Past Updates & Announcements

2019Date
NavigateGuidelines for Properly Reporting Billing Provider Address12/26/2019
NavigatePharmacy Network Change (Walgreens)12/11/2019
NavigateClaim Coding EditsThis notification has been revised. See notification dated 05/15/2020.12/04/2019
NavigateRegister with New Payment Partner ECHO Health by December 13Deadline Extended Again!12/02/2019
NavigatePolicy Updates December 201912/01/2019
NavigateHoliday Claim Remittance Delay11/26/2019
NavigateICD-10 Code Update11/26/2019
NavigateNew Primary Care Provider (PCP) Change Request Form11/14/2019
NavigateDelay in Claim Payments11/13/2019
NavigateImportant Provider Billing Address Reminder11/05/2019
NavigatePolicy Updates November 201911/01/2019
NavigateOhio Medicaid Unified PDL Announcement11/01/2019
NavigateDual-Eligibility Billing Reminder10/31/2019
NavigatePolicy Updates October 201910/01/2019
NavigateRegister with New Payment Partner ECHO Health by December 1This notification has been revised. See notification dated 12/02/201909/25/2019
NavigateRecent Provider Portal Updates – UPDATED 10/309/23/2019
NavigateNational Provider Identifier for Ordering, Referring, and Prescribing Providers09/10/2019
NavigateImportant Inpatient Covered Days Billing Reminder09/10/2019
NavigateConsent Form Upload Enhancement to the Provider PortalUPDATE09/05/2019
NavigateEnhancements to Prior Authorization on Provider PortalThis notification has been revised. See notification dated 07/27/2020.09/05/2019
NavigateSeptember 2019 Policy Updates09/01/2019
NavigateSUD Partial Hospital Program (PHP)08/27/2019
NavigateDurable Medical Equipment (DME) Recoveries08/26/2019
NavigateWound Vac (A7000) Requiring Authorization in Error08/23/2019
NavigateIssue with Denials for Physical Therapy (PT) Units08/23/2019
NavigateIssues with Outpatient Claim Denials Due to Authorizations Expiring08/23/2019
NavigateProvider Dispute ProcessUPDATE08/16/2019
NavigatePolicy Update August 201908/15/2019
NavigateCommunity Behavioral Health Claim Issue Trends and Guidance08/14/2019
NavigateElectronic Visit Verification Update08/09/2019
NavigateSUD Residential Treatment Policy Update08/09/2019
Navigate2019-2020 Ohio Provider Manual Now Available08/06/2019
NavigatePolicy Updates August 201908/01/2019
NavigateRegister with New Payment Partner ECHO Health by October 25This notification has been revised. See notification dated 09/25/201907/26/2019
NavigateReminder – Authorization Requirements for Ancillary Providers07/22/2019
NavigateCoordination of Benefits (COB) Reminder07/22/2019
NavigateDuplicate Modifier on the Claim Service Line07/17/2019
NavigatePost-Payment Audit Update07/12/2019
NavigateProvider Dispute Process – This notification has been revised. See notification dated 08/16/201907/05/2019
NavigatePolicy Updates July 201907/01/2019
NavigateMulti-Factor Authentication Scheduled for SKYGEN CWP06/21/2019
NavigatePolicy Updates June 201906/17/2019
NavigateDental Code D9230 Payment Policy Update06/14/2019
NavigateDental Sedation Codes Payment Policy Reminder06/14/2019
NavigateNon-Covered Dental Service Code Payment Policy Reminder06/14/2019
NavigatePrior Authorization Enhancements for Observation Stays06/13/2019
Navigate2019 Dental Procedure Code Updates06/10/2019
NavigateElectronic Visit Verification Training Update06/10/2019
NavigateInpatient Hospital Pre-payment Claims Reviews - Revised 6/6/201906/03/2019
NavigatePolicy Updates June 201905/31/2019
NavigateTips to Improve Pediatric CAHPS Ratings05/29/2019
NavigateEnd-Stage Renal Disease (ESRD) Claims and Value Code D505/29/2019
NavigateCommunity Behavioral Health Claim Issue Trends and Guidance05/28/2019
NavigateDesignating a Supervising Provider Using Paper Claims05/17/2019
NavigateUpgrades to AHS Consent Form on the Provider Portal05/13/2019
NavigateHigh Cost Radiology Services/NIA Authorization Denial for Hospitals 05/06/2019
NavigateElectronic Visit Verification Training Update05/06/2019
NavigateAccess Standards Update05/06/2019
NavigatePolicy Updates May 201905/01/2019
NavigateNew Policy Updates  April 201904/12/2019
NavigateStatewide Hepatitis A Outbreak Information04/12/2019
NavigateApplied Behavior Analysis Rates and Pricing04/04/2019
NavigatePolicy Updates April 201904/01/2019
NavigateEnhancements to Delivery and Newborn Notifications – UPDATE03/28/2019
