Past 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:

  • 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.

2022Date
Navigate Multi-Language Insert Requirement12/08/2022
Navigate Policy Updates December 202212/01/2022
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE11/30/2022
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 ReimbursementUPDATE02/26/2021
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
2020Date
Navigate Dual-Eligibility Billing Reminder12/31/2020
Navigate UPDATE - Prior Authorization Requirements12/31/2020
Navigate Introducing New Prior Authorization Procedure Code Look-Up Tool12/17/2020
Navigate SolarWinds Cyberattack12/16/2020
Navigate Register With Dental Partner DentaQuest - Reminder12/14/2020
Navigate Nursing Facility Assessment Tool12/09/2020
Navigate 2021 Prior Authorization List Reminder12/01/2020
Navigate Opioid Treatment Program ReimbursementThis notification has been revised. See notification dated 02/26/2021.12/01/2020
Navigate Policy Updates December 202012/01/2020
Navigate Register with CareSource’s Payment Partner ECHO Health11/23/2020
Navigate Policy Updates November 202011/01/2020
Navigate Quarter 3 Provider Portal Updates10/28/2020
Navigate Updates to MA/D-SNP, MyCare Prior Authorization List10/16/2020
Navigate 2020 Quarter 2 Provider Portal Updates10/05/2020
Navigate Claim Payment Advice (835) Enhancements09/23/2020
Navigate Home Health Value Code Requirement09/16/2020
Navigate DentaQuest to Administer Dental Services for MA/D-SNP Member09/16/2020
Navigate Hospice Claim Modifier Requirement09/11/2020
Navigate Appeal and Payment Dispute Timely Filing Deadline09/10/2020
Navigate Claim Remittance Delay09/03/2020
Navigate Enhanced Claim Editing Implementation09/01/2020
Navigate 2020 Global Quality Enhancer Program07/31/2020
Navigate Durable Medical Equipment Billing Resource Tool07/23/2020
Navigate Provider Directory Information Attestation07/22/2020
Navigate Opioid Treatment Program Reimbursement UpdateUPDATE07/16/2020
Navigate Risk Adjustment Coding Education07/15/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers06/25/2020
Navigate Feedback Requested: SNF Provider Summit Ideas06/22/2020
Navigate Provider Portal Claims Submittal Enhancement06/15/2020
Navigate Accurate ICD-10 Coding05/26/2020
Navigate Holiday Claim Remittance Delays05/19/2020
Navigate Provider Portal Claims Quick Start GuideUPDATE04/29/2020
Navigate Designation of Availity as Exclusive EDI Gateway04/15/2020
Navigate Correct Payer ID for Claims Submissions04/06/2020
Navigate Recent Provider Portal Updates03/30/2020
Navigate FQHC and RHC Provider Billing Reminder03/27/2020
Navigate Model of Care Training Requirements – UPDATE03/27/2020
Navigate Issue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments03/13/2020
Navigate Provider Portal Quick Start GuideThis notification has been revised. See notification dated 04/29/2020.03/11/2020
Navigate Consent Forms Reminder03/05/2020
Navigate FQHC Use of Uniform Billing Form UB-04 – UPDATE03/03/2020
Navigate Access and Availability Standards03/02/2020
Navigate Policy Updates March 202003/01/2020
Navigate FQHC Use of Uniform Billing Form UB-04This notification has been revised. See notification dated 03/03/2020.02/19/2020
Navigate Annual Notice of Requirements02/19/2020
Navigate Patient-Driven Groupings Model Implementation02/19/2020
Navigate Instructions on Attaching Medical Records in Provider Portal02/07/2020
Navigate Provider Model of Care TrainingThis notification has been revised. See notification dated 03/27/2020.01/29/2020
Navigate Opioid Treatment Program ReimbursementThis notification has been revised. See notification dated 07/16/2020.01/28/2020
Navigate Recent Provider Portal Updates01/28/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/2301/27/2020
Navigate EAPG Claims Status01/22/2020
