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.

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

General Updates

2025Date
Navigate Corrected Claim Submission Requirements04/11/2025
Navigate Prothesis and Orthosis Claims Editing Logic04/10/2025
Navigate 2024 HHS-RADV Audit Begins May 202504/04/2025
Navigate Medical Record Reviews04/02/2025
Navigate 2025 Q2 CareSource Live Provider Education and Training Series04/02/2025
Navigate Pharmacy Policy Updates April 202504/01/2025
Navigate Policy Updates April 202504/01/2025
Navigate Important Reminder: Reporting Practice Changes to CareSource03/26/2025
Navigate It's Patient Experience Survey Season03/14/2025
Navigate Hearing Aid Coverage – Ohio House Bill 31503/10/2025
Navigate Provider Connections - Ohio03/06/2025
Navigate Pharmacy Policy Updates March 202503/01/2025
Navigate Avalon Policy Updates - Q4 202403/01/2025
Navigate Policy Updates March 202503/01/2025
Navigate Temporary Waiver of Prior Authorization Requirements for Nursing Home Admissions from Hospital02/24/2025
Navigate 2025 Q1/Q2 Home Health Provider CareSource Townhall02/21/2025
Navigate 2025 Q2 CareSource Townhall02/18/2025
Navigate Policy Updates February 202502/01/2025
Navigate Avalon Policy Update - February 202502/01/2025
Navigate Policy Updates January 202501/01/2025
Navigate Updating Demographics01/01/2025
2024Date
Navigate Pharmacy Policy Update - Bimzelx - December 202412/20/2024
Navigate November 2024 Policy Updates – REVISION12/16/2024
Navigate Newborn RSV Prevention12/13/2024
Navigate Interactive Health Library12/06/2024
Navigate Change in the Timely Filing Rule for EDI Submitted Claims12/04/2024
Navigate CareSource Connections12/03/2024
Navigate Policy Updates December 202412/01/2024
Navigate Avalon Policy Updates12/01/2024
Navigate Pharmacy Policy Updates December 202412/01/2024
Navigate Updated 2025 Access Standards11/11/2024
Navigate QHP ESRD Notification – REVISION11/08/2024
Navigate QHP Hypoglossal/Allergen Modifiers Notification – REVISION11/07/2024
Navigate 2025 Prior Authorization Update11/06/2024
Navigate Modifiers JZ and JW11/04/2024
Navigate TurningPoint Policy Updates11/01/2024
Navigate Evolent Policy Updates11/01/2024
Navigate November 2024 Policy Updates11/01/2024
Navigate QHP DME Modifiers10/11/2024
Navigate Perinatal Depression Screening - Edinburgh Depression Tool10/07/2024
Navigate October 2024 Policy Updates 10/01/2024
Navigate 2024 Q4 CareSource Town Hall - Ohio Home Health Providers09/30/2024
Navigate Optum Process Frequently Asked Questions 09/20/2024
Navigate 2024 Q4 CareSource Live Provider Education and Training Series09/11/2024
Navigate Excludes1 Edit09/05/2024
Navigate Policy Updates September 202409/01/2024
Navigate Pharmacy Policy Updates September 202409/01/2024
Navigate 2024 Quarter 3 CareSource Townhall: Ohio Post-Acute Providers08/22/2024
Navigate Kidney Health Evaluation for Patients with Diabetes08/19/2024
Navigate Policy Updates August 202408/01/2024
Navigate Policy Updates July 202407/01/2024
Navigate PharmScript Pharmacy Termination Disclosure07/01/2024
Navigate Independent Laboratory 06/13/2024
Navigate Provider Satisfaction Survey06/12/2024
Navigate Prior Authorization Update06/04/2024
Navigate Pharmacy Policy Updates June 202406/01/2024
Navigate Q1 2024 Avalon Policy Updates06/01/2024
Navigate Policy Updates June 202406/01/2024
Navigate Visit the CareSource Health Equity Webpage for Resources and Trainings!05/20/2024
Navigate NIA/Evolent Policy Updates (Q2 2024) - May 202405/01/2024
Navigate DentaQuest Policy Updates (Q2 2024) - May 202405/01/2024
Navigate Policy Updates May 202405/01/2024
Navigate 2024 Q2 CareSource Townhall-Ohio Home Health Providers04/23/2024
Navigate 2024 Q2 CareSource Live Provider Education and Training Series04/02/2024
Navigate Policy Updates April 202404/01/2024
Navigate Provider Portal Claim Submission Tool Update03/27/2024
Navigate CareSource Connections 03/25/2024
Navigate It's Patient Experience Survey Season!03/12/2024
Navigate Virtual ABA Training03/07/2024
Navigate Availity Essentials Live Webinar Training03/06/2024
Navigate Change Healthcare Cybersecurity Incident03/04/2024
Navigate Policy Updates March 202403/01/2024
Navigate Q4 Avalon Policy Updates March 202403/01/2024
Navigate Pharmacy Policy Updates March 202403/01/2024
Navigate Policy Updates February 202402/01/2024
Navigate Provider Risk Adjustment Coding Guidance01/23/2024
Navigate Newborn and NICU Prior Auth Requirement Update01/09/2024
Navigate 2024 Q1 CareSource Live Provider Education and Training Series01/08/2024
Navigate Avaolon Policy Updates - January 202401/01/2024
Navigate Policy Updates January 202401/01/2024