NavigateApplied Behavioral Analysis (ABA) Billing and Coding03/27/2019
NavigateInterventions to Prevent Perinatal Depression03/13/2019
NavigateElectronic Visit Verification Training Update03/12/2019
NavigateProvider Portal Survey03/07/2019
NavigatePolicy Updates May 201903/01/2019
NavigateHigh Dollar Claims – This notification has been revised. See notification dated 01/07/202002/19/2019
NavigateBehavioral Health Claim Issue Identified - UPDATE02/19/2019
NavigatePlace of Service Code for Claim Submissions02/14/2019
NavigateRevenue Code 0636 Denials Update02/13/2019
NavigateNational Drug Code (NDC) with J1050 Denials Update02/08/2019
NavigateEnhancements to Delivery and Newborn Notifications 02/01/2019
NavigateHepatitis A Prevention01/29/2019
NavigateDiagnosis Related Group (DRG) Validation Audits01/21/2019
NavigateRequest Interpreter Services Online01/21/2019
NavigateIssues with Mammogram Benefit Limits01/14/2019
2018Date
NavigatePolicy Update March 201912/31/2018
NavigateClaim Denial Issue - Error Code X9412/27/2018
NavigateNotice of Changes to Retro Prior Authorization Timeframe Requirements12/26/2018
NavigateBehavioral Health Claim Issue Identified12/18/2018
NavigateIssues with Claim Denying for National Drug Code (NDC)12/14/2018
NavigateRemittance Delay for Wednesday, December 5, 2018 Payment Cycle12/07/2018
NavigatePolicy Updates January 201911/30/2018
NavigateElectronic Visit Verification Reminder11/14/2018
NavigatePolicy Updates January 201911/01/2018
NavigateUpdated Prior Authorization Requirements for Home Care Services11/01/2018
NavigateCode Advisor Network Notification10/23/2018
NavigateElectronic Provider Appeals Required10/02/2018
 NavigatePolicy Updates December 201810/01/2018
NavigateAmbulance Overpayments and Incorrect Payments Recovery09/27/2018
NavigateQ3 2018 Payment Update09/27/2018
NavigateDME Overpayments and Incorrect Payments Recovery Notice09/27/2018
NavigateHome Health Overpayments and Incorrect Payments Recovery Notice09/27/2018
NavigatePhysician Assistant Overpayments and Incorrect Payments Recovery Notice09/27/2018
NavigateDuplicate Claim Processing Update09/01/2018
NavigateClarification on CareSource Medicaid Vision Benefit – UPDATE08/30/2018
NavigatePolicy Updates November 201808/28/2018
NavigateWell-Child Care08/27/2018
NavigateODM Medicaid Number Requirement08/27/2018
NavigateSignatures No Longer Needed for Medicaid Addendum Attachments for Provider Maintenance Updates08/21/2018
NavigateConsent to Share Sensitive Health Information08/08/2018
NavigateArchive Global Obstetrical Services Policy08/01/2018
NavigateClarification of Indiana Network Closure Communication07/30/2018
NavigateIncreasing Claim Payment Processing Frequency – UPDATE07/27/2018
NavigatePolicy Updates October 201807/27/2018
NavigateAdditional Update on CareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 08/30/2018.07/24/2018
NavigateTrading Partners Administrative Policy07/20/2018
NavigateInventory Reduction Progress and Issue Reporting07/10/2018
NavigateIncreasing Claim Payment Processing Frequency07/03/2018
NavigateNew Address for Refund Checks07/03/2018
NavigatePolicy Updates September 201806/29/2018
NavigateNew Requirement to Report Individual NPIs in Rendering Fields of AHCC, FQHC, FBC, OHF and RHC Claims06/19/2018
NavigateNotification of Claim Adjustments for Certain Edit Codes06/13/2018
NavigatePolicy Updates August 201806/12/2018
NavigateDurable Medical Equipment (DME) Update06/08/2018
NavigateBreast Imaging Reimbursement Policy06/05/2018
NavigateTips to Prevent Payment Delays06/01/2018
NavigateCommunity Behavioral Health Centers (CBHC) Provider Orientation05/31/2018
NavigateCareSource Secure Email Portal Security Enhancements05/17/2018
NavigatePolicy Updates July 201804/19/2018
NavigateUpdate on CareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 07/24/2018.04/18/2018
NavigateCare Coordination Codes Reminder04/16/2018
NavigateUpdate to Provider Billing Address Requirements on Claims04/03/2018
NavigatePolicy Updates June 201803/30/2018
Navigate2018 Dental Procedure Code Updates – UPDATE 03/28/2018
NavigateUpdate to Drug Testing PolicyUPDATE03/12/2018
NavigatePolicy Updates May 201802/28/2018
NavigatePY-0436 Sexually Transmitted Infections02/27/2018
Navigate2018 Dental Procedure Code UpdatesThis notification has been revised. See notification dated 03/28/2018.02/01/2018
