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:

COVID-19 information
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.

COVID-19 Updates

Latest Updates	Date
Navigate COVID-19: Temporary Change to Prior Authorization for Transition to Post- Acute Care	08/27/2021
Navigate COVID-19: Vaccination Member Incentive	07/26/2021
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care Update	04/29/2021
Navigate COVID-19: Vaccination & Screening Collection/Processing Options	03/08/2021
Navigate COVID-19: Vaccination Billing Guidance	02/22/2021
Navigate COVID-19: Provider Vaccination Resources	02/16/2021
Navigate COVID-19: Temporary Change to PAs for Transition to Post-Acute Care	12/11/2020
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: State of Emergency Provider Guide Statement on Telehealth	10/05/2020
Navigate COVID-19: Emergency Provisions Update	07/21/2020
Navigate COVID-19: Prior Authorization Changes – UPDATE	06/30/2020
Navigate COVID-19: Prior Authorizations – This notification has been revised. See notification dated 06/30/2020.	04/28/2020
Navigate COVID-19: Provider Stimulus Package Program Tool	04/28/2020
Navigate COVID-19: Home Care Services Coordination	04/24/2020
Navigate COVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B	04/16/2020
Navigate COVID-19: Plan Collaboration for Long-Term Care	04/09/2020
Navigate COVID-19: CDC Health Alert on Chloroquine	04/07/2020
Navigate COVID-19: Temporary Telehealth Services – UPDATE	04/06/2020
Navigate COVID-19: Temporary Telehealth Services – This notification has been revised. See notification dated 04/06/2020.	03/27/2020
Navigate Protecting Members and Reducing the Spread of COVID-19	03/13/2020

General Updates

2021	Date
Navigate Pfizer Vaccine Adherence in Kids (VAKs)	09/24/2021
Navigate Nursing Facility Request Form	09/23/2021
Navigate Hospice Claims Billing Guidance	09/20/2021
Navigate You’re Invited! CareSource Provider Webinar	09/15/2021
Navigate Notice of Philips Respironics Voluntary Medical Device Recall	09/13/2021
Navigate Save the Date: Upcoming Provider Orientation Webinar	09/02/2021
Navigate Policy Updates September 2021	09/01/2021
Navigate National Provider Identifier Requirement	08/09/2021
Navigate Waiver National Provider Identifier Requirement – UPDATE	07/29/2021
Navigate You’re Invited! CareSource Provider Webinar	07/22/2021
Navigate Updated Dental Provider Resources – UPDATE	07/22/2021
Navigate Non-Participating Provider Reimbursement Policy Update	07/15/2021
Navigate Electronic Visit Verification (EVV) Billing Guidance	07/12/2021
Navigate Policy Updates July 2021	07/01/2021
Navigate 2021 Model of Care Training Requirements	06/23/2021
Navigate CMS Interoperability	06/22/2021
Navigate You’re Invited! CareSource Provider Webinar	06/09/2021
Navigate Utilization Management Process	05/18/2021
Navigate Provider Portal Experience Update	05/11/2021
Navigate Electronic Visit Verification Education Sessions	05/07/2021
Navigate National Provider Identifier Needed – This notification has been revised. See notification dated 07/29/2021.	05/06/2021
Navigate Policy Updates May 2021	05/01/2021
Navigate New Transportation Vendor	04/30/2021
Navigate UPDATE - Prior Authorization Requirements	04/26/2021
Navigate National Provider Identifier for Ordering, Referring and Prescribing Providers	04/14/2021
Navigate Policy Updates April 2021	04/01/2021
Navigate Ohio Medicaid Number Mandatory Requirement	03/31/2021
Navigate Transplant Services Reimbursement Update	03/11/2021
Navigate Policy Updates March 2021	03/01/2021
Navigate Opioid Treatment Program Reimbursement – UPDATE	02/26/2021
Navigate Waiver Services Acknowledgement	02/22/2021
Navigate Equian Process Frequently Asked Questions	02/18/2021
Navigate Community Behavioral Health Center Re-Credentialing Process	02/16/2021
Navigate Annual Notification of Requirements	02/12/2021
Navigate Provider Directory Changes for Optometry Service Providers Not Contracted with Superior Vision	02/10/2021
Navigate 2020 Quarter 4 Provider Portal Updates	02/01/2021
Navigate Requirements for Preadmission Screening and Resident Review (PASARR) Process	01/15/2021
Navigate Elective Transplant Process Change	01/08/2021
Navigate Policy Updates January 2021	01/01/2021

