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.

  • 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
NavigatePolicy Updates January 201911/01/2018
NavigateCode Advisor Network Notification10/23/2018
NavigateDuplicate Claim Processing Update09/01/2018
NavigatePolicy Updates November 201808/28/2018
NavigateWell Child Care08/27/2018
NavigateConsent to Share Sensitive Health Information08/08/2018
NavigateClarification of Indiana Network Closure Communication07/30/2018
NavigateIncreasing Claim Payment Processing Frequency – UPDATE07/27/2018
NavigatePolicy Updates October 201807/27/2018
NavigateIncrease Frequency in Claim Payment Processing07/03/2018
NavigateNew Address for Refund Checks07/03/2018
NavigateCareSource Secure Email Portal Security Enhancements05/17/2018
NavigatePolicy Updates July 201804/19/2018
NavigateUpdate to Provider Billing Address Requirements on Claims04/03/2018
NavigateUpdate to Drug Testing Policy – UPDATE03/12/2018
NavigatePolicy Updates May 201802/28/2018
NavigateDiabetes Retinal Eye Exam01/25/2018
NavigateNew Approach to Educate and Reduce Evaluation and Management Billing Errors01/08/2018
2017Date
NavigateMarch 2018 Policy Release12/28/2017
NavigateUpdate on Drug Testing Reimbursement Policy – UPDATE12/01/2017
NavigateNotice of Change to Cardiac Services Prior Authorization Requirements11/17/2017
NavigateDecember 2017 Policy Release11/01/2017
NavigateNovember 2017 Policy Release09/28/2017
NavigateDrug Screening Reimbursement Policy – This notification has been revised. See notification dated 12/01/2017.08/30/2017
NavigateAnnouncing Enforcement of Enhanced Ambulatory Patient Groups Billing Guidelines  –UPDATE 07/27/2017
NavigateSeptember 2017 Policy Releases 07/27/2017
NavigateParticipation in CMS and HHS Quality Improvement Initiatives06/16/2017
NavigatePY-0108, PY-0109 Telemedicine-Telehealth Payment Policy05/04/2017
NavigateScreening and Surveillance for Colorectal Cancer04/18/2017
NavigateMM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
NavigatePY-0142 Three-Day Window Payment Policy04/11/2017
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

CareSource is an HMO with a Medicare contract. Enrollment in CareSource Advantage Zero Premium™ (HMO), CareSource Advantage® (HMO), and CareSource Advantage Plus™ (HMO) depends on contract renewal. This information is not a complete description of benefits. Call 1-844-607-2827 (TTY: 1-800-750-0750 or 711) for more information.