NavigateCareSource No Longer Accepting 77057 Claim Code for Mammography Services01/26/2018
NavigateDiabetes Retinal Eye Exam01/25/2018
NavigateReminder to Include Gestational Age on Delivery Claims01/24/2018
NavigateNew Approach to Educate and Reduce Evaluation and Management Billing Errors01/08/2018
2017Date
NavigateMarch 2018 Policy Release12/28/2017
NavigateCareSource Medicaid Vision Benefit – This notification has been revised. See notification dated 04/18/201812/11/2017
NavigateUpdate on Drug Testing Reimbursement Policy – UPDATE12/01/2017
NavigateNotice of Change to Cardiac Services Prior Authorization Requirements11/17/2017
NavigateUpcoming Deadline for Submitting Ohio Medicaid Provider Number Applications11/17/2017
NavigateEnhanced Ambulatory Patient Groups (EAPG) Billing Methodology Supersedes CareSource Payment Policies11/07/2017
NavigateDecember 2017 Policy Release11/01/2017
NavigateDiagnosis Related Group Rate Changes10/24/2017
NavigateUpdate Regarding Enhanced Ambulatory Patient Group (EAPG) Billing Payment Methodology10/10/2017
NavigateNovember 2017 Policy Release09/28/2017
NavigatePY-0101 - Genetic Testing- Polymerase Chain Reaction09/22/2017
NavigateClinical Appeals Require Member Consent09/22/2017
NavigateUpdate on Processing Claims for Enhanced Ambulatory Patient Groups – UPDATE09/01/2017
NavigateDrug Screening Reimbursement Policy – This notification has been revised. See notification dated 12/01/2017.08/30/2017
NavigateUpdate on Claim Configurations for Genetic Testing - Polymerase Chain Reaction – UPDATE08/17/2017
NavigateUpdate on Claim Configurations for Genetic Testing - Polymerase Chain Reaction – This notification has been revised. See notification dated 08/17/2017.08/14/2017
NavigatePY-0020 - Drug Screening Payment Policy – This notification has been revised. See notification dated 08/30/2017. 07/31/2017
NavigateAnnouncing Enforcement of Enhanced Ambulatory Patient Groups Billing Guidelines – This notification has been revised. See notification dated 09/01/2017.07/27/2017
NavigateSeptember 2017 Policy Release07/27/2017
NavigateUpdate on Behavioral Health Denials for Code X5007/26/2017
NavigateBehavioral Health Respite Care Services for Children07/18/2017
NavigateBlood Lead Testing Recommendations07/05/2017
NavigateUpdate on Configurations for Sexually Transmitted Infections Claims06/23/2017
NavigateJuly 2017 Policy Releases05/31/2017
NavigateRetro Prior Authorizations05/31/2017
NavigatePY-0037, PY-0205 Sexually Transmitted Infections Reimbursement Policy04/19/2017
NavigateScreening and Surveillance for Colorectal Cancer04/18/2017
NavigateMM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
NavigatePY-0206 Hepatitis Panel Payment Policy04/13/2017
NavigateUpdate on Claim Configurations for Specialty Codes and Durable Medical Equipment04/13/2017
NavigatePY-0128 Three-Day Window Payment Policy04/10/2017
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
NavigatePY-0157 Glycosylated Hemoglobin A1C Payment Policy03/29/2017
NavigatePY-0001 Global Obstetrical Services Payment Policy03/29/2017
NavigatePY-0084 Telemedicine Services Payment Policy03/29/2017
NavigatePY-0004 Preferred Obstetrical Services Payment Policy03/29/2017
NavigatePY-0020 Drug Screening Payment Policy – This notification has been revised. See notification dated 08/30/2017.03/20/2017
NavigateHome Health Nursing Code Change03/15/2017
2016Date Posted
NavigateQuick Reference Guide for Non-Participating Health Partners – UPDATE11/02/2016
NavigateChange in OAC and National Medicaid Code Edits09/09/2016
NavigatePodiatry 10-Day Quantity Limit for Prescribing Opioids09/08/2016
NavigateNew Genetic Testing - Polymerase Chain Reaction Payment Policy08/25/2016
NavigateCite AutoAuth Expansion for Inpatient Authorizations08/23/2016
NavigateUpdated Sexually Transmitted Infection Policy08/19/2016
NavigateUpdated Interventional Pain Mgt Policies08/19/2016
NavigateZika Virus Benefit Summary08/19/2016
NavigateUpdated EPSDT Claim Acceptance Criteria07/28/2016
NavigateSuspension of EPSDT Claim Submission Criteria07/22/2016
Navigate10-Day Quantity Limit for Prescribing Opioids07/11/2016
NavigateNotice of Medical Documentation Requirement for Claim Modifiers06/14/2016
NavigateSpring 2016 Health Partner Education Forums04/22/2016
NavigateChange in LCD Procedure Code Edits – UPDATE04/14/2016
NavigateUpdate on Appropriate Use of G Codes03/31/2016
