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
Navigate COVID-19: Medicare Billing Vaccination Billing Guidance11/04/2021
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care Update04/29/2021
Navigate COVID-19: Vaccination Billing Guidance02/22/2021
Navigate COVID-19: Provider Vaccination Resources02/16/2021
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care12/11/2020
Navigate COVID-19: SNF Prior Authorization Process Temporary Update – This network notification is being modified to reflect updated information.11/09/2020
Navigate COVID-19: Emergency Provisions Update07/21/2020
Navigate COVID-19: Provider Stimulus Package Program Tool04/28/2020
Navigate COVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B04/16/2020
Navigate COVID-19: Plan Collaboration for Long-Term Care04/09/2020
Navigate COVID-19: CDC Health Alert on Chloroquine04/07/2020
Navigate COVID-19: Temporary Telehealth Services03/27/2020
Navigate Protecting Members and Reducing the Spread of COVID-1903/13/2020

General Updates

2022Date
Navigate Updated Prior Authorization List11/1/2022
Navigate Policy Updates November 202211/1/2022
Navigate Announcing Non-Renewal of Medicare Advantage Plans10/01/2022
Navigate Policy Updates October 202210/01/2022
Navigate Q4 Live Instructor-Led Provider Training and Education Series10/01/2022
Navigate Quarter 2 Avalon Medical Policy Update10/01/2022
Navigate October 2022 Provider Orientation and Education Live Webinar Invitation09/12/2022
Navigate CLIA-Waived Tests Update09/01/2022
Navigate Policy Updates September 202209/01/2022
Navigate Billing Update: Incorrect Billing of Modifier 58 Notification08/24/2022
Navigate BH Provider Service Resolution Process Summary08/19/2022
Navigate Billing Update Re: Multiple Outpatient Claims08/17/2022
Navigate Quarter 1 2022 Avalon Medical Policy Update08/01/2022
Navigate Policy Updates - July 202207/21/2022
Navigate CareSource Live Instructor-Led Provider Training and Education Series07/07/2022
Navigate Quarter 3 & 4 Avalon Medical Policy Update06/30/2022
Navigate We Want to Hear from You!06/30/2022
Navigate Upload Claim Submissions Seamlessly in Provider Portal06/01/2022
Navigate Policy Updates June 202206/01/2022
Navigate Introducing Teladoc, CareSource’s New Telehealth Partner05/31/2022
Navigate Policy Updates - May 202205/01/2022
Navigate Billing Updates: Chiropractic Unbundling04/26/2022
Navigate June 2022 Provider Orientation Webinar Registration04/25/2022
Navigate Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/01/2022
Navigate Policy Updates - April 202204/01/2022
Navigate Billing Updates: EDCf Evaluation & Management Policy03/25/2022
Navigate Quality Patient Experience Guide (CAHPS resource)03/18/2022
Navigate Retro Authorization Submission Guidelines03/15/2022
Navigate Policy Updates March 202203/01/2022
Navigate Provider Portal Account Linking Enhancement02/21/2022
Navigate Annual Update - International Classification of Diseases, 10th Revision, Diagnosis Codes (ICD-10-CM)01/27/2022
Navigate Prior Authorization Requirement Updates01/14/2022
Navigate Correct Coding Claims Update01/11/2022
Navigate UPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation01/06/2022
Navigate Provider CLIA HCPCS Code Update01/01/202201/01/2022
Navigate Policy Updates January 202201/01/2022
2021Date
Navigate 2021 Quarter 3 Provider Portal Updates12/28/2021
Navigate 2021 Global Quality Enhancer: Value-Based Reimbursement Program12/29/2021
Navigate Notice of Philips Respironics Voluntary Medical Device Recall - UPDATE12/15/2021
Navigate You’re Invited! CareSource Provider Webinar12/13/2021
Navigate Prior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
Navigate Policy Updates December 202112/01/2021
Navigate Importance of the flu vaccination11/16/2021
Navigate HIPAA CORE Compliant Codes10/15/2021
Navigate New Laboratory Benefit Management Programs10/01/2021
Navigate You’re Invited! CareSource Provider Webinar09/15/2021
Navigate Notice of Philips Respironics Voluntary Medical Device Recall - This notification has been revised. See notification dated 12/15/202109/13/2021
Navigate Save the Date: Upcoming Provider Orientation Webinar09/02/2021
Navigate Policy Updates September 202109/01/2021
Navigate Policy Updates August 202108/01/2021
Navigate You’re Invited! CareSource Provider Webinar07/22/2021
Navigate Policy Updates July 202107/01/2021
Navigate CMS Interoperability06/22/2021
Navigate You’re Invited! CareSource Provider Webinar06/09/2021
Navigate We Want to Hear From You!06/07/2021
Navigate Policy Updates June 202106/01/2021
Navigate Balance Billing Reminder05/21/2021
Navigate Utilization Management Process05/18/2021
Navigate Medicare Outpatient Observation Notice05/14/2021
Navigate Policy Updates May 202105/01/2021
Navigate UPDATE - Prior Authorization Requirements04/26/2021
Navigate Policy Updates April 202104/01/2021
Navigate Transplant Services Reimbursement Update03/11/2021
Navigate Policy Updates March 202103/01/2021
Navigate Opioid Treatment Program Reimbursement – UPDATE02/26/2021
Navigate Equian Process Frequently Asked Questions02/18/2021
Navigate Community Behavioral Health Center Re-Credentialing Process02/16/2021
Navigate Annual Notification of Requirements02/12/2021
Navigate Provider Directory Changes for Optometry Service Providers Not Contracted with Superior Vision02/10/2021
Navigate 2020 Quarter 4 Provider Portal Updates02/01/2021
Navigate Policy Updates February 202102/01/2021
Navigate Elective Transplant Process Change01/08/2021
Navigate Policy Updates January 202101/01/2021

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