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.

COVID-19 information
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.

COVID-19 Updates

Latest Updates	Date
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care Update	04/29/2021
Navigate COVID-19: Vaccination Billing Guidance	02/25/2021
Navigate COVID-19: Provider Vaccination Resources	02/23/2021
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care	12/11/2020
Navigate COVID-19: SNF Prior Authorization Process Temporary Update – This network notification is being modified to reflect updated information.	11/09/2020
Navigate COVID-19: Emergency Provisions Update	07/21/2020
Navigate COVID-19: Anti-Stockpiling Quantity Limits – UPDATE	05/07/2020
Navigate COVID-19: Provider Stimulus Package Program Tool	04/28/2020
Navigate COVID-19: Anti-Stockpiling Quantity Limits – This notification has been revised. See notification dated 05/07/2020.	04/24/2020
Navigate COVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B	04/16/2020
Navigate COVID-19: Plan Collaboration for Long-Term Care	04/09/2020
Navigate COVID-19: CDC Health Alert on Chloroquine	04/07/2020
Navigate COVID-19: Temporary Telehealth Services	03/27/2020
Navigate Protecting Members and Reducing the Spread of COVID-19	03/13/2020

General Updates

2021	Date
Navigate You’re Invited! CareSource Provider Webinar	09/15/2021
Navigate Marketplace Member Grace Period & Termination Notice	09/14/2021
Navigate Notice of Philips Respironics Voluntary Medical Device Recall	09/13/2021
Navigate Save the Date: Upcoming Provider Orientation Webinar	09/02/2021
Navigate Policy Updates September 2021	09/01/2021
Navigate Policy Updates August 2021	08/01/2021
Navigate You’re Invited! CareSource Provider Webinar	07/22/2021
Navigate Pharmacy Prior Authorization Provider Portal Enhancement	07/12/2021
Navigate Policy Updates July 2021	07/01/2021
Navigate CMS Interoperability	06/22/2021
Navigate Q4 2020 Provider Portal Updates	06/21/2021
Navigate CareSource's Care Management Program	06/14/2021
Navigate You’re Invited! CareSource Provider Webinar	06/09/2021
Navigate We Want to Hear From You!	06/07/2021
Navigate Policy Updates June 2021	06/01/2021
Navigate Utilization Management Process	05/18/2021
Navigate Provider Portal Enhancements	05/05/2021
Navigate Policy Updates May 2021	05/01/2021
Navigate UPDATE - Prior Authorization Requirements	04/26/2021
Navigate Policy Updates April 2021	04/01/2021
Navigate Transplant Services Reimbursement Update	03/11/2021
Navigate Annual Notification of Requirements	03/02/2021
Navigate Policy Updates March 2021	03/01/2021
Navigate Equian Process Frequently Asked Questions	02/26/2021
Navigate Community Behavioral Health Center Re-Credentialing Process	02/16/2021
Navigate Cotiviti Payment Enhancement	02/12/2021
Navigate Provider Directory Changes for Optometry Service Providers Not Contracted with Superior Vision	02/10/2021
Navigate 2020 Quarter 4 Provider Portal Updates	02/01/2021
Navigate Policy Updates February 2021	02/01/2021
Navigate Care Coordination Information Exchange	01/18/2021
Navigate Transplant Services Reimbursement	01/13/2021
Navigate SolarWinds Cyberattack	01/08/2021
Navigate Elective Transplant Process Change	01/08/2021
Navigate UPDATE- Prior Authorization Requirements	01/06/2021
Navigate Policy Updates January 2021	01/01/2021

2020	Date
Navigate Introducing New Prior Authorization Procedure Code Look-Up Tool	12/17/2020
Navigate Register With Dental Partner DentaQuest - Reminder	12/17/2020
Navigate Nursing Facility Assessment Tool	12/09/2020
Navigate 2021 Prior Authorization List Reminder	12/01/2020
Navigate Policy Updates December 2020	12/01/2020
Navigate Register with CareSource’s Payment Partner ECHO Health	11/23/2020
Navigate 2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria	11/23/2020
Navigate CareSource Cultural Competency Training	11/17/2020
Navigate Policy Updates November 2020	11/01/2020
Navigate Home Health Value Code Requirement	10/26/2020
Navigate Updates to Marketplace Prior Authorization List	10/19/2020
Navigate DentaQuest to Administer Marketplace Exchange Dental Benefits	10/02/2020
Navigate Policy Updates October 2020	10/01/2020
Navigate Claim Payment Advice (835) Enhancements	09/23/2020
Navigate Enhanced Claim Editing Implementation	09/21/2020
Navigate Risk Adjustment Coding Education	09/08/2020
Navigate Claim Remittance Delay	09/03/2020
Navigate Enhanced Claim Editing Implementation	09/01/2020
Navigate Policy Updates September 2020	09/01/2020
Navigate 2020 Global Quality Enhancer Program	08/06/2020
Navigate Provider Directory Information Attestation	08/04/2020
Navigate Policy Updates August 2020	08/01/2020
Navigate Enhancements to Prior Authorizations on Provider Portal – UPDATE	07/27/2020
Navigate Durable Medical Equipment Billing Resource Tool	07/23/2020
Navigate Risk Adjustment Coding Education	07/15/2020
Navigate Policy Updates July 2020	07/01/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers	06/25/2020
Navigate Feedback Requested: SNF Provider Summit Ideas	06/22/2020
Navigate Provider Portal Claims Submittal Enhancement	06/15/2020
Navigate Policy Updates June 2020	06/01/2020
Navigate Holiday Claim Remittance Delays	05/19/2020
Navigate Risk Adjustment Education	05/14/2020
Navigate Policy Updates May 2020	05/01/2020
Navigate Provider Portal Claims Quick Start Guide – UPDATE	04/29/2020
Navigate Designation of Availity as Exclusive EDI Gateway	04/15/2020
Navigate Correct Payer ID for Claims Submissions	04/06/2020
Navigate Policy Updates April 2020	04/01/2020
Navigate Site of Care Policy Update	04/01/2020
Navigate Policy Updates February 2020 – UPDATE	04/01/2020
Navigate Recent Provider Portal Updates	03/30/2020
Navigate FQHC and RHC Provider Billing Reminder	03/27/2020
Navigate Issue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments	03/13/2020
Navigate Provider Portal Quick Start Guide – This notification has been revised. See notification dated 04/29/2020.	03/11/2020
Navigate Consent Forms Reminder	03/05/2020
Navigate FQHC Use of Uniform Billing Form UB-04 – UPDATE	03/03/2020
Navigate Access and Availability Standards	03/02/2020
Navigate Policy Updates March 2020	03/01/2020
Navigate FQHC Use of Uniform Billing Form UB-04 – This notification has been revised. See notification dated 03/03/2020.	02/19/2020
Navigate Annual Notice of Requirements	02/19/2020
Navigate Provider Dispute Process – UPDATE	02/19/2020
Navigate Instructions on Attaching Medical Records in Provider Portal	02/07/2020
Navigate Policy Updates February 2020 – This notification has been revised. See notification dated 04/01/2020.	02/01/2020
Navigate Recent Provider Portal Updates	01/28/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/23	01/27/2020
Navigate EAPG Claims Status	01/22/2020
Navigate Policy Updates January 2020 – UPDATE	01/20/2020
Navigate Provider Payment Migration Complete	01/13/2020
Navigate High Dollar Claims Cover Sheet – UPDATE	01/07/2020
Policy Updates January 2020 – This notification has been revised. See notification dated 01/20/2020.	01/01/2020

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