NavigateHome Infusion Therapy Prior Authorization Requirements, Pharmacy Criteria and Billing Guidelines03/25/2016
NavigateCurbing Opioid Overdose with NaloxoneUPDATE03/14/2016
NavigatePaper Claims Processing: Rendering and Billing NPI Requirements03/07/2016
NavigateChange in LCD Procedure Code Edits – This notification has been revised. See notification dated 04/14/2016.03/04/2016
NavigateUpdate on Billing Guidelines for Healthchek (EPSDT) Claims02/26/2016
NavigateAdditional Dental Handbook Updates for 201602/03/2016
NavigateDeadline Extended for Healthchek (EPSDT) Claims Processing Guidelines01/29/2016
NavigateChange in Behavioral Health Clinical Guidelines01/20/2016
New Facility Code Edits for Claims – This notification was canceled and removed 03/03/2016.01/07/2016
2015Date
Posted
NavigateHealthchek (EPSDT) Claims Processing Guidelines12/31/2015
NavigateMyCare Coordination of Benefits (COB) Change12/18/2015
NavigateVision Benefit Change (Transitions Lenses)12/04/2015
NavigateDental Handbook Updates for 201612/01/2015
NavigateVision Benefit Change Update11/18/2015
NavigateHealth Partner Network Notification11/17/2015
NavigateICD-10 Qualifiers11/12/2015
NavigateCurbing Opioid Overdose with NaloxoneSee notification dated 03/14/2016.11/03/2015
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 11/02/2016.10/27/2015
NavigateCredentialing Process10/19/2015
NavigateVision Benefit ChangeSee notification dated 11/18/2015.09/29/2015
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
NavigateHealthSpot Locations Open for Ohio Medicaid Members – This notification was rescinded 12/31/15.07/15/2015
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
NavigatePediatric Clinical Guideline04/15/2015
NavigateCite Auto Auth04/13/2015
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
2014Date
Posted
NavigateALERT: ICD-10 Transition Webinar12/15/2014
NavigateUPDATE – ICD-10 Training Needs and Provider Checklist11/07/2014
NavigateText4Baby Service Launches for Ohio Medicaid Members10/28/2014
NavigateMyCare Ohio Enrollment Changes10/14/2014
NavigateALERT: MITS Scheduled Downtime October 10 6PM until October 14 6AM10/08/2014
NavigateApria Terming as DME Provider10/03/2014
NavigateCareSource Advantage (HMO SNP) Non-Renewal10/01/2014
NavigateState of Ohio Clarifies FQHCs, RHCs not Eligible for PRCI09/29/2014
Navigate7 Day Follow-up After Hospitalization for Mental Illness09/19/2014
NavigateUpdate on Autism in Ohio08/20/2014
NavigatePrimary Care Rate Increase Update08/13/2014
NavigateMyCare Educational Forums08/01/2014
NavigateCoordination of Dental/Orthodontics Benefits07/18/2014
NavigateOhio Medicaid Pregnancy Test Kit Initiative07/16/2014
NavigateNew Online Interactive Health Risk Assessment for OH Medicaid and CareSource Just4Me Members07/01/2014
NavigateOH Medicaid Vision Benefit Update06/24/2014
NavigateClaims Processing: Rendering Provider NPI Requirement04/08/2014
NavigateFee Schedule Resources and Links04/08/2014
NavigateICD-10 Implementation Delayed One Year04/07/2014
NavigateReminder to Refer to Participating Providers03/19/2014
NavigateICD-10 OH Medicaid Provider Q&A03/05/2014
NavigateInfluenza CPT Coding Change02/21/2014
NavigateICD-10 Provider Readiness Assessment Survey01/30/2014
NavigateChange to DRG Payment Process01/17/2014
NavigateNew CMS-1500 Claim Form01/03/2014
2013Date
Posted
NavigateSNP Prior Authorization High Tech Radiology12/31/2013
NavigateEnhanced Primary Care Payment12/20/2013
NavigateCareSource Just4Me Resources Available on www.caresource.com12/19/2013
NavigateICD-10 OH Medicaid Provider Q&A12/13/2013
NavigateAmericans with Disabilities Act (ADA) Compliance12/12/2013
NavigateScreening, Brief Intervention, and Referral to Treatment (SBIRT)12/06/2013
NavigateNEW CareSource Provider E-Communication System11/21/2013
NavigateNew Facility Code Edits for Hospital Claims11/14/2013
NavigateQuick Reference Guide for Non-Participating Providers10/21/2013
NavigateICD-10 Training Needs and Provider Checklist10/17/2013
NavigateSynagis Prior Authorization Procedure10/02/2013
NavigateProvider Issue Resolution Process09/04/2013
NavigateFibromyalgia Medication Cost Comparison08/21/2013
NavigatePayment Policies Page Added to www.caresource.com07/31/2013
NavigateICD-10 Compliance Requirement effective October 1, 201407/12/2013
