Updates & Announcements

Earn rewards for keeping your patients healthy!

Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help to keep CareSource members healthy. To support you, we will be rewarding you $20 for each flu shot you administer to CareSource patients in your practice!

FIND OUT MORE

Quick References

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.

Please note: The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

General Updates

2025Date
Navigate Next Generation MyCare Ohio Eligibility Confirmation Guidance12/30/2025
Navigate Transition of DentaQuest and SkyGen to Delta Dental – UPDATE12/29/2025
Navigate Urgent Medical Device Correction - FreeStyle Libre 3 and FreeStyle Libre 3 Plus Sensors12/26/2025
Navigate Align Provider Network Pharmacy Termination Disclosure – This notification has been revised. See notification dated April 2, 2026.12/02/2025
Navigate Transition of DentaQuest and SkyGen to Delta Dental12/01/2025
Navigate Telehealth and Remote Patient Monitoring 12/01/2025
Navigate Electronic Remittance Advice (ERA) X12 83511/24/2025
Navigate Transition to EyeMed for Routine Vision Services11/10/2025
Navigate Important Reminder: Coordination of Benefits11/03/2025
Navigate ODM Next Generation MyCare Program Webinar10/29/2025
Navigate Claim Edits for Durable Medical Equipment10/15/2025
Navigate Next Generation MyCare Ohio Program10/15/2025
Navigate Revenue Code Billing Requirements10/15/2025
Navigate Lymphedema Compression Treatment Items Claims Editing Enhancements10/15/2025
Navigate New Claim Condition Code Requirements10/15/2025
Navigate Audaire Health Provider Portal10/01/2025
Navigate Launch of HealthPlanResources.com08/19/2025
Navigate Provider Portal Service Request Submission Notice08/14/2025
Navigate National Provider Identifier (NPI) for Ordering, Referring and Prescribing (ORP) Providers06/26/2025
Navigate Removal of Temporary Waiver for TPL for Telehealth Codes06/26/2025
Navigate Navigating EVV Claims Success: Join Our Office Hours for Claim Guidance06/26/2025
Navigate Coding Documentation Guides Available06/16/2025
Navigate Dates Announced: ODM to Roll Out EVV Claims Processing Changes in Seven Phases 06/11/2025
Navigate Policy Updates June 202506/01/2025
Navigate Provider Focus Group Invite05/19/2025
Navigate Level of Care and Prior Authorization Requirements for Medicaid Covered Nursing Facility (NF) Stays – UPDATE05/05/2025
Navigate Ending of At-Home COVID-19 Test Kit Coverage05/01/2025
Navigate Level of Care and Prior Authorization Requirements for Medicaid Covered Nursing Facility (NF) Stays04/25/2025
Navigate Temporary Waiver of Prior Authorization Requirements for Nursing Home Admissions from Hospital No Longer in Effect04/25/2025
Navigate Serious Illness Support Program for Eligible CareSource MyCare Ohio Medicare and Medicaid Enrolled Members04/17/2025
Navigate Corrected Claim Submission Requirements04/11/2025
Navigate Prothesis and Orthosis Claims Editing Logic04/10/2025
Navigate 2025 Q2 CareSource Live Provider Education and Training Series04/02/2025
Navigate Policy Updates April 202504/01/2025
Navigate Avalon Policy Updates - Q4 202404/01/2025
Navigate Use of CPT Code 0792T, Application of Silver Diamine Fluoride by a Non-Dentist03/31/2025
Navigate Important Reminder: Reporting Practice Changes to CareSource03/26/2025
Navigate It's Patient Experience Survey Season03/14/2025
Navigate Hearing Aid Coverage – Ohio House Bill 31503/10/2025
Navigate Provider Connections - Ohio03/06/2025
Navigate Ohio Next Generation Program Update Webinar03/04/2025
Navigate Policy Updates March 202503/01/2025
Navigate Update to Serious Illness Supportive Care Program02/26/2025
Navigate Temporary Waiver of Prior Authorization Requirements for Nursing Home Admissions from Hospital02/24/2025
Navigate 2025 Q1/Q2 Home Health Provider CareSource Townhall02/21/2025
Navigate Medical Record Reviews02/19/2025
Navigate 2025 Q2 CareSource Townhall02/18/2025
Navigate Dates Announced: ODM to Roll Out EVV Claims Processing Changes in Seven Phases02/18/2025
Navigate Patient Liability Claims Notification – UPDATED ON 04/03/202602/07/2025
Navigate Policy Updates February 202502/01/2025
Navigate Avalon Q3 Policy Update - February 202502/01/2025
Navigate Home Modification Sourcing Tool Home Modification Sourcing Tool02/01/2025
Navigate MyCare Opt-In Terminations Received by CMS01/28/2025
Navigate Patient Liability Notification01/16/2025
Navigate Provider Network Management Provider Directory Information01/06/2025
Navigate Updating Demographics01/01/2025
Navigate CMS Notice of Medicare Non-Coverage (NOMNC) Model Document Updates for Medicare Advantage Enrollees01/01/2025
Navigate Prior Authorization Requirement Update01/01/2025