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.

2017Date
NavigateMarch 2018 Policy Release12/28/2017
NavigateUpdate on Drug Testing Reimbursement Policy – UPDATE12/01/2017
NavigateNotice of Change to Cardiac Services Prior Authorization Requirements11/17/2017
NavigateEnhanced Ambulatory Patient Groups (EAPG) Billing Methodology Supersedes CareSource Payment Policies11/07/2017
NavigateDeactivation of MyCare Mailbox10/11/2017
NavigateUpdate Regarding Enhanced Ambulatory Patient Group (EAPG) Billing Payment Methodology10/10/2017
NavigateClinical Appeals Require Member Consent09/22/2017
NavigateModel of Care Training Required09/21/2017
NavigateUpdate on Processing Claims for Enhanced Ambulatory Patient GroupsUPDATE09/01/2017
NavigateDrug Screening Reimbursement Policy – This notification has been revised. See notification dated 12/01/2017.08/30/2017
NavigateNotice of Medicare Non-Coverage (NOMNC)08/28/2017
NavigateLift Chair Coverage and Prior Authorization08/28/2017
NavigateService Plan Letters08/21/2017
NavigateSubmitting Claims for T1019 Personal Care08/21/2017
NavigatePassport vs. Medicaid Payment Structure07/31/2017
NavigateAnnouncing Enforcement of Enhanced Ambulatory Patient Groups Billing Guidelines – This notification has been revised. See notification dated 09/01/2017.07/27/2017
NavigateBehavioral Health Respite Care Services for Children07/17/2017
NavigateChanges to the Home Modification Process07/17/2017
NavigateValidation of Service Narrative07/17/2017
New Service for Waiver Members – This notification has been canceled and removed 7/11/2017.06/29/2017
NavigateSummer Waiver Provider Forums06/23/2017
NavigateRetro Prior Authorizations05/31/2017
NavigateService Plan Enhancements05/30/2017
NavigateScreening and Surveillance for Colorectal Cancer04/18/2017
NavigateMM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
NavigatePY-0142 Three-Day Window Payment Policy04/11/2017
NavigateCite AutoAuth – Inpatient PA Requests04/03/2017
NavigatePY-0226, PY-0227, PY-0228 Vitamin D Assay Testing Payment Policy03/31/2017
NavigatePY-0222, PY-0223, PY-0224 Thyroid Testing Payment Policy03/31/2017
NavigatePY-0181, PY-0185, PY-0187 Transthoracic Echocardiogram Payment Policy03/31/2017
NavigatePY-0169, PY-0174, PY-0173 Sleep Studies Payment Policy03/31/2017
NavigatePY-0163, PY-0167, PY-0168 Non-Invasive Vascular Studies Payment Policy03/31/2017
NavigateFrequently Asked Questions (FAQ) for Long Term Care Nursing Facilities02/17/2017
NavigateProvider Portal Attestation Enhancements02/08/2017
Navigate2016 MyCare Bad Debt Reconciliation02/08/2017
NavigateService Rate Changes01/24/2017
NavigateNew Attestation for Claim Submission for Waiver Health Partners01/23/2017
2016Date
Posted
NavigateProvider Portal Training / Learn about Prior Authorization Changes12/22/2016
NavigateAddition of Prior Authorization for Part B Therapy12/07/2016
NavigateQuick Reference Guide for Non-Participating Health Partners – UPDATE11/02/2016
NavigateHome Health Services: New Regulatory Requirements for Retired/ New Codes10/26/2016
NavigateBilling for Waiver Services10/13/2016
NavigateOhio Revised Code 5165.38 - Provider Agreement Terminations10/07/2016
NavigatePayment Policy for Independent Providers09/27/2016
NavigateCite AutoAuth Expansion for Inpatient Authorizations08/23/2016
NavigateUpdated EPSDT Claim Acceptance Criteria07/28/2016
NavigateSuspension of EPSDT Claim Submission Criteria07/22/2016
NavigateNotice of Medical Documentation Requirement for Claim Modifiers06/14/2016
NavigateSpring 2016 Health Partner Education Forums04/22/2016
NavigateVision Benefit Change04/05/2016
NavigateClaims Submission for Waiver Services Made Easier04/05/2016
NavigateUpdate on Appropriate Use of G Codes03/31/2016