NavigateCredentialing of Physician Assistants (PAs) and Advanced Practice Nurses (APNs)07/11/2013
NavigateHealth Services Advisory Group (HSAG) Survey Calls06/24/2013
NavigateFive Things to Know About Ohio Medicaid Changes06/21/2013
NavigateSpecialty Pharmacy Network Reduction05/20/2013
NavigateOnline Drug Formulary Search Tool05/08/2013
NavigatePharmacy Tips: Go Generic!05/07/2013
NavigateProvider Information Maintenance Reminder04/02/2013
NavigateShort Fill for Oncology Medications, Phase 203/29/2013
NavigateFluoride Varnish Application Code Change03/20/2013
NavigateAdditional Requirements for Fixed Wing and Helicopter Air Ambulance Operators03/15/2013
NavigateShort Fill for Oncology Medications03/05/2013
NavigateCareSource Available on Availity Portal01/23/2013
NavigateOutpatient Facility Claims and Requirements of Modifier 2501/31/2013

2012Date
Posted
NavigateOutcomesMTM Provides Medication Therapy Management Services for CareSource Advantage – Effective 01/01/1312/27/12
NavigateCareSource Policy on Co-Surgeons and Modifier -62 Billing and Reimbursement12/10/12
NavigateCareSource Policies on Facet Joint and/or Joint Nerve Injection and Sacro-iliac Joint Injection12/03/12
NavigateNon-Par Provider Quick Reference Guide11/29/12
www.caresource.com is all NEW!11/26/12
Changes to CareSource Coordination of Benefits (COB) Policy – Effective 11/05/1211/05/12
Termination of CareSource Advantage Contract; Continuation of CareSource Medicaid Contracts11/02/12
CareSource Receives NCQA Accreditation11/02/12
Enhanced Dental Management Portal Functionality and Claims Processing – Effective 11/26/1210/26/12
Claims Payment and New EFT Enrollment Authorization Agreement Form – Effective 11/26/1210/26/12
CareSource Now Available on Availity® Portal10/22/12
Dental Claims Payment and New EFT Enrollment Authorization Agreement Form10/19/12
CareSource Policy regarding CMS NCD/LCD Policies10/16/12
Enhanced Providers Who Administer Synagis® (palivizumab) – Effective 11/01/1210/09/12
Enhanced Dental Management Services and Upcoming Educational Webinars10/02/12
Electronic Submission of Coordination of Benefits (COB) Claims – Effective 09/17/1209/17/12
NavigatePost Stabilization Care Services09/10/12
Easier-to-Use Membership Lists on the Provider Portal09/07/12
Provider Access Standards – Reminder08/15/12
Outpatient Reimbursement, Revenue Codes 250, 270, 636 – Effective 08/01/1207/31/12
Provider Satisfaction Survey – Coming in September07/27/12
New Medication Therapy Management Program07/13/12
ODJFS J Codes Covered for ODMH and ODADAS Providers07/11/12
CareSource Facility Surgical Edit PolicyRescinded in 2013, see Anesthesia Payment Policy07/11/12
CareSource Contracting and Credentialing of Physician Assistants07/11/12
New Coordination of Benefits (COB) Policy – Under Revision 10/10/1206/25/12
Members Taking Nexium, Dexilant, Aciphex06/07/12
ODJFS Updated Sterilization and Hysterectomy Forms06/04/12
CareSource Facility Surgical Edit Policy05/31/12
Update on Provider ID Numbers and Legacy ID on Claims04/20/12
NDC Code Requirements for Professional Claims04/06/12
CareSource MUE Lab Code Policy04/10/12
Reminder to Submit Appropriate Provider ID Numbers on 5010 Claims04/06/12
Providers Who Administer Synagis® (palivizumab)04/05/12
A Quick Reference Guide: Improving the Patient Experience04/04/12
Care Transition Programs04/02/12
New Abbott Diabetes Care Program03/23/12
Updated Timely Filing Rules 03/15/12
New Diabetic Supplier – Abbott Laboratories02/14/12
Provider/Group Change Request Form Updated02/03/12
Individual Claim Payment of $500,000 and Higher01/31/12
Preferred Specialty Pharmacy Provider01/24/12
Update on 5010 Clearinghouse Claims Transactions and Issues01/20/12
CareSource Pharmacy Policy on Stolen Controlled Substances01/19/12

2011Date
Posted
NavigateTips for 5010 Success: Submit Legacy ID & Correct Remittance Address12/30/11
NavigateODJFS/CareSource Reimbursement Changes for 201212/22/11
NavigateRadiation Safety and Most Frequently Requested Advanced Imaging Procedures12/13/11
NavigateNew Provider Portal Updates11/22/11
NavigatePharmacy Transition Period Reminder11/15/11
Revised CareSource Venipuncture Policy10/28/11
NavigateRefraction Policy10/28/11
NavigateRevised Clinical Supporting Documentation Policy10/28/11
NavigateMedically Unlikely Edit (MUE) Policy for code 8834210/28/11
NavigateCareSource Trading Partners Submitting EDI 837 Claims10/25/11
