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

2022Date
Navigate Annual NIA Policies12/19/2022
Navigate Synagis Prior Authorization Resources Notification12/19/2022
Navigate 2023 Pharmacy Network Change12/13/2022
Navigate Specialty Closure Notification12/12/2022
Navigate Reminder - Emergency Room Reimbursement Request12/12/2022
Navigate Pharmacy Policy Updates-January 202312/09/2022
Navigate Federally Qualified Health Center (FQHC) Timely Filing Waiver12/09/2022
Navigate Introducing Teladoc, CareSource’s New Telehealth Partner12/01/2022
Navigate December 2022 Versant Vision Policies - Effective 2/1/2312/01/2022
Navigate Policy Updates December 202212/01/2022
Navigate HEDIS Payment Increase11/22/2022
Navigate Modifier 59 Mental Health Billing Guidance11/21/2022
Navigate Save the Date: 2022 Fourth Quarter Friday Forum11/07/2022
Navigate Billing Reminder for Anesthesia Providers11/03/2022
Navigate Provider Alternative Format Request11/02/2022
Navigate Claims Submission and Matching Logic Reminder11/02/2022
Navigate Policy Updates November 202211/1/2022
Navigate Billing Update: Incorrect Billing of Modifier 5810/28/2022
Navigate Indiana Pregnancy Promise Program10/24/2022
Navigate Billing Update Re: Multiple Outpatient Claims10/10/2022
Navigate CLIA-Waived Tests Update10/03/2022
Navigate Policy Updates October 202210/01/2022
Navigate Save the Date! IHCP Works Annual Seminar09/15/2022
Navigate 276/277 Claim Status Inquiry and Response Enhancement09/12/2022
Navigate Pharmacy Policy Updates - October 202209/12/2022
Navigate Policy Updates September 202209/01/2022
Navigate Available on Demand: Behavioral Health Webinar Series & Provider Trainings08/15/2022
Navigate Life Services Referral Form08/12/2022
Navigate Billing Observation Care in the Facility Setting – This notification has been revised. See notification dated 08/16/202308/03/2022
Navigate We Want to Hear From You!08/02/2022
Navigate Available On-Demand Behavioral Health Webinar Series & Provider Trainings08/02/2022
Navigate Policy Updates August 202208/01/2022
Navigate Save the Date: Third Quarter Friday Forum07/20/2022
Navigate Patient Account Number Billing Guidance07/12/2022
Navigate Policy Updates July 202207/01/2022
Navigate Pharmacy Policy Updates - July 202207/01/2022
Navigate RelyMD Telehealth Services Discontinued06/27/2022
Navigate Policy Updates June 202205/31/2022
Navigate Chiropractic Manipulative Treatment and Rehabilitation Services05/19/2022
Navigate Retro Authorization Submission Guidelines05/12/2022
Navigate CareSource Member Rewards Brochure Notification05/12/2022
Navigate Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal05/06/2022
Navigate Policy Updates - May 202205/01/2022
Navigate Quality Patient Experience Guide (CAHPS resource)04/22/2022
Navigate First Quarter Friday Forum Invitation04/15/2022
Navigate Save the Date! IHCP Virtual Spring Roadshow04/13/2022
Navigate Policy Updates - April 202204/01/2022
Navigate Updated Pregnancy Benefit03/02/2022 
Navigate Policy Updates March 202203/01/2022 
Navigate Provider Portal Account Linking Enhancements02/21/2022
Navigate Policy Updates February 202202/01/2022
Navigate Wayspring SUD Model Announcement01/21/2022
Navigate Clarification on Dental Electronic Payment Process Change01/20/2022
Navigate Prior Authorization Requirement for Non-Participating Laboratory Services01/07/2022
Navigate Policy Updates January 202201/01/2022
2021Date
Navigate Reminder for Provider Claim Adjustment Submission Process12/17/2021
Navigate Coordination of Care Exchange of Information Form Reminder12/14/2021
Navigate First Quarter Friday Forum Invitation12/10/2021
Navigate 2021 Quarter 3 Provider Portal Updates12/03/2021
Navigate Provider Network Participation Requirements12/01/2021
Navigate Policy Updates December 202112/01/2021
Navigate Q4 HEDIS Incentive Update11/22/2021
Navigate National Drug Code Billing Reminder11/15/2021
Navigate Information on Obtaining Naloxone11/15/2021
Navigate Members on Basaglar or Lantus Transitioning to Semglee11/11/2021
Navigate HIPAA CORE Compliant Codes11/10/2021
Navigate Member Profile for Coordination of Care11/7/2021
