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.

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

COVID-19 Updates

Latest UpdatesDate
NavigateCOVID-19: Temporary Change to PAs for Transition to Post-Acute Care Update04/29/2021
NavigateCOVID-19: Vaccination Billing Guidance02/22/2021
NavigateCOVID-19: Provider Vaccination Resources02/16/2021
NavigateCOVID-19: Temporary Change to PAs for Transition to Post-Acute Care12/11/2020
NavigateCOVID-19: SNF Prior Authorization Process Temporary Update – This network notification is being modified to reflect updated information.11/09/2020
NavigateCOVID-19: Emergency Provisions Update07/21/2020
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: Plan Collaboration for Long-Term Care04/09/2020
NavigateCOVID-19: CDC Health Alert on Chloroquine04/07/2020
NavigateCOVID-19: Temporary Telehealth Services03/27/2020
NavigateProtecting Members and Reducing the Spread of COVID-1903/13/2020

General Updates

2021Date
NavigatePolicy Updates August 202108/01/2021
NavigateYou’re Invited! CareSource Provider Webinar07/22/2021
NavigatePolicy Updates July 202107/01/2021
NavigateCMS Interoperability06/22/2021
NavigateYou’re Invited! CareSource Provider Webinar06/09/2021
NavigateWe Want to Hear From You!06/07/2021
NavigatePolicy Updates June 202106/01/2021
NavigateBalance Billing Reminder05/21/2021
NavigateUtilization Management Process05/18/2021
NavigateMedicare Outpatient Observation Notice05/14/2021
NavigatePolicy Updates May 202105/01/2021
NavigateUPDATE - Prior Authorization Requirements04/26/2021
NavigatePolicy Updates April 202104/01/2021
NavigateTransplant Services Reimbursement Update03/11/2021
NavigatePolicy Updates March 202103/01/2021
NavigateOpioid Treatment Program Reimbursement – UPDATE02/26/2021
NavigateEquian Process Frequently Asked Questions02/18/2021
NavigateCommunity Behavioral Health Center Re-Credentialing Process02/16/2021
NavigateAnnual Notification of Requirements02/12/2021
NavigateProvider Directory Changes for Optometry Service Providers Not Contracted with Superior Vision02/10/2021
Navigate2020 Quarter 4 Provider Portal Updates02/01/2021
NavigatePolicy Updates February 202102/01/2021
NavigateElective Transplant Process Change01/08/2021
NavigatePolicy Updates January 202101/01/2021
2020Date
NavigateDual-Eligibility Billing Reminder12/31/2020
NavigateUPDATE - Prior Authorization Requirements12/31/2020
NavigateTransplant Services Reimbursement12/30/2020
NavigateIntroducing New Prior Authorization Procedure Code Look-Up Tool12/17/2020
NavigateSolarWinds Cyberattack12/16/2020
NavigateCotiviti Payment Enhancement Notification12/15/2020
NavigateRegister With Dental Partner DentaQuest - Reminder12/14/2020
NavigateNursing Facility Assessment Tool12/09/2020
NavigateOpioid Treatment Program Reimbursement – This notification has been revised. See notification dated 02/26/2021.12/01/2020
Navigate2021 Prior Authorization List Reminder12/01/2020
NavigatePolicy Updates December 202012/01/2020
NavigateRegister with CareSource’s Payment Partner ECHO Health11/23/2020
NavigatePolicy Updates November 202011/01/2020
NavigateQuarter 3 Provider Portal Updates10/28/2020
NavigateUpdates to MA/D-SNP, MyCare Prior Authorization List10/16/2020
Navigate2020 Quarter 2 Provider Portal Updates10/05/2020
NavigatePolicy Updates October 202010/01/2020
NavigateClaim Payment Advice (835) Enhancements09/23/2020
NavigateHome Health Value Code Requirement09/16/2020
NavigateDentaQuest to Administer Dental Services for MA/D-SNP Member09/16/2020
NavigateHospice Claim Modifier Requirement09/11/2020
NavigateAppeal and Payment Dispute Timely Filing Deadline09/10/2020
NavigateClaim Remittance Delay09/03/2020
NavigateEnhanced Claim Editing Implementation09/01/2020
NavigatePolicy Updates August 202008/01/2020
Navigate2020 Global Quality Enhancer Program07/31/2020
NavigateEnhancements to Prior Authorizations on Provider Portal – UPDATE07/27/2020
NavigateDurable Medical Equipment Billing Resource Tool07/23/2020
NavigateProvider Directory Information Attestation07/22/2020
NavigateOpioid Treatment Program Reimbursement Update – UPDATE07/16/2020
NavigateRisk Adjustment Coding Education07/15/2020
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
NavigateAccurate ICD-10 Coding05/26/2020
NavigateHoliday Claim Remittance Delays05/19/2020
NavigateDME Code Edits05/15/2020
NavigatePolicy Updates May 202005/01/2020
NavigateProvider Portal Claims Quick Start Guide – UPDATE04/29/2020
NavigateDesignation of Availity as Exclusive EDI Gateway04/15/2020
NavigateCorrect Payer ID for Claims Submissions04/06/2020
NavigatePolicy Updates April 202004/01/2020
NavigateRecent Provider Portal Updates03/30/2020
NavigateFQHC and RHC Provider Billing Reminder03/27/2020
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
NavigateFQHC Use of Uniform Billing Form UB-04 – UPDATE03/03/2020
NavigateAccess and Availability Standards03/02/2020
NavigatePolicy Updates March 202003/01/2020
NavigateFQHC Use of Uniform Billing Form UB-04 – This notification has been revised. See notification dated 03/03/2020.02/19/2020
NavigateAnnual Notice of Requirements02/19/2020
NavigatePatient-Driven Groupings Model Implementation02/19/2020
NavigateInstructions on Attaching Medical Records in Provider Portal02/07/2020
NavigatePolicy Updates February 202002/01/2020
NavigateOpioid Treatment Program Reimbursement – This notification has been revised. See notification dated 07/16/2020.01/28/2020
NavigateRecent Provider Portal Updates01/28/2020
NavigatePaper Checks Dated 1/21, 1/22, 1/2301/27/2020
NavigateInpatient Facility Claims Guidelines01/20/2020
NavigatePolicy Updates January 2020 – UPDATE01/20/2020
NavigateProvider Payment Migration Complete01/13/2020
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

This information is not a complete description of benefits. Call 1-844-607-2827 (TTY: 1-800-750-0750 or 711) for more information.