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.

Visit the Updates & Announcements page frequently to find all the latest CareSource news. We share updates regarding:

  • COVID-19 information
  • Pharmacy Information, including Single Pharmacy Benefit Manager (SPBM) and Unified Preferred Drug List (UPDL) and Provider Administered Drugs covered by CareSource
  • 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.

General Updates

2023Date
Navigate Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series – UPDATE03/17/2023
Navigate ODM EDI Claims and Bridge Payments for Providers03/14/2023
Navigate Medicaid Coverage Redetermination Resumes April 103/10/2023
Navigate Pregnancy Risk Assessment Form (ePRAF) Education Series03/08/2023
Navigate Pulsewrx for Diabetes Monitoring03/06/2023
Navigate Policy Updates March 202303/01/2023
Navigate February 2023 Avalon Policy Updates03/01/2023
Navigate Pharmacy Policy Updates April 202302/27/2023
Navigate CareSource and AbsoluteCare Partner to Improve Health Outcomes02/22/2023
Navigate Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series This notification has been revised. See notification dated 03/17/202302/21/2023
Navigate Electronic Data Interchange (EDI) Reminder02/17/2023
Navigate Guidance Regarding 270 Eligibility Inquiry, Claim Submissions and Payer ID02/13/2023
Navigate Next Generation of Ohio Medicaid Managed Care: Payer ID Change - UPDATE01/31/2023
Navigate Program Delay - Phase 3 Launch of ODM Next Generation Managed Care - UPDATE01/27/2023
Navigate Next Generation December 1 Launch Training and Resources - UPDATE01/27/2023
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE01/26/2023
Navigate Ohio Next Generation Managed Care: New ODM Communication Available01/24/2023
Navigate Postpartum Depression Screening Promotion01/09/2023
Navigate Medicaid Advisory Letter (MAL) 666 Update01/06/2023
Navigate Next Generation December 1 Launch Training and Resources - UPDATE01/05/2023
Navigate Readmission Pre-Pay Claims Review01/03/2023

COVID-19 Updates

Latest UpdatesDate
Navigate COVID-19: Vaccination Rx Provider Updates08/09/2022
Navigate COVID-19: Vaccination Program Updates07/15/2022
Navigate COVID-19: Vaccination Program Updates06/13/2022
Navigate COVID-19: Vaccination Program with Booster Updates06/13/2022
Navigate COVID-19: Vaccination Booster Program05/02/2022
Navigate COVID-19: Temporary Payment Policy for Immunizations Update05/02/2022
Navigate COVID-19: Vaccination Counseling Visit Coding Guidance05/02/2022
Navigate COVID-19: Vaccination Program Additional Codes02/25/2022
Navigate COVID-19: Oral Therapies02/21/2022
Navigate COVID-19: FQHC Vaccine Administration Bonus Payment Update01/18/2022
Navigate COVID-19: 2022 Vaccination Program Update01/01/2022
Navigate COVID-19: Vaccination Billing Guidelines Update12/15/2021
Navigate COVID-19: Temporary Change to Prior Authorization for Transition to Post-Acute Care – UPDATE11/05/2021
Navigate COVID-19: Vaccinations for Children 5-1111/01/2021
Navigate COVID-19: Vaccine Administration Rate Increase11/01/2021
Navigate COVID-19: Temporary Change to Prior Authorization for Transition to Post- Acute Care – This notification has been revised. See notification dated 11/05/2021.08/27/2021
Navigate COVID-19: Vaccination Member Incentive Update08/24/2021
Navigate COVID-19: Vaccination Member Incentive07/26/2021
Navigate COVID-19: Vaccine Administration Fee Bonus Payment – UPDATE06/25/2021
Navigate COVID-19: Vaccine Administration Rate Increase – UPDATE06/25/2021
Navigate COVID-19: Vaccine Administration Fee Bonus Payment – This notification has been revised. See notification dated 06/25/2021.06/23/2021
Navigate COVID-19: Vaccination Temporary Payment Policy Update06/17/2021
Navigate COVID-19: Vaccine Administration Fee Increase – This notification has been revised. See notification dated 06/25/2021.06/10/2021
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care Update04/29/2021
Navigate COVID-19: Vaccination & Screening Collection/Processing Options03/08/2021
Navigate COVID-19: Vaccination Billing Guidance02/22/2021
Navigate COVID-19: Provider Vaccination Resources02/16/2021
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care12/11/2020
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: State of Emergency Provider Guide Statement on Telehealth10/05/2020
Navigate COVID-19: Emergency Provisions Update07/21/2020
Navigate COVID-19: Prior Authorization Changes – UPDATE06/30/2020
Navigate COVID-19: Prior Authorization Guidance – This notification has been revised. See notification dated 06/30/2020.05/21/2020
Navigate COVID-19: Temporary Telehealth Services – UPDATE05/06/2020
Navigate COVID-19: Provider Stimulus Package Program Tool04/28/2020
Navigate COVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B04/16/2020
Navigate COVID-19: Prior Authorization Guidance – This notification has been revised. See notification dated 05/21/2020.04/13/2020
Navigate COVID-19: Plan Collaboration for Long-Term Care04/09/2020
Navigate COVID-19: 90-Day Drug List04/07/2020
Navigate COVID-19: CDC Health Alert on Chloroquine04/07/2020
Navigate COVID-19: Temporary Telehealth Services – This notification has been revised. See notification dated 05/06/2020.04/03/2020
Navigate COVID-19: Temporary Telehealth Services – This notification has been revised. See notification dated 04/03/2020.03/27/2020
Navigate Protecting Members and Reducing the Spread of COVID-1903/13/2020