Navigate Skygen Electronic Payment Process Change11/05/2021
Navigate Policy Updates November 202111/01/2021
Navigate 2021-2022 Respiratory Syncytial Virus (RSV) Season and Synagis® Criteria10/12/2021
Navigate Policy Updates October 202110/01/2021
Navigate Provider Portal Update09/28/2021
Navigate Coordination of Care Exchange of Information Form09/24/2021
Navigate Initial Benzodiazepine Therapy09/22/2021
Navigate Policy Updates September 202109/01/2021
Navigate Provider Portal Benefits08/24/2021
Navigate September Friday Forum Invitation08/18/2021
Navigate Q4 Provider Portal Updates08/03/2021
Navigate Policy Updates August 202108/01/2021
Navigate Did You Know? CareSource JobConnect Program07/28/2021
Navigate HEDIS Incentive Payment07/08/2021
Navigate Dispute and Appeal Clarification07/02/2021
Navigate Policy Updates July 202107/01/2021
Navigate Did You Know? CareSource’s Maternal Child Program06/24/2021
Navigate July Friday Forum Invitation06/22/2021
Navigate Did You Know? CareSource’s Re-Entry Program06/22/2021
Navigate CMS Interoperability06/21/2021
Navigate Provider Portal Enhancements06/14/2021
Navigate Updated Dental Provider Resources06/09/2021
Navigate Utilization Management Process06/07/2021
Navigate Policy Updates June 202106/01/2021
Navigate Introducing Virtual New Provider Orientation Webinars05/27/2021
Navigate Enhanced Credentialing Reminder05/21/2021
Navigate Reminder when Billing Antepartum Care05/17/2021
Navigate Did You Know? CareSource’s Nurse Family Practitioner Program05/11/2021
Navigate Policy Updates May 202105/01/2021
Navigate Did You Know? CareSource’s School-Based Health Programs04/27/2021
Navigate We Want To Hear From You!04/26/2021
Navigate Equian Process Frequently Asked Questions04/15/2021
Navigate Amondys 45 Rx Update04/12/2021
Navigate April Friday Forum Invitation04/12/2021
Navigate Additional Policy Update April 202104/09/2021
Navigate Policy Updates April 202104/01/2021
Navigate Pharmacy Carve-Out Drugs03/16/2021
Navigate 2020-2021 Respiratory Syncytial Virus (RSV) Season and Synagis<sup>®</sup> Criteria02/16/2021
Navigate After-Hours Guidelines02/05/2021
Navigate Policy Updates February 202102/01/2021
Navigate UPDATE - Prior Authorization Requirements01/22/2021
Navigate Annual Access & Availability Standard Requirements01/21/2021
Navigate Introducing New Prior Authorization Procedure Code Look-Up Tool01/14/2021
Navigate Available On-Demand Behavioral Health Webinar Series01/11/2021
Navigate Elective Transplant Process Change01/08/2021
Navigate Demographic Information Change Update01/04/2021
Navigate January 2021 Policy Updates01/01/2021
2020Date
Navigate HIP Maternity Benefits Reminder12/29/2020
Navigate Cotiviti Payment Enhancement12/21/2020
Navigate CareSource Cultural Competency Training12/15/2020
Navigate Behavioral Health Member Profile for Coordination of Care12/04/2020
Navigate Maternal Depression Screening Resources12/02/2020
Navigate Synagis Billing Update12/01/2020
Navigate 2021 Prior Authorization List Reminder12/01/2020
Navigate Policy Updates December 202012/01/2020
Navigate Appeal and Dispute Submissions11/20/2020
Navigate Emergency Room Department Reimbursement Requests11/10/2020
Navigate 2020 Quarter 2 Provider Portal Updates11/06/2020
Navigate Policy Updates November 202011/01/2020
Navigate Enhanced Credentialing Process10/12/2020
Navigate Claims Submission and Matching Logic Reminder10/12/2020
Navigate Notice of Dental Benefits Manager10/09/2020
Navigate Policy Updates October 202010/01/2020
Navigate Claim Payment Advice (835) Enhancements09/23/2020
Navigate Inpatient Hospital Pre-payment Claims Reviews09/22/2020
Navigate Emergency Claim Processing Update09/22/2020
Navigate Enhanced Claim Editing Implementation09/15/2020
Navigate Modifier 59 Mental Health Billing Guidance09/10/2020
Navigate Claim Remittance Delay09/03/2020
Navigate Policy Updates September 202009/01/2020
Navigate Risk Adjustment Coding Education08/14/2020
Navigate Medication-Assisted Treatment (MAT) Waiver Training08/14/2020
Navigate Provider Directory Information Attestation08/04/2020
Navigate Policy Updates August 202008/01/2020
Navigate Tobacco Cessation Resources Reminder07/30/2020