NavigatePatient Liability Reconciliation Spreadsheets03/25/2016
NavigateCurbing Opioid Overdose with Naloxone – UPDATE03/14/2016
NavigatePaper Claims Processing: Rendering and Billing NPI Requirements03/07/2016
NavigateUpdate on Billing Guidelines for Healthchek (EPSDT) Claims02/26/2016
NavigateDeadline Extended for Healthchek (EPSDT) Claims Processing Guidelines02/24/2016
NavigateClarification on the CareSource Transportation Benefit02/24/2016
Navigate2015/2016 MyCare Ohio Opt-In Coinsurance for SNF Claims02/04/2016
NavigateAdditional Dental Handbook Updates for 201602/03/2016
NavigateRate Calculations for Claims in Excess of 40 Hours in a Week01/25/2016
NavigateChange in Behavioral Health Clinical Guidelines01/20/2016
New Facility Code Edits for Claims – This notification has been canceled and removed 3/3/2016.01/07/2016
2015Date
Posted
NavigateHealthchek (EPSDT) Claims Processing Guidelines12/31/2015
NavigateMyCare Coordination of Benefits (COB) Change12/18/2015
NavigateDental Handbook Updates for 201612/01/2015
NavigateHealth Partner Network Notification11/17/2015
NavigateICD-10 Qualifiers11/12/2015
NavigateCurbing Opioid Overdose with Naloxone – See notification dated 3/14/2016.11/03/2015
NavigateImproved Provider Directory! Your help is needed!10/29/2015
NavigateQuick Reference Guide for Non-Participating Providers – This notification has been revised. See notification dated 11/2/2016.10/27/2015
NavigateCredentialing Process10/19/2015
NavigateICD-10 Coding Guidelines Available from CMS09/16/2015
NavigateGetting Ready for ICD-1009/09/2015
NavigateNew Facility Code Edits for Claims09/03/2015
NavigateCMS Posts ICD-10-CM and PCS Code Lists08/13/2015
NavigateCMS and AMA Issue FAQs to Clarify ICD-10 Preparation Guidance08/06/2015
NavigateNotification of Nurse & Aide Service Rate Modernization Changes08/03/2015
NavigateHealthcare Clinic at Select Walgreens Now Accepting CareSource Members07/28/2015
NavigateNew Requirements for Corrected Claims Submissions Effective August 20, 201507/22/2015
NavigateCMS Creates Countdown Video, Infographic to Ease ICD-10 Transition07/22/2015
NavigateHome Health and Hospice ICD-10 Coding Training Opportunity07/15/2015
NavigateCMS and AMA Partner on ICD-10 Preparations07/10/2015
NavigateCMS Case Studies Available to Explore ICD-10 Concepts06/11/2015
NavigateCareSource Webinar, CMS Videos and Call Available for ICD-10 Prep06/04/2015
NavigateSubmit Claims Online Through Provider Portal06/01/2015
NavigateODM offers ICD-10 Coding Practice Opportunity05/21/2015
NavigateICD-10 Readiness Assessment05/14/2015
NavigateSummary of MyCare Ohio Services Requiring Prior Authorization05/12/2015
NavigateRevised Clinical Supporting Documentation Policy05/06/2015
NavigateRoad to 10 Resource for ICD-10 Implementation04/30/2015
NavigateTransition of Care (TOC) for MyCare Extended for Community Mental Health Centers (CMHCs)04/23/2015
NavigatePrior Authorization for Pain Management and CPAPs04/08/2015
NavigatePrimary Care Rate Increase (PCRI) Ending04/08/2015
NavigateICD-10 Webinars Scheduled04/06/2015
NavigateICD-10 Transition Tips03/30/2015
NavigateUpdated Health Partner Dental Handbook Now Online03/03/2015
Navigate2015 Ohio Provider Manual Now Available02/23/2015
NavigateOffice of Health Transformation Payment Innovation02/20/2015
NavigateEDI Submission of Corrected Claims02/16/2015
NavigateElectronic Submission of Coordination of Benefits (COB) Claims02/12/2015
NavigateMyCare Coordination of Benefits (COB) Change for Specific Provider Types02/06/2015
NavigateMyCare Explanation of Payment (EOP) Correction01/30/2015
NavigateCareSource Dental Provider Updates01/23/2015
NavigateMyCare Bad Debt Reports01/15/2015