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.

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

General Updates

2024Date
Navigate Newborn RSV Prevention12/13/2024
Navigate Pharmacy Policy Update - Bimzelx - December 202412/20/2024
Navigate Interactive Health Library12/06/2024
Navigate Avalon Policy Updates12/01/2024
Navigate Pharmacy Policy Updates December 202412/01/2024
Navigate Policy Updates December 202412/01/2024
Navigate Updated 2025 Access Standards11/11/2024
Navigate QHP ESRD Notification – REVISION11/08/2024
Navigate QHP Hypoglossal/Allergen Modifiers Notification – REVISION11/07/2024
Navigate 2025 Prior Authorization Update11/06/2024
Navigate Modifiers JZ and JW11/04/2024
Navigate TurningPoint Policy Updates11/01/2024
Navigate Evolent Policy Updates11/01/2024
Navigate November 2024 Policy Updates11/01/2024
Navigate QHP DME Modifiers10/11/2024
Navigate Perinatal Depression Screening - Edinburgh Depression Tool10/07/2024
Navigate October 2024 Policy Updates10/01/2024
Navigate ICD-10-CM Excludes1 Note09/25/2024
Navigate Policy Updates September 202409/01/2024
Navigate Pharmacy Policy Updates September 202409/01/2024
Navigate Single Dose Vial-Claims Modifiers08/23/2024
Navigate Kidney Health Evaluation for Patients with Diabetes08/19/2024
Navigate Policy Updates August 202408/01/2024
Navigate Policy Updates July 202407/01/2024
Navigate PharmScript Pharmacy Termination Disclosure07/01/2024
Navigate Independent Laboratory 06/13/2024
Navigate Provider Satisfaction Survey06/12/2024
Navigate Prior Authorization Update06/04/2024
Navigate Pharmacy Policy Updates June 202406/01/2024
Navigate Q1 2024 Avalon Policy Updates06/01/2024
Navigate Policy Updates June 202406/01/2024
Navigate Visit the CareSource Health Equity Webpage for Resources and Trainings!05/20/2024
Navigate NIA/Evolent Policy Updates (Q2 2024) - May 202405/01/2024
Navigate DentaQuest Policy Updates (Q2 2024) - May 202405/01/2024
Navigate Policy Updates May 202405/01/2024
Navigate Provider Portal Claim Submission Tool Update04/11/2024
Navigate Policy Updates April 202404/01/2024
Navigate Availity Essentials Live Webinar Training03/06/2024
Navigate It’s Patient Experience Survey Season!03/04/2024
Navigate Change Healthcare Cybersecurity Incident03/04/2024
Navigate Policy Updates March 202403/01/2024
Navigate Q4 Avalon Policy Updates March 202403/01/2024
Navigate Pharmacy Policy Updates March 202403/01/2024
Navigate Policy Updates February 202402/01/2024
Navigate Policy Updates January 202401/01/2024
Navigate Avaolon Policy Updates - January 202401/01/2024
2023Date
Navigate Provider Depression Reference Guide Available12/13/2023
Navigate Pharmacy Policy Updates December 202312/01/2023
Navigate Policy Updates December 202312/01/2023
Navigate Update in Continuous Glucose Monitor (CGM) Billing11/15/2023
Navigate New Diabetes Marketplace Plans for 202411/13/2023
Navigate Adult Type 2 Diabetes Reference Guide - UPDATE11/06/2023
Navigate TurningPoint Policy Updates - November 202311/01/2023
Navigate Policy Updates November 202311/01/2023
Navigate Adult Type 2 Diabetes Reference Guide – This notification has been revised. See notification dated 11/06/202310/20/2023
Navigate 2024 Prior Authorization Requirement Updates10/19/2023
Navigate Kidney Health Evaluation for Patients with Diabetes Measure10/02/2023
Navigate NIA Policy Updates October 202310/01/2023
Navigate Avalon Policy Updates October 202310/01/2023
Navigate Policy Updates October 202310/01/2023
Navigate Pharmacy Policy Updates November 202310/01/2023
Navigate Multi-Factor Authentication Implementation – UPDATE10/03/2023
Navigate Closing Diabetes Care Gap09/20/2023
Navigate Oncology Drug Shortage Notification09/13/2023
Navigate Pharmacy Policy Updates October 202309/01/2023
Navigate Policy Updates September 202309/01/2023
Navigate Multi-Factor Authentication Implementation– UPDATE08/08/2023
Navigate Policy Updates August 202308/01/2023
Navigate August 2023 Avalon Policies08/01/2023
Navigate August 2023 DentaQuest Policies08/01/2023
Navigate August 2023 NIA Policies08/01/2023
Navigate Multi-Factor Authentication Implementation07/27/2023
Navigate Policy Updates July 202307/01/2023
Navigate Pharmacy Policy Updates July 202307/01/2023
Navigate Policy Updates June 202306/01/2023
Navigate No Surprises Act – UPDATE05/30/2023
Navigate Independent Laboratory05/30/2023
Navigate Public Health Emergency Ending – Copayment Requirements05/11/2023
Navigate Q3/Q4 Avalon Policies05/01/2023
Navigate Policy Updates May 202305/01/2023
Navigate Prior Authorization Requirement for Non-Emergent NICU Transfers and Transports04/10/2023
Navigate Public Health Emergency Ending – Updates to Benefits and Rates04/10/2023
Navigate CAHPS Email Campaign and Quality Patient Experience Guide04/03/2023
Navigate Policy Updates April 2023 04/01/2023
Navigate White Bagging Prohibited: State-Issued Directive 03/22/2023
Navigate Policy Updates March 202303/01/2023
Navigate Pharmacy Policy Updates April 202302/27/2023
Navigate 2023 Pharmacy Network Change02/23/2023
Navigate Policy Updates February 202302/01/2023
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE01/26/2023
Navigate Coding for Cancer Screening Compliance and Exclusions01/18/2023
Navigate Synagis Prior Authorization Resources01/06/2023
Navigate Policy Updates January 202301/01/2023