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.

2020Date
NavigatePolicy Updates April 202004/01/2020
NavigateJanuary/February Provider Portal Updates03/30/2020
NavigateCOVID-19: Temporary Telehealth Services03/27/2020
NavigateProtecting Members and Reducing the Spread of COVID-1903/25/2020
NavigateIssue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments03/13/2020
NavigatePolicy Updates March 202003/01/2020
NavigateProvider Dispute Process – UPDATE02/19/2020
NavigateInstructions on Attaching Medical Records in Provider Portal02/07/2020
NavigatePolicy Updates February 202002/01/2020
NavigateRecent Provider Portal Updates01/31/2020
NavigatePaper Checks Dated 1/21, 1/22, 1/2301/27/2020
NavigatePolicy Updates January 2020 – UPDATE01/22/2020
NavigateProvider Payment Migration Complete01/13/2020
NavigateHigh Dollar Claims Cover Sheet – UPDATE01/07/2020
NavigateClosing Quality Gaps in Care01/02/2020
Policy Updates January 2020 – This notification has been revised. See notification dated 01/22/2020.01/01/2020
2019Date
NavigateHoliday Checkwrite Schedule12/26/2019
NavigateUpdates to Marketplace Prior Authorization List12/09/2019
NavigateRegistration Deadline Extended Again to December 13 for ECHO Health – UPDATE12/02/2019
NavigatePolicy Updates December 201912/01/2019
NavigatePolicy Updates November 201911/01/2019
NavigateDiabetes A1c Testing Bonus Payments10/24/2019
NavigateRegistration Deadline Extended to October 18 for ECHO Health – This notification has been revised. See notification dated 12/02/201910/08/2019
NavigatePolicy Updates October 201910/01/2019
NavigateRecent Provider Portal Updates – UPDATED 10/309/23/2019
NavigateClaim Timely Filing and Appeals Timeframes09/20/2019
NavigateEnhancements to Prior Authorization on Provider Portal09/05/2019
NavigatePolicy Updates September 201909/01/2019
NavigateFacility Claim Cost Share08/01/2019
NavigatePolicy Updates August 201908/01/2019
NavigateSite of Care Transition Notice08/01/2019
NavigateCoordination of Benefits (COB) Reminder07/22/2019
NavigateDuplicate Modifier on the Claim Service Line07/17/2019
NavigateProvider Dispute Process – This 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
NavigateHEDIS: Initiation and Engagement of Alcohol and other Drug Dependence Treatment (IET) Measure06/13/2019
NavigatePrior Authorization Enhancements for Observation Stays06/13/2019
NavigateHow to Close Diabetes Care Gaps and Receive Bonus Payments in 201906/05/2019
NavigateRegister with New Payment Partner ECHO Health by August 5 – This notification has been updated. Please see the notification dated 10/08/1906/04/2019
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
NavigatePolicy Updates May 201905/01/2019
NavigateUpdate to Emergency Room Cost Share Application04/01/2019
NavigatePolicy Updates April 201904/01/2019
NavigateEnhancements to Delivery and Newborn Notifications – UPDATE03/28/2019
NavigateInterventions to Prevent Perinatal Depression03/13/2019
NavigatePolicy Update May 201903/01/2019
NavigateHigh Dollar Claims – This notification has been revised. See notification dated 01/07/202002/19/2019 
NavigatePlace of Service Code for Claim Submissions02/14/2019
NavigateEnhancements to Delivery and Newborn Notifications02/01/2019