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

General Updates

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 – UPDATE12/01/2020
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.