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.

2018Date
NavigateElectronic Visit Verification Reminder11/14/2018
NavigatePolicy Updates January 201911/01/2018
NavigateUpdated Prior Authorization Requirements for Home Care Services11/01/2018
NavigateCode Advisor Network Notification10/23/2018
NavigateElectronic Provider Appeals Required10/02/2018
 NavigatePolicy Updates December 201810/01/2018
NavigateAmbulance Overpayments and Incorrect Payments Recovery09/27/2018
NavigateQ3 2018 Payment Update09/27/2018
NavigateDME Overpayments and Incorrect Payments Recovery Notice09/27/2018
NavigateHome Health Overpayments and Incorrect Payments Recovery Notice09/27/2018
NavigatePhysician Assistant Overpayments and Incorrect Payments Recovery Notice09/27/2018
NavigateDuplicate Claim Processing Update09/01/2018
NavigateClarification on CareSource Medicaid Vision Benefit – UPDATE08/30/2018
NavigatePolicy Updates November 201808/28/2018
NavigateWell-Child Care08/27/2018
NavigateODM Medicaid Number Requirement08/27/2018
NavigateSignatures No Longer Needed for Medicaid Addendum Attachments for Provider Maintenance Updates08/21/2018
NavigateConsent to Share Sensitive Health Information08/08/2018
NavigateArchive Global Obstetrical Services Policy08/01/2018
NavigateClarification of Indiana Network Closure Communication07/30/2018
NavigateIncreasing Claim Payment Processing Frequency – UPDATE07/27/2018
NavigatePolicy Updates October 201807/27/2018
NavigateAdditional Update on CareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 08/30/2018.07/24/2018
NavigateTrading Partners Administrative Policy07/20/2018
NavigateInventory Reduction Progress and Issue Reporting07/10/2018
NavigateIncreasing Claim Payment Processing Frequency07/03/2018
NavigateNew Address for Refund Checks07/03/2018
NavigatePolicy Updates September 201806/29/2018
NavigateNew Requirement to Report Individual NPIs in Rendering Fields of AHCC, FQHC, FBC, OHF and RHC Claims06/19/2018
NavigateNotification of Claim Adjustments for Certain Edit Codes06/13/2018
NavigatePolicy Updates August 201806/12/2018
NavigateDurable Medical Equipment (DME) Update06/08/2018
NavigateBreast Imaging Reimbursement Policy06/05/2018
NavigateTips to Prevent Payment Delays06/01/2018
NavigateCommunity Behavioral Health Centers (CBHC) Provider Orientation05/31/2018
NavigateCareSource Secure Email Portal Security Enhancements05/17/2018
NavigatePolicy Updates July 201804/19/2018
NavigateUpdate on CareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 07/24/2018.04/18/2018
NavigateCare Coordination Codes Reminder04/16/2018
NavigateUpdate to Provider Billing Address Requirements on Claims04/03/2018
NavigatePolicy Updates June 201803/30/2018
Navigate2018 Dental Procedure Code Updates – UPDATE 03/28/2018
NavigateUpdate to Drug Testing PolicyUPDATE03/12/2018
NavigatePolicy Updates May 201802/28/2018
NavigatePY-0436 Sexually Transmitted Infections02/27/2018
Navigate2018 Dental Procedure Code UpdatesThis notification has been revised. See notification dated 03/28/2018.02/01/2018
NavigateCareSource No Longer Accepting 77057 Claim Code for Mammography Services01/26/2018
NavigateDiabetes Retinal Eye Exam01/25/2018
NavigateReminder to Include Gestational Age on Delivery Claims01/24/2018
NavigateNew Approach to Educate and Reduce Evaluation and Management Billing Errors01/08/2018
2017Date
NavigateMarch 2018 Policy Release12/28/2017
NavigateCareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 04/18/201812/11/2017
NavigateUpdate on Drug Testing Reimbursement Policy – UPDATE12/01/2017
NavigateNotice of Change to Cardiac Services Prior Authorization Requirements11/17/2017
NavigateUpcoming Deadline for Submitting Ohio Medicaid Provider Number Applications11/17/2017
NavigateEnhanced Ambulatory Patient Groups (EAPG) Billing Methodology Supersedes CareSource Payment Policies11/07/2017
NavigateDecember 2017 Policy Release11/01/2017
NavigateDiagnosis Related Group Rate Changes10/24/2017
NavigateUpdate Regarding Enhanced Ambulatory Patient Group (EAPG) Billing Payment Methodology10/10/2017
NavigateNovember 2017 Policy Release09/28/2017
NavigatePY-0101 - Genetic Testing- Polymerase Chain Reaction09/22/2017
NavigateClinical Appeals Require Member Consent09/22/2017
NavigateUpdate on Processing Claims for Enhanced Ambulatory Patient Groups – UPDATE09/01/2017
NavigateDrug Screening Reimbursement Policy – This notification has been revised. See notification dated 12/01/2017.08/30/2017
NavigateUpdate on Claim Configurations for Genetic Testing - Polymerase Chain Reaction – UPDATE08/17/2017
NavigateUpdate on Claim Configurations for Genetic Testing - Polymerase Chain Reaction – This notification has been revised. See notification dated 08/17/2017.08/14/2017
NavigatePY-0020 - Drug Screening Payment Policy – This notification has been revised. See notification dated 08/30/2017. 07/31/2017
NavigateAnnouncing Enforcement of Enhanced Ambulatory Patient Groups Billing Guidelines – This notification has been revised. See notification dated 09/01/2017.07/27/2017
NavigateSeptember 2017 Policy Release07/27/2017
NavigateUpdate on Behavioral Health Denials for Code X5007/26/2017
NavigateBehavioral Health Respite Care Services for Children07/18/2017
NavigateBlood Lead Testing Recommendations07/05/2017
NavigateUpdate on Configurations for Sexually Transmitted Infections Claims06/23/2017
NavigateJuly 2017 Policy Releases05/31/2017
NavigateRetro Prior Authorizations05/31/2017
NavigatePY-0037, PY-0205 Sexually Transmitted Infections Reimbursement Policy04/19/2017
NavigateScreening and Surveillance for Colorectal Cancer04/18/2017
NavigateMM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
NavigatePY-0206 Hepatitis Panel Payment Policy04/13/2017
NavigateUpdate on Claim Configurations for Specialty Codes and Durable Medical Equipment04/13/2017
NavigatePY-0128 Three-Day Window Payment Policy04/10/2017
NavigateCite AutoAuth – Inpatient PA Requests04/03/2017
NavigatePY-0226, PY-0227, PY-0228 Vitamin D Assay Testing Payment Policy03/31/2017
NavigatePY-0222, PY-0223, PY-0224 Thyroid Testing Payment Policy03/31/2017
NavigatePY-0181, PY-0185, PY-0187 Transthoracic Echocardiogram Payment Policy03/31/2017
NavigatePY-0169, PY-0174, PY-0173 Sleep Studies Payment Policy03/31/2017
NavigatePY-0163, PY-0167, PY-0168 Non-Invasive Vascular Studies Payment Policy03/31/2017
NavigatePY-0157 Glycosylated Hemoglobin A1C Payment Policy03/29/2017
NavigatePY-0001 Global Obstetrical Services Payment Policy03/29/2017
NavigatePY-0084 Telemedicine Services Payment Policy03/29/2017
NavigatePY-0004 Preferred Obstetrical Services Payment Policy03/29/2017
NavigatePY-0020 Drug Screening Payment Policy – This notification has been revised. See notification dated 08/30/2017.03/20/2017
NavigateHome Health Nursing Code Change03/15/2017