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:

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

COVID-19 Updates

2020Date
NavigateCOVID-19: SNF Prior Authorization Process Temporary Update – This network notification is being modified to reflect updated information.11/09/2020
NavigateCOVID-19: State of Emergency Provider Guide Statement on Telehealth10/05/2020
NavigateCOVID-19: Emergency Provisions Update07/21/2020
NavigateCOVID-19: Prior Authorization Changes – UPDATE06/30/2020
NavigateCOVID-19: Prior Authorization Guidance – This notification has been revised. See notification dated 06/30/2020.05/21/2020
NavigateCOVID-19: Temporary Telehealth Services – UPDATE05/06/2020
NavigateCOVID-19: Provider Stimulus Package Program Tool04/28/2020
NavigateCOVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B04/16/2020
NavigateCOVID-19: Prior Authorization Guidance – This notification has been revised. See notification dated 05/21/2020.04/13/2020
NavigateCOVID-19: Plan Collaboration for Long-Term Care04/09/2020
NavigateCOVID-19: 90-Day Drug List04/07/2020
NavigateCOVID-19: CDC Health Alert on Chloroquine04/07/2020
NavigateCOVID-19: Temporary Telehealth Services – This notification has been revised. See notification dated 05/06/2020.04/03/2020
NavigateCOVID-19: Temporary Telehealth Services – This notification has been revised. See notification dated 04/03/2020.03/27/2020
NavigateProtecting Members and Reducing the Spread of COVID-1903/13/2020

