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:

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: Screening Options for CBHCs03/05/2021
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: State of Emergency Provider Guide Statement on Telehealth10/05/2020
NavigateCOVID-19: Emergency Provisions Update07/21/2020
NavigateCOVID-19: Prior Authorization Changes – UPDATE06/30/2020
NavigateCOVID-19: Prior Authorizations – This notification has been revised. See notification dated 06/30/2020.04/28/2020
NavigateCOVID-19: Provider Stimulus Package Program Tool04/28/2020
NavigateCOVID-19: Home Care Services Coordination04/24/2020
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 Services – UPDATE04/06/2020
NavigateCOVID-19: Temporary Telehealth Services – This notification has been revised. See notification dated 04/06/2020.03/27/2020
NavigateProtecting Members and Reducing the Spread of COVID-1903/13/2020

General Updates

2020Date
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
NavigateNursing Facility Assessment Tool12/09/2020
NavigateMandatory Medicaid Number Requirement12/04/2020
Navigate2021 Prior Authorization List Reminder12/01/2020
NavigateOpioid Treatment Program Reimbursement – This notification has been revised. See notification dated 02/26/2021.12/01/2020
NavigatePolicy Updates December 202012/01/2020
NavigateDefinitive Urine Drug Testing Billing Update11/30/2020
NavigateACT/IHBT Disenrollment Expectations11/17/2020
NavigatePolicy Updates November 202011/01/2020
NavigateQuarter 3 Provider Portal Updates10/28/2020
NavigateImportance of the Flu Vaccination10/21/2020
NavigateUpdates to MA/D-SNP, MyCare Prior Authorization List10/16/2020
NavigateCustodial Care Place of Service Billing10/06/2020
NavigateGroup Billing Guidance10/06/2020
Navigate2020 Quarter 2 Provider Portal Updates10/05/2020
NavigateNational Provider Identifier Requirement Reminder – UPDATE09/28/2020
NavigateClaim Payment Advice (835) Enhancements09/23/2020
NavigateEmergency BH Hospitalization Initial Medical Necessity Reviews09/22/2020
NavigateHome Health Value Code Requirement09/16/2020
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 September 202009/01/2020
NavigateTransition of Care Update08/17/2020
NavigateCare Plan Disruption on Provider Portal08/06/2020
Navigate2020 Global Quality Enhancer Program07/31/2020
NavigateNational Provider Identifier Requirement – This notification has been revised. See notification dated 09/28/2020.07/28/2020
NavigateEnhancements to Prior Authorizations on Provider Portal – UPDATE07/27/2020
NavigateOpioid Treatment Program Nasal Narcan Billing Guidance07/24/2020
NavigateDurable Medical Equipment Billing Resource Tool07/23/2020
NavigateProvider Directory Information Attestation07/22/2020
NavigateTransition to Guiding Care Announcement07/22/2020
NavigateOpioid Treatment Program Reimbursement Update – UPDATE07/16/2020
NavigateRisk Adjustment Coding Education07/15/2020
NavigateCBHC Maximum Units Claim Denials07/13/2020
NavigateWaiver Claims and ICD-10 Coding07/13/2020
NavigateInteractive Voice Response (IVR) Enhancements for Providers06/25/2020
NavigateAdult Day Services Code Change06/23/2020
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
NavigateDiabetes Self-Management Training05/15/2020
NavigatePolicy Updates May 202005/01/2020
NavigateProvider Portal Claims Quick Start Guide – UPDATE04/29/2020
NavigateSubstance Use Disorder Residential Claim Denials04/20/2020
NavigateDesignation of Availity as Exclusive EDI Gateway04/15/2020
NavigateCorrect Payer ID for Claims Submissions04/06/2020
NavigateRecent Provider Portal Updates03/30/2020
NavigateFQHC and RHC Provider Billing Reminder03/27/2020
NavigateModel of Care Training Requirements – UPDATE03/27/2020
NavigateTherapy Provider Credentialing Change03/24/2020
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
NavigateNational Provider Identifier Requirement03/11/2020
NavigateConsent Forms Reminder03/05/2020
NavigateAccess and Availability Standards03/02/2020
NavigatePolicy Updates March 202003/01/2020
NavigateFQHC Use of Uniform Billing Form UB-0402/19/2020
NavigateAnnual Notice of Requirements02/19/2020
NavigatePatient-Driven Groupings Model Implementation02/19/2020
NavigatePrenatal Risk Assessment Forms02/19/2020
NavigateElectronic Visit Verification Correction02/18/2020
NavigateInstructions on Attaching Medical Records in Provider Portal02/07/2020
NavigateAvastin Claims Denied Incorrectly02/07/2020
NavigateEAPG Claims Status01/29/2020
NavigateProvider Model of Care Training – This notification has been revised. See notification dated 03/27/2020.01/29/2020
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
NavigatePayment for Laboratory Services Furnished by FQHCs or RHCs01/21/2020
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