NavigateProviders Who Administer Synagis® (palivizumab)10/17/11
NavigateSeptember 26 Check Write Delayed for Paper Checks / EOPs10/07/11
NavigateNew Benefit Limits Feature on the CareSource Provider Portal09/30/11
NavigateQuick Reference Guide for Non-Participating Providers09/26/11
NavigatePrescription Drug Coverage Changing for Members of Ohio Medicaid09/16/11
NavigateElective Labor and Delivery Prior to 39 Weeks Gestation09/08/11
NavigateEnhanced Dental Management Services09/06/11
NavigateElectronic Funds Transfer – Now Available for All Ohio Providers08/12/11
NavigateCareSource Plan for 5010 Transition07/26/11
NavigateOhio Debarred Attestation07/18/11
NavigateNDC Requirements for Physician Administered Drugs in an Office Setting07/15/11
NavigateOhio Passes House Bill 93 on Prescription Drug Abuse06/27/11
Navigate3-day Payment Window for Outpatient Svcs Treated as Inpatient Svcs06/24/11
NavigateRequesting a Contract and Updating Provider Information Changes06/02/11
Trigger Point Injection Policy05/25/11
NavigateFacet Joint and/or Joint Nerve Injection Policy05/25/11
NavigateEpidural Steroid and Selective Transforaminal Epidural Injections05/24/11
NavigateCareSource Medicaid DME and Modifier Policy05/23/11
NavigateODJFS Supports Electronic Health Records Incentive05/16/11
NavigatePA Changes to Select Specialty Medications and Pain Management Procedures05/16/11
NavigateEnhanced Find a Doctor online search tool05/16/11
NavigateRevised Immunization and Administration Billing Policy05/13/11
NavigateEnhanced Disease Management Program05/2011
NavigateMember Education Strategies on Smoking Cessation04/2011
NavigateNew PA Changes to Select Specialty Medications and Pain Management Procedures04/2011
NavigateClinical Supporting Documentation Policy04/2011
NavigateNew Improved Explanation of Payment Form04/2011
NavigateCareSource Plan for 5010 Transition04/2011
NavigateEHR Incentive Program03/2011
NavigateUpdated Panel Closure for Select Provider Types: Podiatrists, Chiropractors03/2011
NavigateTherapy Billing - Revised03/2011
NavigateFacility Inpatient Reimbursement – Now Based on Admit Date03/2011
NavigateCareSource Changes Transportation Vendor for Members02/2011
NavigateAdvanced Imaging Services Need NIA Privileges02/2011
NavigateChange to Flu Codes for Special Needs Plan (SNP) Members01/2011
NavigateAPN Medicare Pricing/CMS Methodology01/2011
NavigateAPN Medicaid Pricing/ODJFS Methodology01/2011
NavigateProvider Survey – Going on Now!01/2011
NavigateModifier Definitions01/2011
NavigateCAHPS Survey Results01/2011
NavigateWhat Constitutes a Material Change to an Existing Contract01/2011
2010Date
Posted
NavigateDirect Access for Case Management/member needs now 24/712/2010
NavigateImportant Reminder on Montgomery County Care Program12/2010
NavigateCareSource Medical Claim Edit z60 – Not a Primary Diagnosis12/2010
NavigateClaim Overpayment Recoupment Policy12/2010
NavigateMultiple Surgery Procedures for Facility and Professional Claim Submissions12/2010
NavigateClaim Reprocessing Policy due to Systemic Errors12/2010
NavigateFDA Withdraws Propoxyphene (Darvocet) from the Market12/2010
NavigateStatewide Coverage for Vision Labs10/2010
NavigatePanel Closure for Select Provider Types10/2010
NavigateClaim Overpayment Recoupment Policy10/2010
NavigatePodiatry Services Policy10/2010
NavigateCareSource Code Editing10/2010
NavigateReprinted September 11, 2010 Explanation of Payment (EOPs)09/2010
NavigateTimely Filing Revisions08/2010
NavigateAppealing Sterilization Claims08/2010
NavigatePrevnar 13 Reimbursement – Backdated from March 18, 201008/2010
NavigateMember Benefits Based on Calendar Year07/2010
NavigateProfessional Developmental Testing Services Billing & Reimbursement Policy07/2010
NavigateConfidential Provider Information and Unsecured Emails07/2010
NavigatePayment Policy for Evaluation & Management Services Provided During Global Surgery Period07/2010
NavigateL-code Changes for 201007/2010
NavigateAdvanced Practice Nurses to be Contracted as Primary Care Providers05/2010
NavigateServices Requiring Prior Authorization02/2010
NavigateTop Claim Denials02/2010
NavigateCorrected Claims02/2010
NavigateHemoglobin and HealthChek Screening Visits02/2010
NavigateRefractive Service Codes02/2010
NavigatePrior Authorization Waived for Skilled Home Visits01/2010
