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.

2018	Date
Navigate Electronic Visit Verification Reminder	11/14/2018
Navigate Policy Updates January 2019	11/01/2018
Navigate Updated Prior Authorization Requirements for Home Care Services	11/01/2018
Navigate Code Advisor Network Notification	10/23/2018
Navigate Electronic Provider Appeals Required	10/02/2018
Navigate Policy Updates December 2018	10/01/2018
Navigate Ambulance Overpayments and Incorrect Payments Recovery	09/27/2018
Navigate Q3 2018 Payment Update	09/27/2018
Navigate DME Overpayments and Incorrect Payments Recovery Notice	09/27/2018
Navigate Home Health Overpayments and Incorrect Payments Recovery Notice	09/27/2018
Navigate Physician Assistant Overpayments and Incorrect Payments Recovery Notice	09/27/2018
Navigate Duplicate Claim Processing Update	09/01/2018
Navigate Clarification on CareSource Medicaid Vision Benefit – UPDATE	08/30/2018
Navigate Policy Updates November 2018	08/28/2018
Navigate Well-Child Care	08/27/2018
Navigate ODM Medicaid Number Requirement	08/27/2018
Navigate Signatures No Longer Needed for Medicaid Addendum Attachments for Provider Maintenance Updates	08/21/2018
Navigate Consent to Share Sensitive Health Information	08/08/2018
Navigate Archive Global Obstetrical Services Policy	08/01/2018
Navigate Clarification of Indiana Network Closure Communication	07/30/2018
Navigate Increasing Claim Payment Processing Frequency – UPDATE	07/27/2018
Navigate Policy Updates October 2018	07/27/2018
Navigate Additional Update on CareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 08/30/2018.	07/24/2018
Navigate Trading Partners Administrative Policy	07/20/2018
Navigate Inventory Reduction Progress and Issue Reporting	07/10/2018
Navigate Increasing Claim Payment Processing Frequency	07/03/2018
Navigate New Address for Refund Checks	07/03/2018
Navigate Policy Updates September 2018	06/29/2018
Navigate New Requirement to Report Individual NPIs in Rendering Fields of AHCC, FQHC, FBC, OHF and RHC Claims	06/19/2018
Navigate Notification of Claim Adjustments for Certain Edit Codes	06/13/2018
Navigate Policy Updates August 2018	06/12/2018
Navigate Durable Medical Equipment (DME) Update	06/08/2018
Navigate Breast Imaging Reimbursement Policy	06/05/2018
Navigate Tips to Prevent Payment Delays	06/01/2018
Navigate Community Behavioral Health Centers (CBHC) Provider Orientation	05/31/2018
Navigate CareSource Secure Email Portal Security Enhancements	05/17/2018
Navigate Policy Updates July 2018	04/19/2018
Navigate Update on CareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 07/24/2018.	04/18/2018
Navigate Care Coordination Codes Reminder	04/16/2018
Navigate Update to Provider Billing Address Requirements on Claims	04/03/2018
Navigate Policy Updates June 2018	03/30/2018
Navigate 2018 Dental Procedure Code Updates – UPDATE	03/28/2018
Navigate Update to Drug Testing Policy – UPDATE	03/12/2018
Navigate Policy Updates May 2018	02/28/2018
Navigate PY-0436 Sexually Transmitted Infections	02/27/2018
Navigate 2018 Dental Procedure Code Updates – This notification has been revised. See notification dated 03/28/2018.	02/01/2018
Navigate CareSource No Longer Accepting 77057 Claim Code for Mammography Services	01/26/2018
Navigate Diabetes Retinal Eye Exam	01/25/2018
Navigate Reminder to Include Gestational Age on Delivery Claims	01/24/2018
Navigate New Approach to Educate and Reduce Evaluation and Management Billing Errors	01/08/2018