Navigate Inpatient Facility Claims Guidelines01/20/2020
Navigate Provider Payment Migration Complete01/13/2020
2019Date
Navigate Register with New Payment Partner ECHO Health by December 13Deadline Extended Again!12/02/2019
Navigate Policy Updates December 201912/01/2019
Navigate Holiday Claim Remittance Delay11/26/2019
Navigate ICD-10 Code Update11/26/2019
Navigate Flu Vaccine Initiative11/13/2019
Navigate Policy Updates November 201911/01/2019
Navigate Dual-Eligibility Billing Reminder10/31/2019
Navigate Out of Network Hospice Providers Reminder10/23/2019
Navigate Policy Updates October 201910/01/2019
Navigate Register with New Payment Partner ECHO Health by December 1This notification has been revised. See notification dated 12/02/201909/25/2019
Navigate Recent Provider Portal Updates – UPDATED 10/309/23/2019
Navigate Notice of CareSource Advantage Plus Plan Cancellation09/17/2019
Navigate Patient-Driven Payment Model Reminder09/13/2019
Navigate Consent Form Upload Enhancement to the Provider PortalUPDATE09/05/2019
Navigate Enhancements to Prior Authorization on Provider PortalThis notification has been revised. See notification dated 07/27/2020.09/05/2019
Navigate September 2019 Policy Updates09/01/2019
Navigate Issue with Denials for Physical Therapy (PT) Units08/23/2019
Navigate Issues with Outpatient Claim Denials Due to Authorizations Expiring08/23/2019
Navigate 2019-2020 Ohio Provider Manual Now Available08/06/2019
Navigate Policy Updates August 201908/01/2019
Navigate Register with New Payment Partner ECHO Health by October 25This notification has been revised. See notification dated 09/25/201907/26/2019
Navigate Duplicate Modifier on the Claim Service Line07/17/2019
Navigate Post-Payment Audit Update07/12/2019
Navigate Provider Dispute Process07/05/2019
Navigate Policy Updates July 201907/01/2019
Navigate Multi-Factor Authentication Scheduled for SKYGEN CWP06/21/2019
Navigate Prior Authorization Enhancements for Observation Stays06/13/2019
Navigate Inpatient Hospital Pre-payment Claims Reviews - Revised 6/6/201906/03/2019
Navigate Policy Updates June 201905/31/2019
Navigate Tips to Improve Pediatric CAHPS Ratings05/29/2019
Navigate End-Stage Renal Disease (ESRD) Claims and Value Code D505/29/2019
Navigate Designating a Supervising Provider Using Paper Claims05/17/2109
Navigate Upgrades to AHS Consent Form on the Provider Portal05/13/2019
Navigate Claim Appeals Initial Determination for Payment05/06/2019
Navigate Access Standards Update05/06/2019
Navigate Policy Updates May 201905/01/2019
Navigate Policy Updates April 201904/01/2019
Navigate Enhancements to Delivery and Newborn Notifications – UPDATE03/28/2019
Navigate Provider Portal Survey03/07/2019
Navigate Policy Updates May 201903/01/2019
Navigate High Dollar Claims – This notification has been revised. See notification dated 01/07/202002/19/2019
Navigate Behavioral Health Claim Issue Identified - UPDATE02/19/2019
Navigate Place of Service Code for Claim Submissions02/14/2019
Navigate Revenue Code 0636 Denials Update02/13/2019
Navigate National Drug Code (NDC) with J1050 Denials Update02/08/2019
Navigate Enhancements to Delivery and Newborn Notifications02/01/2019
Navigate Hepatitis A Prevention01/29/2019
Navigate Policy Updates March 201901/24/2019
Navigate Diagnosis Related Group (DRG) Validation Audits01/21/2019
Navigate Issues with Mammogram Benefit Limits01/14/2019
2018Date
Navigate Claim Denial Issue - Error Code X9412/27/2018
Navigate Behavioral Health Claim Issue Identified12/18/2018
Navigate Issues with Claim Denying for National Drug Code (NDC)12/14/2018
Navigate Remittance Delay for Wednesday, December 5, 2018 Payment Cycle12/07/2018
Navigate Policy Updates January 201911/01/2018
Navigate Code Advisor Network Notification10/23/2018
Navigate Duplicate Claim Processing Update09/01/2018
Navigate Policy Updates November 201808/28/2018