Navigate Enhancements to Prior Authorizations on Provider Portal – UPDATE07/23/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers07/17/2020
Navigate Updates to HHW/HIP Prior Authorization List - Effective 1/1/202107/17/2020
Navigate Updates to HHW/HIP Prior Authorization List - Effective 9/1/202007/17/2020
Navigate Risk Adjustment Coding Education07/15/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate SUD Residential Billing Reminder07/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Additional Policy Updates July 202007/01/2020
Navigate Policy Updates July 202007/01/2020
Navigate Substance Use Disorder Billing Clarification06/19/2020
Navigate Provider Portal Claims Submittal Enhancement06/15/2020
Navigate Provider Portal Claims Attachment06/12/2020
Navigate Recent Provider Portal Updates06/03/2020
Navigate Superior Vision Frequently Asked Questions (FAQs)06/01/2020
Navigate Superior Vision Webinar Invite06/01/2020
Navigate Tobacco Quitline Education05/29/2020
Navigate HPV Vaccine Initiative05/27/2020
Navigate Provider Billing Reminders05/07/2020
Navigate Occurrence Code 42 Update05/04/2020
Navigate Policy Updates May 202005/01/2020
Navigate Correct Payer ID for Claims Submissions04/24/2020
Navigate Designation of Availity as Exclusive EDI Gateway04/15/2020
Navigate Superior Vision Go-Live Date04/14/2020
Navigate Instructions on Attaching Medical Record in Provider Portal03/11/2020
Navigate Recent Provider Portal Updates02/21/2020
Navigate Additional Policy Updates February 202002/01/2020
Navigate Additional Policy Updates – February 202002/01/2020
Navigate Policy Updates February 202002/01/2020
Navigate High-Dollar Claims Cover Sheet – UPDATE01/28/2020
Navigate Claims Submission and Matching Logic Reminder01/28/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/2301/27/2020
Navigate Updates to AHS Consent Form on Provider Portal01/14/2020
Navigate Enhancements to Prior Authorizations on Provider Portal – This notification has been revised. See notification dated 07/23/2020.01/13/2020
Navigate Dental Providers May Disregard ECHO Health Registration Notification01/13/2020
2019Date
Navigate Neonatal Intensive Care Unit (NICU) Prior Authorization – UPDATE12/30/2019
Navigate Pharmacy Network Change (Walgreens)12/11/2019
Navigate Register with New Payment Partner ECHO Health by December 13, 2019 – UPDATE12/02/2019
Navigate Authorizations for Advanced Life Support (ALS) Policy Update12/02/2019
Navigate December 2019 Policy Release12/01/2019
Navigate Occurrence Code Reminder11/12/2019
Navigate Newborn Billing Timely Filing Limit11/06/2019
Navigate Additional Policy Updates - November 201911/01/2019
Navigate Additional Policy Update - November 201911/01/2019
Navigate November 2019 Policy Release11/01/2019
Navigate Register with New Payment Partner ECHO Health by December 1, 2019 – This notification has been revised. See notification dated 12/02/201910/08/2019
Navigate Coding Guidelines for Newborns – UPDATE10/03/2019
Navigate Notification of Pregnancy (NOP) Initiative10/01/2019
Navigate Update to UB-04 Billing Requirements10/01/2019
Navigate SkyGen Portal Clarification Notification10/01/2019
Navigate Policy Updates October 201910/01/2019
Navigate Multi-Factor Authentication Scheduled for SKYGEN CWP09/24/2019
Navigate Revenue Code 760 Update09/24/2019
Navigate Lead Screening for Children 09/13/2019
Navigate Updates to Disposable Insulin Delivery Device Billing Instructions09/11/2019
Navigate Medicaid Midlevel Billing Guidance – UPDATE08/30/2019
Navigate Coordination of Benefits (COB) Reminder08/23/2019
Navigate Reminder - Authorization Requirements for Ancillary Providers08/08/2019
Navigate Updated Billing Guidance08/01/2019
Navigate Register with New Payment Partner ECHO Health by October 25 – This notification has been updated. Please see the notification dated 10/08/1907/31/2019
Navigate Self-Referral Vision Services to Out-of-Network Providers07/31/2019
Navigate Indiana Medicaid Provider Manual Now Available07/22/2019
Navigate Duplicate Modifiers on a Claim Service Line07/17/2019
Navigate Behavioral Health Profile Update07/11/2019