2017	Date
Navigate March 2018 Policy Release	12/28/2017
Navigate CareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 04/18/2018	12/11/2017
Navigate Update on Drug Testing Reimbursement Policy – UPDATE	12/01/2017
Navigate Notice of Change to Cardiac Services Prior Authorization Requirements	11/17/2017
Navigate Upcoming Deadline for Submitting Ohio Medicaid Provider Number Applications	11/17/2017
Navigate Enhanced Ambulatory Patient Groups (EAPG) Billing Methodology Supersedes CareSource Payment Policies	11/07/2017
Navigate December 2017 Policy Release	11/01/2017
Navigate Diagnosis Related Group Rate Changes	10/24/2017
Navigate Update Regarding Enhanced Ambulatory Patient Group (EAPG) Billing Payment Methodology	10/10/2017
Navigate November 2017 Policy Release	09/28/2017
Navigate PY-0101 - Genetic Testing- Polymerase Chain Reaction	09/22/2017
Navigate Clinical Appeals Require Member Consent	09/22/2017
Navigate Update on Processing Claims for Enhanced Ambulatory Patient Groups – UPDATE	09/01/2017
Navigate Drug Screening Reimbursement Policy – This notification has been revised. See notification dated 12/01/2017.	08/30/2017
Navigate Update on Claim Configurations for Genetic Testing - Polymerase Chain Reaction – UPDATE	08/17/2017
Navigate Update on Claim Configurations for Genetic Testing - Polymerase Chain Reaction – This notification has been revised. See notification dated 08/17/2017.	08/14/2017
Navigate PY-0020 - Drug Screening Payment Policy – This notification has been revised. See notification dated 08/30/2017.	07/31/2017
Navigate Announcing Enforcement of Enhanced Ambulatory Patient Groups Billing Guidelines – This notification has been revised. See notification dated 09/01/2017.	07/27/2017
Navigate September 2017 Policy Release	07/27/2017
Navigate Update on Behavioral Health Denials for Code X50	07/26/2017
Navigate Behavioral Health Respite Care Services for Children	07/18/2017
Navigate Blood Lead Testing Recommendations	07/05/2017
Navigate Update on Configurations for Sexually Transmitted Infections Claims	06/23/2017
Navigate July 2017 Policy Releases	05/31/2017
Navigate Retro Prior Authorizations	05/31/2017
Navigate PY-0037, PY-0205 Sexually Transmitted Infections Reimbursement Policy	04/19/2017
Navigate Screening and Surveillance for Colorectal Cancer	04/18/2017
Navigate MM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy	04/14/2017
Navigate PY-0206 Hepatitis Panel Payment Policy	04/13/2017
Navigate Update on Claim Configurations for Specialty Codes and Durable Medical Equipment	04/13/2017
Navigate PY-0128 Three-Day Window Payment Policy	04/10/2017
Navigate Cite AutoAuth – Inpatient PA Requests	04/03/2017
Navigate PY-0226, PY-0227, PY-0228 Vitamin D Assay Testing Payment Policy	03/31/2017
Navigate PY-0222, PY-0223, PY-0224 Thyroid Testing Payment Policy	03/31/2017
Navigate PY-0181, PY-0185, PY-0187 Transthoracic Echocardiogram Payment Policy	03/31/2017
Navigate PY-0169, PY-0174, PY-0173 Sleep Studies Payment Policy	03/31/2017
Navigate PY-0163, PY-0167, PY-0168 Non-Invasive Vascular Studies Payment Policy	03/31/2017
Navigate PY-0157 Glycosylated Hemoglobin A1C Payment Policy	03/29/2017
Navigate PY-0001 Global Obstetrical Services Payment Policy	03/29/2017
Navigate PY-0084 Telemedicine Services Payment Policy	03/29/2017
Navigate PY-0004 Preferred Obstetrical Services Payment Policy	03/29/2017
Navigate PY-0020 Drug Screening Payment Policy – This notification has been revised. See notification dated 08/30/2017.	03/20/2017
Navigate Home Health Nursing Code Change	03/15/2017

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