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 Annual Notice of Requirements09/13/2023
Navigate Oncology Drug Shortage Notification09/13/2023
Navigate Coding and Billing Updates09/01/2023
Navigate Policy Updates September 202309/01/2023
Navigate September 2023 Avalon Policies - Effective 11/1/2309/01/2023
Navigate September 2023 Versant Vision Policies - Effective 11/1/2309/01/2023
Navigate 2023 Q3 and Q4 CareSource Live Provider Education and Training Series08/22/2023
Navigate Prior Authorization Requirement Update08/18/2023
Navigate Policy Updates August 202308/01/2023
Navigate Multi-Factor Authentication Implementation08/01/2023
Navigate Rejection of Claims that Bypass the ODM Fiscal Intermediary – UPDATE07/21/2023
Navigate Level 5 Evaluation and Management Claim Update07/21/2023
Navigate FREE Virtual CME Training Available!07/20/2023
Navigate Payment for Determination of Refractive State (92015)07/19/2023
Navigate Policy Updates July 202307/01/2023
Navigate Synagis Program Update06/22/2023
Navigate Pregnancy Risk Assessment Form (ePRAF) Education Series 06/21/2023
Navigate Enteral B Codes06/20/2023
Navigate DentaQuest Policy Updates June 202306/01/2023
Navigate Policy Updates June 202306/01/2023
Navigate Versant Policy Updates - May 202306/01/2023
Navigate Ohio Pulsewrx Program for Continuous Glucose Monitoring05/31/2023
Navigate 2023 Q2 CareSource Live Provider Education and Training Series05/25/2023
Navigate Closing Diabetes Retinopathy Screening Care Gap05/24/2023
Navigate Withdraw Approval of Makena05/22/2023
Navigate Rejection of Claims that Bypass the ODM Fiscal Intermediary – UPDATE05/10/2023
Navigate Public Health Emergency Ending - Resumption of Preadmission Screening and Resident Review (PASRR) Requirements05/05/2023
Navigate ODM Claims Rejection Logic05/04/2023
Navigate Rejection of Claims Based on the Provider Master File05/02/2023
Navigate Rejection of Claims that Bypass the ODM Fiscal Intermediary Summary – This notification has been revised. See notification dated 5/10/202305/02/2023
Navigate Claims Readmission Policy04/12/2023
Navigate Public Health Emergency Ending – Updates to Benefits and Rates04/10/2023
Navigate CAHPS Email Campaign and Quality Patient Experience Guide04/03/2023
Navigate March 2023 OH MCD Turning Point Policy Updates04/01/2023
Navigate Prior Authorization Requirement for Non-Emergent NICU Transfers and Transports03/30/2023
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