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.

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

COVID-19 Updates

Latest UpdatesDate
NavigateCOVID-19: OTC At-Home Testing Billing Guidance04/25/2022
NavigateCOVID-19: Oral Therapies02/28/2022
NavigateCOVID-19: Temporary Change to PAs for Transition to Post-Acute Care Update04/29/2021
NavigateCOVID-19: Vaccination Billing Guidance02/25/2021
NavigateCOVID-19: Provider Vaccination Resources02/23/2021
NavigateCOVID-19: Temporary Change to PAs for Transition to Post-Acute Care12/11/2020
NavigateCOVID-19: SNF Prior Authorization Process Temporary UpdateThis network notification is being modified to reflect updated information.11/09/2020
NavigateCOVID-19: Emergency Provisions Update07/21/2020
NavigateCOVID-19: Anti-Stockpiling Quantity LimitsUPDATE05/07/2020
NavigateCOVID-19: Provider Stimulus Package Program Tool04/28/2020
NavigateCOVID-19: Anti-Stockpiling Quantity LimitsThis notification has been revised. See notification dated 05/07/2020.04/24/2020
NavigateCOVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B04/16/2020
NavigateCOVID-19: Plan Collaboration for Long-Term Care04/09/2020
NavigateCOVID-19: CDC Health Alert on Chloroquine04/07/2020
NavigateCOVID-19: Temporary Telehealth Services03/27/2020
NavigateProtecting Members and Reducing the Spread of COVID-1903/13/2020

General Updates

NavigateQuarter 3 & 4 Avalon Medical Policy Update06/30/2022
NavigateWe Want to Hear from You!06/30/2022
NavigateUpload Claim Submissions Seamlessly in Provider Portal06/01/2022
NavigatePolicy Updates June 202206/01/2022
NavigateQuarter 2 Avalon Medical Policy Update05/31/2022
NavigateQuarter 2 Avalon Reimbursement Policy Update05/31/2022
NavigateMarketplace Phone Number Change05/26/2022
NavigatePolicy Updates - May 202205/01/2022
NavigateBilling Updates: Chiropractic Unbundling04/26/2022
NavigateJune 2022 Provider Orientation Webinar Registration04/25/2022
NavigateVaxCare LARC Inventory Platform04/12/2022
NavigatePolicy Updates - April 202204/01/2022
NavigateBilling Update: Medicare Bundled Services04/01/2022
NavigatePharmacy Policy Updates - April 202204/01/2022
NavigateBilling Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/01/2022
NavigateIntroducing Teladoc, CareSource’s New Telehealth Partner03/29/2022
NavigateBilling Updates: EDCf Evaluation & Management Policy03/25/2022
NavigateQuality Patient Experience Guide (CAHPS resource)03/18/2022
NavigateRetro Authorization Submission Guidelines03/15/2022
NavigatePolicy Updates March 202203/01/2022 
NavigateProvider Portal Account Linking Enhancement02/21/2022
NavigateAnnual Update - International Classification of Diseases, 10th Revision, Diagnosis Codes (ICD-10-CM)01/27/2022
NavigateNICU Authorization Process Update01/26/2022
NavigateNo Surprises Act Update01/24/2022
NavigatePrior Authorization Requirement Updates01/14/2022
NavigateCorrect Coding Claims Update01/11/2022
NavigateUPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation01/06/2022
NavigatePolicy Updates January 202201/01/2022
Navigate2021 Quarter 3 Provider Portal Updates12/31/2021
Navigate2021 Global Quality Enhancer: Value-Based Reimbursement Program12/29/2021
NavigateNotice of Philips Respironics Voluntary Medical Device Recall - UPDATE12/15/2021
NavigateYou’re Invited! CareSource Provider Webinar12/13/2021
NavigatePrior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
NavigatePolicy Updates December 202112/01/2021
NavigateImportance of the flu vaccination11/16/2021
Navigate2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/02/2021
NavigatePolicy Updates November 202111/01/2021
NavigateMarketplace Opioid Treatment Program Coverage10/25/2021
NavigateHIPAA CORE Compliant Codes10/15/2021
NavigateNew Laboratory Benefit Management Programs10/01/2021
NavigatePolicy Updates October 202110/01/2021
NavigateYou’re Invited! CareSource Provider Webinar09/15/2021
NavigateMarketplace Member Grace Period & Termination Notice09/14/2021
NavigateNotice of Philips Respironics Voluntary Medical Device Recall - This notification has been revised. See notification dated 12/15/202109/13/2021
NavigateSave the Date: Upcoming Provider Orientation Webinar09/02/2021
NavigatePolicy Updates September 202109/01/2021
NavigatePolicy Updates August 202108/01/2021
NavigateYou’re Invited! CareSource Provider Webinar07/22/2021
NavigatePharmacy Prior Authorization Provider Portal Enhancement07/12/2021
NavigatePolicy Updates July 202107/01/2021
NavigateCMS Interoperability06/22/2021
NavigateQ4 2020 Provider Portal Updates06/21/2021
NavigateCareSource's Care Management Program06/14/2021
NavigateYou’re Invited! CareSource Provider Webinar06/09/2021
NavigateWe Want to Hear From You!06/07/2021
NavigatePolicy Updates June 202106/01/2021
NavigateUtilization Management Process05/18/2021
NavigateProvider Portal Enhancements05/05/2021
NavigatePolicy Updates May 202105/01/2021
NavigateUPDATE - Prior Authorization Requirements04/26/2021
NavigatePolicy Updates April 202104/01/2021
NavigateTransplant Services Reimbursement Update03/11/2021
NavigateAnnual Notification of Requirements03/02/2021
NavigatePolicy Updates March 202103/01/2021
NavigateEquian Process Frequently Asked Questions02/26/2021
NavigateCommunity Behavioral Health Center Re-Credentialing Process02/16/2021
NavigateCotiviti Payment Enhancement02/12/2021
NavigateProvider Directory Changes for Optometry Service Providers Not Contracted with Superior Vision02/10/2021
Navigate2020 Quarter 4 Provider Portal Updates02/01/2021
NavigatePolicy Updates February 202102/01/2021
NavigateCare Coordination Information Exchange01/18/2021
NavigateTransplant Services Reimbursement01/13/2021
NavigateSolarWinds Cyberattack01/08/2021
NavigateElective Transplant Process Change01/08/2021
NavigateUPDATE- Prior Authorization Requirements01/06/2021
NavigatePolicy Updates January 202101/01/2021