2009Date
Posted
NavigateHome Health Agency Pharmacy Benefit Changes12/2009

2019Date
NavigateUpdates to Marketplace Prior Authorization List12/09/2019
NavigateRegister with New Payment Partner ECHO Health by December 13Deadline Extended Again!12/02/2019
NavigatePolicy Updates December 201912/01/2019
NavigateHoliday Claim Remittance Delay11/26/2019
NavigateICD-10 Code Update11/26/2019
NavigateDelay in Claim Payments11/13/2019
NavigatePolicy Updates November 201911/01/2019
NavigateDual-Eligibility Billing Reminder10/31/2019
NavigatePolicy Updates October 201910/01/2019
NavigateRegister with New Payment Partner ECHO Health by December 1This notification has been revised. See notification dated 12/02/201909/25/2019
NavigateRecent Provider Portal Updates – UPDATED 10/309/23/2019
NavigateConsent Form Upload Enhancement to the Provider PortalUPDATE09/05/2019
NavigateEnhancements to Prior Authorization on Provider PortalThis notification has been revised. See notification dated 07/27/2020.09/05/2019
NavigateSeptember 2019 Policy Updates09/01/2019
NavigateIssue with Denials for Physical Therapy (PT) Units08/23/2019
NavigateIssues with Outpatient Claim Denials Due to Authorizations Expiring08/23/2019
Navigate2019-2020 Ohio Provider Manual Now Available08/06/2019
NavigateFacility Claim Cost Share08/01/2019
NavigatePolicy Updates August 201908/01/2019
NavigateRegister with New Payment Partner ECHO Health by October 25This notification has been revised. See notification dated 09/25/201907/26/2019
NavigateCoordination of Benefits (COB) Reminder07/22/2019
NavigateDuplicate Modifier on the Claim Service Line07/17/2019
NavigatePost-Payment Audit Update07/12/2019
NavigateProvider Dispute ProcessThis notification has been revised. See notification dated 02/19/2020.07/05/2019
NavigatePolicy Updates July 201907/01/2019
NavigateMulti-Factor Authentication Scheduled for SKYGEN CWP06/21/2019
NavigatePrior Authorization Enhancements for Observation Stays06/13/2019
NavigateInpatient Hospital Pre-payment Claims Reviews - Revised 6/6/201906/03/2019
NavigateUpdates to Marketplace Prior Authorization List05/31/2019
NavigatePolicy Updates June 201905/31/2019
NavigateTips to Improve Pediatric CAHPS Ratings05/29/2019
NavigateEnd-Stage Renal Disease (ESRD) Claims and Value Code D505/29/2019
NavigateDesignating a Supervising Provider Using Paper Claims05/17/2019
NavigateUpgrades to AHS Consent Form on the Provider Portal05/13/2019
NavigateAccess Standards Update05/06/2019
NavigatePolicy Updates May 201905/01/2019
NavigateApplied Behavior Analysis Rates and Pricing04/04/2019
NavigateUpdate to Emergency Room Cost Share Application04/01/2019
NavigatePolicy Updates April 201904/01/2019
NavigateEnhancements to Delivery and Newborn Notifications – UPDATE03/28/2019
NavigateApplied Behavioral Analysis (ABA) Billing and Coding03/27/2019
NavigateInterventions to Prevent Perinatal Depression03/13/2019
NavigateProvider Portal Survey03/07/2019
NavigatePolicy Updates May 201903/01/2019
NavigateHigh Dollar Claims – This notification has been revised. See notification dated 01/07/202002/19/2019
NavigateBehavioral Health Claim Issue Identified - UPDATE02/19/2019
NavigatePlace of Service Code for Claim Submissions02/14/2019
NavigateRevenue Code 0636 Denials Update02/13/2019
NavigateNational Drug Code (NDC) with J1050 Denials Update02/08/2019
NavigateEnhancements to Delivery and Newborn Notifications02/01/2019
NavigateHepatitis A Prevention 01/29/2019
NavigateDiagnosis Related Group (DRG) Validation Audits01/21/2019
NavigateDental Eligibility Update01/11/2019
2018Date
NavigatePolicy Update March 201912/31/2018
NavigateClaim Denial Issue - Error Code X9412/27/2018
NavigateNotice of Changes to Retro Prior Authorization Timeframe Requirements12/26/2018
NavigateBehavioral Health Claim Issue Identified12/19/2018
NavigateIssues with Claim Denying for National Drug Code (NDC)12/14/2018
NavigateRemittance Delay for Wednesday, December 5, 2018 Payment Cycle12/07/2018
NavigatePolicy Updates January 201911/30/2018
NavigatePolicy Updates January 201911/01/2018
NavigateCode Advisor Network Notification10/23/2018
NavigateDuplicate Claim Processing Update09/01/2018
NavigatePolicy Updates November 201808/28/2018
NavigateWell-Child Care08/27/2018
NavigateConsent to Share Sensitive Health Information08/08/2018