General Updates

2020Date
Navigate2021 Prior Authorization List Reminder12/01/2020
NavigateOpioid Treatment Program Reimbursement – UPDATE12/01/2020
NavigatePolicy Updates December 202012/01/2020
NavigateDefinitive Urine Drug Testing Billing Update11/30/2020
NavigateEnhanced Services11/20/2020
NavigateACT/IHBT Disenrollment Expectations11/17/2020
NavigateCareSource Cultural Competency Training11/17/2020
Navigate2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria11/04/2020
NavigatePolicy Updates November 202011/01/2020
NavigateQuarter 3 Provider Portal Updates10/28/2020
NavigateRetrospective Eligibility Timeframe Change10/28/2020
Navigate2020 Quarter 2 Provider Portal Updates10/05/2020
NavigatePolicy Updates October 202010/01/2020
NavigateClaim Payment Advice (835) Enhancements09/23/2020
NavigateEmergency BH Hospitalization Initial Medical Necessity Reviews09/22/2020
NavigateHome Health Value Code Requirement09/16/2020
NavigateDentaQuest Transition of Care Reminder09/10/2020
NavigateClaim Remittance Delay09/03/2020
NavigateEnhanced Claim Editing Implementation09/01/2020
NavigatePolicy Updates September 202009/01/2020
NavigateTransition of Care Update08/17/2020
NavigatePolicy Updates August 202008/01/2020
Navigate2020 Global Quality Enhancer Program07/31/2020
NavigateEnhancements to Prior Authorizations on Provider Portal – UPDATE07/27/2020
NavigateOpioid Treatment Program Nasal Narcan Billing Guidance07/24/2020
NavigateDurable Medical Equipment Billing Resource Tool07/23/2020
NavigateProvider Directory Information Attestation07/22/2020
NavigateUpdates to Ohio Medicaid Prior Authorization List07/17/2020
NavigateRisk Adjustment Coding Education07/15/2020
NavigateCBHC Maximum Units Claim Denials07/13/2020
NavigatePolicy Updates July 202007/01/2020
NavigateInteractive Voice Response (IVR) Enhancements for Providers06/25/2020
NavigateFeedback Requested: SNF Provider Summit Ideas06/22/2020
NavigateProvider Portal Claims Submittal Enhancement06/15/2020
NavigatePolicy Updates June 202006/01/2020
NavigateHoliday Claim Remittance Delays05/19/2020
NavigateDME Code Edits – UPDATE05/15/2020
NavigateRisk Adjustment Education05/14/2020
NavigateMedical Optometry Claims Processing05/06/2020
NavigatePolicy Updates May 202005/01/2020
NavigateNotice of DentaQuest Dental Plan Administration Date Change – UPDATE04/30/2020
NavigateProvider Portal Claims Quick Start Guide – UPDATE04/29/2020
NavigateCompleting a Well Visit During a Sick Visit04/20/2020
NavigateSubstance Use Disorder Residential Claim Denials – UPDATE04/20/2020
NavigateDesignation of Availity as Exclusive EDI Gateway04/15/2020
NavigateSubstance Use Disorder Residential Claim Denials – This notification has been revised. See notification dated 04/20/2020.04/13/2020
NavigateCorrect Payer ID for Claims Submissions04/06/2020
NavigateSocial Determinants of Health Simulation Training04/03/2020
NavigateNotice of DentaQuest Dental Plan Administration Implementation Date Change – This notification has been revised. See notification dated 04/30/2020.04/01/2020
NavigatePolicy Updates April 202004/01/2020
NavigateSite of Care Policy Update04/01/2020
NavigatePolicy Updates February 2020 – UPDATE04/01/2020
NavigateRecent Provider Portal Updates03/30/2020
NavigateFQHC and RHC Provider Billing Reminder03/27/2020
NavigateTherapy Provider Credentialing Change03/24/2020
NavigateTransition of Care Extended for Superior Vision03/18/2020
NavigateIssue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments03/13/2020  
NavigateProvider Portal Quick Start Guide – This notification has been revised. See notification dated 04/29/2020.03/11/2020
NavigateConsent Forms Reminder03/05/2020
NavigateAccess and Availability Standards03/02/2020
NavigatePolicy Updates March 202003/01/2020
NavigateNotice of DentaQuest Dental Plan Administration Implementation Date Change – This notification has been revised. See notification dated 04/30/2020.02/20/2020
NavigateAnnual Notice of Requirements02/19/2020
NavigatePrenatal Risk Assessment Forms02/18/2020
NavigateElectronic Visit Verification Correction02/18/2020
NavigateBehavioral Health Revenue Code Guidelines02/13/2020
NavigateProvider Transition Fill Correction02/10/2020
NavigateInstructions on Attaching Medical Records in Provider Portal02/07/2020
NavigateAvastin Claims Denied Incorrectly02/07/2020
NavigatePolicy Updates February 2020 – This notification has been revised. See notification dated 04/01/2020.02/01/2020
NavigateNotice of DentaQuest Dental Plan Administration  – This notification has been revised. See notification dated 04/30/2020.01/31/2020
NavigateAdditional Policy Updates January 202001/28/2020
NavigateRecent Provider Portal Updates01/28/2020
NavigatePaper Checks Dated 1/21, 1/22, 1/2301/27/2020
NavigateEAPG Claims Status01/22/2020
NavigatePayment for Laboratory Services Furnished by FQHCs or RHCs01/21/2020
NavigatePolicy Updates January 2020 – UPDATE01/20/2020
NavigateRegister with Superior Vision01/16/2020
NavigateAdditional Policy Updates January 202001/16/2020
NavigateDental Providers May Disregard ECHO Health Registration Notification01/14/2020
NavigateProvider Payment Migration Complete01/13/2020
NavigateDental Claims01/07/2020
NavigateHigh Dollar Claims Cover Sheet – UPDATE01/07/2020
Policy Updates January 2020 – This notification has been revised. See notification dated 01/20/2020.01/01/2020
2019Date
NavigateGuidelines for Properly Reporting Billing Provider Address12/26/2019
NavigatePharmacy Network Change (Walgreens)12/11/2019
NavigateClaim Coding Edits – This notification has been revised. See notification dated 05/15/2020.12/04/2019
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 Portal – This notification has been revised. See notification dated 07/27/2020.09/05/2019
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