Navigate Inpatient Hospital Pre-payment Claims Reviews07/01/2019
Navigate Site of Care Transition06/30/2019
Navigate Timely Claims Filing Update06/26/2019
Navigate Medicaid Midlevel Billing Guidance – This notification has been updated. Please see the notification dated 8/30/201906/17/2019
Navigate Provider Dispute Process06/14/2019
Navigate Access Standards Update06/13/2019
Navigate Policy Updates June 201905/31/2019
Navigate Revenue Code Guidance05/23/2019
Navigate Post-Payment Diagnosis Related Group (DRG) Validation Audits05/20/2019
Navigate Retrospective Authorizations for Advanced Life Support (ALS)05/15/2019
Navigate Applied Behavior Analysis (ABA) Rate Setting05/08/2019
Navigate Fast Track Notification Forms04/17/2019
Navigate Emergency Room Auto-Pay Reimbursement04/12/2019
Navigate Interventions to Prevent Perinatal Depression03/26/2019
Navigate High Dollar Claims – This notification has been revised. See notification dated 01/28/202003/26/2019
Navigate Place of Service Code for Claim Submissions03/20/2019
Navigate Policy Updates May 201903/01/2019
Navigate Sterilization Consent Form Update02/25/2019
Navigate Intensive Outpatient & Partial Hospitalization Program Authorization Requirements02/20/2019
Navigate Policy Updates April 201902/01/2019
Navigate Notice of Changes to Retro Prior Authorization Timeframe Requirements01/30/2019
Navigate Diagnosis Related Group (DRG) Validation Audits01/29/2019
Navigate Coding Guidelines for Newborns – This notification has been updated. Please see the notification dated 10/03/201901/17/2019
Navigate Medicaid Timely Filing Change01/08/2019
2018Date
Navigate CVS Network Notification - 72 Hour Emergency Override12/5/2018
Navigate Claim Coding Edit Updates12/4/2018
Navigate Policy Update February 201911/30/2018
Navigate Policy Update February 201911/30/2018
Navigate PA Criteria for Concomitant Opioid and Benzodiazepine11/14/2018
Navigate PO Box Update11/12/2018
Navigate New address for Refund Checks11/09/2018
Navigate New Approach to Educate and Reduce Evaluation and Management Billing Errors11/09/2018
Navigate Policy Updates January 201911/01/2018
Navigate Code Advisor Network Notification10/23/2018
Navigate Duplicate Claim Processing Update09/01/2018
Navigate Well-Child Care08/15/2018
Navigate Clarification of Indiana Network Closure Communication08/21/2018
Navigate Consent to Share Sensitive Health Information08/07/2018
Navigate Drug Pricing Program Claim Requirement07/31/2018
Navigate Claim Refund Check Form07/31/2018
Navigate Vision Modifier Configuration Update07/30/2018
Navigate Policy Updates September 201807/27/2018
Navigate 17-P (hydroxyprogesterone caproate) / Makena PA Reminder07/27/2018
07/26/2018
Navigate HHW/HIP Network Closure Announcement – UPDATE07/12/2018
Navigate 340B Drug Pricing Program Claim Requirement07/09/2018
Navigate HHW/HIP Network Closure Announcement – This notification has been revised. See notification dated 07/12/201807/05/2018
Navigate Policy Updates August 201806/28/2018
Navigate CareSource Secure Email Portal Security Enhancements06/28/2018
Navigate Notification of Claim Adjustments for Certain Edit Codes06/20/2018
Navigate Policy Updates July 201805/16/2018
Navigate Policy Updates June 201804/30/2018
IHCP Bulletin: Pharmacy-dispensed drug Carve-out04/27/2018
IHCP Bulletin: Revision of Physician-administered Drug Reimbursement Policy04/27/2018
Navigate PY-0155 and MM-0126 Drug Testing Policies04/23/2018
Navigate Medically Frail Determinations04/09/2018
Navigate Update to Provider Billing Address Requirements on Claims.04/09/2018
Navigate Policy Updates May 201803/30/2018
Navigate Update in Claim Data Validation – UPDATE03/28/2018
Navigate Update in Claim Data Validation – This notification has been revised. See notification dated 03/28/201803/16/2018
Navigate Policy Updates April 201802/27/2018
Navigate Update to Health Partner Engagement Representatives02/26/2018
Navigate Updates to Healthy Indiana Plan Coverage02/23/2018
Navigate Diabetes Retinal Eye Exam02/12/2018
Navigate Policy Updates March 201802/01/2018
Navigate New Approach to Educate and Reduce Evaluation and Management Billing Errors01/12/2018