NavigateClarification of Indiana Network Closure Communication07/30/2018
NavigateIncreasing Claim Payment Processing Frequency – UPDATE07/27/2018
NavigatePolicy Updates October 201807/27/2018
NavigateIncreasing Claim Payment Processing Frequency07/03/2018
NavigateNew Address for Refund Checks07/03/2018
NavigatePolicy Updates September 201806/29/2018
NavigateNotification of Claim Adjustments for Certain Edit Codes06/13/2018
NavigatePolicy Updates August 201806/12/2018
NavigateBreast Imaging Reimbursement Policy06/05/2018
NavigateCareSource Secure Email Portal Security Enhancements05/17/2018
NavigateUpdate to Provider Billing Address Requirements on Claims04/03/2018
NavigatePolicy Updates June 201803/30/2018
NavigateUpdate to Drug Testing PolicyUPDATE03/12/2018
NavigatePolicy Updates May 201802/28/2018
NavigateDiabetes Retinal Eye Exam01/25/2018
NavigateNew Approach to Educate and Reduce Evaluation and Management Billing Errors01/08/2018
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
NavigateDecember 2017 Policy Release11/01/2017
NavigateNovember 2017 Policy Release09/28/2017
NavigateDrug Screening Reimbursement Policy – This notification has been revised. See notification dated 12/01/2017.08/30/2017
NavigateAnnouncing Enforcement of Enhanced Ambulatory Patient Groups Billing Guidelines – UPDATE07/27/2017
NavigateSeptember 2017 Policy Releases07/27/2017
NavigateUpdate on Behavioral Health Denials for Code X5007/26/2017
NavigateBlood Lead Testing Recommendations07/05/2017
NavigateRetro Prior Authorizations05/31/2017
NavigatePY-0108, PY-0109 Telemedicine-Telehealth Payment Policy05/04/2017
NavigateHealth Partner Manual Addition & Revisions - Access Standards04/26/2017
NavigatePY-0037, PY-0205 Sexually Transmitted Infections Reimbursement Policy04/19/2017
NavigateScreening and Surveillance for Colorectal Cancer04/18/2017
NavigateMM-0034, MM-0079, MM-0080 Gender Dysphoria Medical Policy04/14/2017
NavigatePY-0206 Hepatitis Panel Payment Policy04/13/2017
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
NavigatePY-0089 - Drug Screening Payment Policy – This notification has been revised. See notification dated 08/30/2017. 03/20/2017
NavigateCareSource’s Marketplace Plans No Longer Called CareSource Just4Me01/06/2017
2016Date
Posted
NavigateCite AutoAuth Expansion for Inpatient Authorizations08/23/2016
NavigateUpdated EPSDT Claim Acceptance Criteria07/28/2016
NavigateSuspension of EPSDT Claim Submission Criteria07/22/2016
Navigate10-Day Quantity Limit for Prescribing Opioids07/11/2016
NavigateNotice of Medical Documentation Requirement for Claim Modifiers06/14/2016
NavigateSpring 2016 Health Partner Education Forums04/22/2016
NavigateHome Infusion Therapy Prior Authorization Requirements, Pharmacy Criteria and Billing Guidelines03/25/2016
NavigateCurbing Opioid Overdose with Naloxone – UPDATE03/14/2016
NavigatePaper Claims Processing: Rendering and Billing NPI Requirements03/07/2016
NavigateChange in Behavioral Health Clinical Guidelines01/20/2016
2015Date
Posted
NavigateICD-10 Qualifiers11/12/2015
NavigateHealth Partner Network Notification11/04/2015
NavigateCurbing Opioid Overdose with Naloxone – See notification dated 03/14/201611/03/2015
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
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
NavigateICD-10 Readiness Assessment05/14/2015
NavigateRevised Clinical Supporting Documentation Policy05/06/2015
NavigateRoad to 10 Resource for ICD-10 Implementation04/30/2015
NavigatePediatric Clinical Guideline04/15/2015
NavigateCite Auto Auth04/13/2015
NavigateICD-10 Webinars Scheduled04/13/2015
NavigateICD-10 Transition Tips03/30/2015
NavigateEDI Submission of Corrected Claims02/16/2015
NavigateElectronic Submission of Coordination of Benefits (COB) Claims02/12/2015
NavigateCareSource Dental Provider Updates01/23/2015
NavigateReminder to Check Member Eligibility for CareSource Just4Me™01/22/2015
2014Date
Posted
NavigateCareSource Just4Me™ Resources Available on www.caresource.com12/31/2014
NavigateUPDATE – ICD-10 Training Needs and Provider Checklist11/07/2014
NavigateCareSource Just4Me Vision Benefit Update07/03/2014
NavigateNew Online Interactive Health Risk Assessment for OH Medicaid and CareSource Just4Me Members07/01/2014
NavigateReminder to Check Member Eligibility for CareSource Just4Me03/03/2014
NavigateCareSource Just4Me Claims Submission02/05/2014