Navigate Well Child Care08/27/2018
Navigate Consent to Share Sensitive Health Information08/08/2018
Navigate Clarification of Indiana Network Closure Communication07/30/2018
Navigate Increasing Claim Payment Processing FrequencyUPDATE07/27/2018
Navigate Policy Updates October 201807/27/2018
Navigate Increase Frequency in Claim Payment Processing07/03/2018
Navigate New Address for Refund Checks07/03/2018
Navigate CareSource Secure Email Portal Security Enhancements05/17/2018
Navigate Policy Updates July 201804/19/2018
Navigate Update to Provider Billing Address Requirements on Claims04/03/2018
Navigate Update to Drug Testing PolicyUPDATE03/12/2018
Navigate Policy Updates May 201802/28/2018
Navigate Diabetes Retinal Eye Exam01/25/2018
Navigate New Approach to Educate and Reduce Evaluation and Management Billing Errors01/08/2018
2017Date
Navigate March 2018 Policy Release12/28/2017
Navigate Update on Drug Testing Reimbursement Policy – UPDATE12/01/2017
Navigate Notice of Change to Cardiac Services Prior Authorization Requirements11/17/2017
Navigate December 2017 Policy Release11/01/2017
Navigate November 2017 Policy Release09/28/2017
Navigate Drug Screening Reimbursement Policy – This notification has been revised. See notification dated 12/01/2017.08/30/2017
Navigate Announcing Enforcement of Enhanced Ambulatory Patient Groups Billing Guidelines  –UPDATE 07/27/2017
Navigate September 2017 Policy Releases 07/27/2017
Navigate Participation in CMS and HHS Quality Improvement Initiatives06/16/2017
Navigate PY-0108, PY-0109 Telemedicine-Telehealth Payment Policy05/04/2017
Navigate Screening and Surveillance for Colorectal Cancer04/18/2017
Navigate MM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
Navigate PY-0142 Three-Day Window Payment Policy04/11/2017
Navigate Cite AutoAuth – Inpatient PA Requests04/03/2017
Navigate PY-0226, PY-0227, PY-0228 Vitamin D Assay Testing Payment Policy03/31/2017
Navigate PY-0222, PY-0223, PY-0224 Thyroid Testing Payment Policy03/31/2017
Navigate PY-0181, PY-0185, PY-0187 Transthoracic Echocardiogram Payment Policy03/31/2017
Navigate PY-0169, PY-0174, PY-0173 Sleep Studies Payment Policy03/31/2017
Navigate PY-0163, PY-0167, PY-0168 Non-Invasive Vascular Studies Payment Policy03/31/2017

2022Date
Navigate Multi-Language Insert Requirement12/08/2022
Navigate Policy Updates December 202212/01/2022
Navigate Face-to-Face Visit Encounter Requirement11/21/2022
Navigate Provider Alternative Format Request11/10/2022
Navigate Prior Authorization Updates11/11/2022
Navigate 2022 Fourth Quarter Friday Forum11/07/2022
Navigate Updated Prior Authorization List11/1/2022
Navigate Policy Updates November 202211/1/2022
Navigate Indiana Pregnancy Promise Program10/24/2022
Navigate Policy Updates October 202210/01/2022
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 Billing Update Re: Multiple Outpatient Claims08/17/2022
Navigate Save the Date: Third Quarter Friday Forum07/20/2022
Navigate Policy Updates July 202207/01/2022
Navigate Introducing Teladoc, CareSource's New Telehealth Partner06/09/2022
Navigate Upload Claim Submissions Seamlessly in Provider Portal06/01/2022
Navigate Policy Updates June 202206/01/2022
Navigate Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal05/06/2022
Navigate Billing Updates: Chiropractic Unbundling04/26/2022
Navigate First Quarter Friday Forum Invitation04/15/2022
Navigate Quality Patient Experience Guide (CAHPS resource)03/28/2022
Navigate Billing Updates: EDCf Evaluation & Management Policy03/25/2022
Navigate Retro Authorization Submission Guidelines03/15/2022
Navigate Policy Updates March 202203/01/2022 
Navigate Provider Portal Account Linking Enhancement02/21/2022
Navigate Prior Authorization Requirement Updates01/14/2022
Navigate Correct Coding Claims Update01/11/2022
Navigate Policy Updates January 202201/01/2022