2020	Date
Navigate UPDATE - Prior Authorization Requirements	12/31/2020
Navigate Transplant Services Reimbursement	12/30/2020
Navigate Introducing New Prior Authorization Procedure Code Look-Up Tool	12/17/2020
Navigate SolarWinds Cyberattack	12/16/2020
Navigate Nursing Facility Assessment Tool	12/09/2020
Navigate Mandatory Medicaid Number Requirement	12/04/2020
Navigate 2021 Prior Authorization List Reminder	12/01/2020
Navigate Opioid Treatment Program Reimbursement – This notification has been revised. See notification dated 02/26/2021.	12/01/2020
Navigate Policy Updates December 2020	12/01/2020
Navigate Definitive Urine Drug Testing Billing Update	11/30/2020
Navigate ACT/IHBT Disenrollment Expectations	11/17/2020
Navigate Policy Updates November 2020	11/01/2020
Navigate Quarter 3 Provider Portal Updates	10/28/2020
Navigate Importance of the Flu Vaccination	10/21/2020
Navigate Updates to MA/D-SNP, MyCare Prior Authorization List	10/16/2020
Navigate Custodial Care Place of Service Billing	10/06/2020
Navigate Group Billing Guidance	10/06/2020
Navigate 2020 Quarter 2 Provider Portal Updates	10/05/2020
Navigate National Provider Identifier Requirement Reminder – UPDATE	09/28/2020
Navigate Claim Payment Advice (835) Enhancements	09/23/2020
Navigate Emergency BH Hospitalization Initial Medical Necessity Reviews	09/22/2020
Navigate Home Health Value Code Requirement	09/16/2020
Navigate Hospice Claim Modifier Requirement	09/11/2020
Navigate Appeal and Payment Dispute Timely Filing Deadline	09/10/2020
Navigate Claim Remittance Delay	09/03/2020
Navigate Enhanced Claim Editing Implementation	09/01/2020
Navigate Policy Updates September 2020	09/01/2020
Navigate Transition of Care Update	08/17/2020
Navigate Care Plan Disruption on Provider Portal	08/06/2020
Navigate 2020 Global Quality Enhancer Program	07/31/2020
Navigate National Provider Identifier Requirement – This notification has been revised. See notification dated 09/28/2020.	07/28/2020
Navigate Enhancements to Prior Authorizations on Provider Portal – UPDATE	07/27/2020
Navigate Opioid Treatment Program Nasal Narcan Billing Guidance	07/24/2020
Navigate Durable Medical Equipment Billing Resource Tool	07/23/2020
Navigate Provider Directory Information Attestation	07/22/2020
Navigate Transition to Guiding Care Announcement	07/22/2020
Navigate Opioid Treatment Program Reimbursement Update – UPDATE	07/16/2020
Navigate Risk Adjustment Coding Education	07/15/2020
Navigate CBHC Maximum Units Claim Denials	07/13/2020
Navigate Waiver Claims and ICD-10 Coding	07/13/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers	06/25/2020
Navigate Adult Day Services Code Change	06/23/2020
Navigate Feedback Requested: SNF Provider Summit Ideas	06/22/2020
Navigate Provider Portal Claims Submittal Enhancement	06/15/2020
Navigate Policy Updates June 2020	06/01/2020
Navigate Accurate ICD-10 Coding	05/26/2020
Navigate Holiday Claim Remittance Delays	05/19/2020
Navigate DME Code Edits	05/15/2020
Navigate Diabetes Self-Management Training	05/15/2020
Navigate Policy Updates May 2020	05/01/2020
Navigate Provider Portal Claims Quick Start Guide – UPDATE	04/29/2020
Navigate Substance Use Disorder Residential Claim Denials	04/20/2020
Navigate Designation of Availity as Exclusive EDI Gateway	04/15/2020
Navigate Correct Payer ID for Claims Submissions	04/06/2020
Navigate Recent Provider Portal Updates	03/30/2020
Navigate FQHC and RHC Provider Billing Reminder	03/27/2020
Navigate Model of Care Training Requirements – UPDATE	03/27/2020
Navigate Therapy Provider Credentialing Change	03/24/2020
Navigate Issue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments	03/13/2020
Navigate Provider Portal Quick Start Guide – This notification has been revised. See notification dated 04/29/2020.	03/11/2020
Navigate National Provider Identifier Requirement	03/11/2020
Navigate Consent Forms Reminder	03/05/2020
Navigate Access and Availability Standards	03/02/2020
Navigate Policy Updates March 2020	03/01/2020
Navigate FQHC Use of Uniform Billing Form UB-04	02/19/2020
Navigate Annual Notice of Requirements	02/19/2020
Navigate Patient-Driven Groupings Model Implementation	02/19/2020
Navigate Prenatal Risk Assessment Forms	02/19/2020
Navigate Electronic Visit Verification Correction	02/18/2020
Navigate Instructions on Attaching Medical Records in Provider Portal	02/07/2020
Navigate Avastin Claims Denied Incorrectly	02/07/2020
Navigate EAPG Claims Status	01/29/2020
Navigate Provider Model of Care Training – This notification has been revised. See notification dated 03/27/2020.	01/29/2020
Navigate Opioid Treatment Program Reimbursement – This notification has been revised. See notification dated 07/16/2020.	01/28/2020
Navigate Recent Provider Portal Updates	01/28/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/23	01/27/2020
Navigate Payment for Laboratory Services Furnished by FQHCs or RHCs	01/21/2020
Navigate Inpatient Facility Claims Guidelines	01/20/2020
Navigate Policy Updates January 2020 – UPDATE	01/20/2020
Navigate Provider Payment Migration Complete	01/13/2020
Navigate High Dollar Claims Cover Sheet – UPDATE	01/07/2020

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