017
NavigateEarly Elective Deliveries (EED) Prior to 39 Weeks Gestation11/28/2017
NavigateProvider Demographic Information Required by CMS11/15/2017
NavigatePY-0158 Glycosylated Hemoglobin A1C Reimbursement Policy11/1/2017
NavigateBlood Lead Testing Recommendations10/23/2017
NavigateNew Claim Filing Requirements for Ordering, Referring or Prescribing Providers09/13/2017
NavigateNotification of New KDMS Process to Add, Update or Change NPI, Taxonomy or Both08/25/2017
NavigateProvider Information Change07/21/2017
NavigateBilling Humana – CareSource for Medicare Non-Covered Codes07/06/2017
NavigateCite AutoAuth – Inpatient PA Requests07/05/2017
NavigateRetro-Termed Eligibility Process – Voiding of Claims and EncountersUPDATE06/22/2017
NavigateThird Party Liability (TPL)/Coordination of Benefits (COB) Avenues to Obtain Information06/22/2017
NavigateKentucky Health Information Exchange05/15/2017
NavigateKentucky Medicaid Electronic Health Record Incentive Program04/10/2017
NavigateRetro-Termed Eligibility Process – Voiding of Claims and EncountersSee notification dated 06/22/201701/17/2017
2016Date
Posted
NavigateCite AutoAuth Expansion for Inpatient Authorizations12/15/2016
NavigatePodiatry & Dental 10-Day Quantity Limit for Prescribing Opioids11/04/2016
NavigateNotice of Medical Documentation Requirements for Claim Modifiers10/12/2016
NavigateCurbing Opioid Overdose with Naloxone09/20/2016
NavigatePregnant Women, Travel and the Zika Virus09/14/2016
NavigateClaims Recoupment When Medicare is Primary08/31/2016
NavigateAntipsychotic Medication Prescriptions08/10/2016
NavigateMember Access Standards07/18/2016
NavigateHome Infusion Therapy Prior Authorization Requirements, Pharmacy Criteria and Billing Guidelines07/12/2016
NavigateChange in LCD Procedure Code Edits06/07/2016
NavigateGuidelines for Submitting Claims for Dual-eligible Members05/26/2016
NavigateTamper Resistant Prescription Pads Reminder05/23/2016
NavigateMembers' Rights and ResponsibilitiesUPDATE05/02/2016
NavigateMedical Necessity Criteria for Prior Authorization Requests04/27/2016
NavigateMedical Record Network NoticeUPDATE03/14/2016
NavigateRequirements for Corrected Claims Submissions03/02/2016
NavigateImprovements to Prior Authorization and Other Procedures02/09/2016
NavigateMembers’ Rights and ResponsibilitiesSee notification dated 05/02/201602/04/2016
NavigateMember Address Mismatch Disenrollment01/28/2016
NavigateBehavioral Health PCP Toolkit01/11/2016
2015Date
Posted
NavigateICD-10 Claims Code Qualifiers12/21/2015
NavigateProvider Guidelines for Antipsychotic, Antidepressant Prescriptions11/24/2015
NavigateICD-10 Coding Resources11/06/2015
NavigateNew Facility Code Edits for Claims11/04/2015
NavigateMedical Record Network NoticeSee notification dated 03/14/201610/02/2015
NavigateAdvance Directives09/24/2015
NavigateCMS and AMA Issue FAQs to Clarify ICD-10 Preparation Guidance09/21/2015
NavigateCMS “Road to 10” Offers Tips to Prepare for ICD-1009/02/2015
NavigateCMS Offers Video and Quick Start Guide for ICD-10 Transition09/01/2015
NavigateBehavioral Health Claims Information08/24/2015
NavigateRevised Clinical Supporting Documentation Policy08/06/2015
NavigateICD-10 Transition Resources Reminder07/13/2015
NavigateICD-10 Readiness Assessment07/13/2015
NavigateClinical Guidelines Update for Pediatrics07/13/2015
NavigatePrimary Care Rate Increase (PCRI)/Adjusted Rate Ending 05/27/2015
NavigateNew Requirement for Wheelchair Claims05/12/2015
NavigateICD-10 Transition Tips04/30/2015
NavigateDental Benefit Changes / Extraction Codes04/27/2015
NavigateElectronic Submission of Coordination of Benefits (COB) Claims04/13/2015
NavigateEDI Submission of Corrected Claims03/10/2015
NavigateICD-10 Training Needs and Provider Checklist03/04/2015
NavigateKentucky Medicaid Claim Forms For Different Provider Types Reminder02/26/2015
NavigateClarification on Processes for Behavioral Health Network01/13/2015
2014Date
Posted
NavigateSeven Day and 30-Day Follow-up After Hospitalization for Mental Illness12/17/2014
NavigateChiropractic Claim Coding and Medical Necessity12/05/2014
NavigateKentucky Lock-in Program10/14/2014
NavigateProvider ID Requirements for Paper Claim Forms09/25/2014
NavigateCoordination of Dental and Orthodontic Benefits08/28/2014
NavigateProvider ID Requirements for Paper Claim FormsSee notification dated 09/25/201406/24/2014
NavigateDelegated Network Information05/07/2014
NavigateBehavioral Health Expanded Services04/21/2014
NavigateNew Speech Therapy Codes for EPSDT04/07/2014
NavigateNo Copayments for Members03/27/2014
NavigateDelegated Network InformationSee notification dated 05/07/201403/12/2014
NavigatePsychiatric Residential Treatment Facilities - Importance of PRTF II03/11/2014
NavigateKDMS Announces New and Revised Essential Benefits for 2014; Humana – CareSource Will Continue With NO COPAYS03/04/2014
NavigateKentuckyOne Health™ PAR/In Network02/26/2014
NavigateNonparticipating Provider Payment Policy02/18/2014
NavigateICD-10 Provider Readiness Assessment SurveyDeadline extended to February 10, 201402/05/2014
NavigateICD-10 Provider Readiness Assessment Survey01/24/2014
NavigateNew Facility Code Edits for Hospital Claims01/14/2014