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:

  • 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.

2019Date
NavigateGuidelines for Properly Reporting Billing Provider Address12/26/2019
NavigatePharmacy Network Change (Walgreens)12/11/2019
NavigateClaim Coding Edits12/04/2019
NavigateRegister with New Payment Partner ECHO Health by December 13 – Deadline Extended Again!12/02/2019
NavigatePolicy Updates December 201912/01/2019
NavigateHoliday Claim Remittance Delay11/26/2019
NavigateICD-10 Code Update11/26/2019
NavigateNew Primary Care Provider (PCP) Change Request Form11/14/2019
NavigateDelay in Claim Payments11/13/2019
NavigateImportant Provider Billing Address Reminder11/05/2019
NavigatePolicy Updates November 201911/01/2019
NavigateOhio Medicaid Unified PDL Announcement11/01/2019
NavigateDual-Eligibility Billing Reminder10/31/2019
NavigatePolicy Updates October 201910/01/2019
NavigateRegister with New Payment Partner ECHO Health by December 1 – This notification has been revised. See notification dated 12/02/201909/25/2019
NavigateRecent Provider Portal Updates – UPDATED 10/309/23/2019
NavigateNational Provider Identifier for Ordering, Referring, and Prescribing Providers09/10/2019
NavigateImportant Inpatient Covered Days Billing Reminder09/10/2019
NavigateConsent Form Upload Enhancement to the Provider Portal – UPDATE09/05/2019
NavigateEnhancements to Prior Authorization on Provider Portal09/05/2019
NavigateSeptember 2019 Policy Updates09/01/2019
NavigateSUD Partial Hospital Program (PHP)08/27/2019
NavigateDurable Medical Equipment (DME) Recoveries08/26/2019
NavigateWound Vac (A7000) Requiring Authorization in Error08/23/2019
NavigateIssue with Denials for Physical Therapy (PT) Units08/23/2019
NavigateIssues with Outpatient Claim Denials Due to Authorizations Expiring08/23/2019
NavigateProvider Dispute Process – UPDATE08/16/2019
NavigatePolicy Update August 201908/15/2019
NavigateCommunity Behavioral Health Claim Issue Trends and Guidance08/14/2019
NavigateElectronic Visit Verification Update08/09/2019
NavigateSUD Residential Treatment Policy Update08/09/2019
Navigate2019-2020 Ohio Provider Manual Now Available08/06/2019
NavigatePolicy Updates August 201908/01/2019
NavigateRegister with New Payment Partner ECHO Health by October 25 – This notification has been revised. See notification dated 09/25/201907/26/2019
NavigateReminder – Authorization Requirements for Ancillary Providers07/22/2019
NavigateCoordination of Benefits (COB) Reminder07/22/2019
NavigateDuplicate Modifier on the Claim Service Line07/17/2019
NavigatePost-Payment Audit Update07/12/2019
NavigateProvider Dispute Process – This notification has been revised. See notification dated 08/16/201907/05/2019
NavigatePolicy Updates July 201907/01/2019
NavigateMulti-Factor Authentication Scheduled for SKYGEN CWP06/21/2019
NavigatePolicy Updates June 201906/17/2019
NavigateDental Code D9230 Payment Policy Update06/14/2019
NavigateDental Sedation Codes Payment Policy Reminder06/14/2019
NavigateNon-Covered Dental Service Code Payment Policy Reminder06/14/2019
NavigatePrior Authorization Enhancements for Observation Stays06/13/2019
Navigate2019 Dental Procedure Code Updates06/10/2019
NavigateElectronic Visit Verification Training Update06/10/2019
NavigateInpatient Hospital Pre-payment Claims Reviews - Revised 6/6/201906/03/2019
NavigatePolicy Updates June 201905/31/2019
NavigateTips to Improve Pediatric CAHPS Ratings05/29/2019
NavigateEnd-Stage Renal Disease (ESRD) Claims and Value Code D505/29/2019
NavigateCommunity Behavioral Health Claim Issue Trends and Guidance05/28/2019
NavigateDesignating a Supervising Provider Using Paper Claims05/17/2019
NavigateUpgrades to AHS Consent Form on the Provider Portal05/13/2019
NavigateHigh Cost Radiology Services/NIA Authorization Denial for Hospitals 05/06/2019
NavigateElectronic Visit Verification Training Update05/06/2019
NavigateAccess Standards Update05/06/2019
NavigatePolicy Updates May 201905/01/2019
NavigateNew Policy Updates  April 201904/12/2019
NavigateStatewide Hepatitis A Outbreak Information04/12/2019
NavigateApplied Behavior Analysis Rates and Pricing04/04/2019
NavigatePolicy Updates April 201904/01/2019
NavigateEnhancements to Delivery and Newborn Notifications – UPDATE03/28/2019
NavigateApplied Behavioral Analysis (ABA) Billing and Coding03/27/2019
NavigateInterventions to Prevent Perinatal Depression03/13/2019
NavigateElectronic Visit Verification Training Update03/12/2019
NavigateProvider Portal Survey03/07/2019
NavigatePolicy Updates May 201903/01/2019
NavigateHigh Dollar Claims – This notification has been revised. See notification dated 01/07/202002/19/2019
NavigateBehavioral Health Claim Issue Identified - UPDATE02/19/2019
NavigatePlace of Service Code for Claim Submissions02/14/2019
NavigateRevenue Code 0636 Denials Update02/13/2019
NavigateNational Drug Code (NDC) with J1050 Denials Update02/08/2019
NavigateEnhancements to Delivery and Newborn Notifications 02/01/2019
NavigateHepatitis A Prevention01/29/2019
NavigateDiagnosis Related Group (DRG) Validation Audits01/21/2019
NavigateRequest Interpreter Services Online01/21/2019
NavigateIssues with Mammogram Benefit Limits01/14/2019