Updates & Announcements

Earn rewards for keeping your patients healthy!

Flu shots can keep people healthy and out of the hospital. With so many misconceptions surrounding the flu shot, we need your help to keep CareSource members healthy. To support you, we will be rewarding you $20 for each flu shot you administer to CareSource patients in your practice!

FIND OUT MORE

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.

Quick References

COVID-19 information

Pharmacy information, including our Preferred Drug Lists (PDLs)

Medical, pharmacy, reimbursement and administrative policies

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

General Updates

2024Date
Navigate November 2024 Policy Updates – REVISION12/16/2024
Navigate Interactive Health Library12/06/2024
Navigate Change in the Timely Filing Rule for EDI Submitted Claims12/04/2024
Navigate CareSource Connections12/03/2024
Navigate Policy Updates December 202412/01/2024
Navigate Avalon Policy Updates12/01/2024
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 ESRD Notification – Notification is not applicable to D-SNP providers10/22/2024
Navigate QHP Hypoglossal/Allergen Modifiers Notification– Notification is not applicable to D-SNP providers.10/21/2024
Navigate October 2024 Policy Updates 10/01/2024
Navigate 2024 Q4 CareSource Town Hall - Ohio Home Health Providers09/30/2024
Navigate Optum Process Frequently Asked Questions 09/20/2024
Navigate 2024 Q4 CareSource Live Provider Education and Training Series09/11/2024
Navigate Excludes1 Edit09/05/2024
Navigate Policy Updates September 202409/01/2024
Navigate 2024 Quarter 3 CareSource Townhall: Ohio Post-Acute Providers08/22/2024
Navigate ASH Acupuncture Policies08/01/2024
Navigate Policy Updates August 202408/01/2024
Navigate Change to Prior Authorization Request Process for Part B (Medical Drugs) – UPDATE07/01/2024
Navigate PharmScript Pharmacy Termination Disclosure07/01/2024
Navigate Provider Satisfaction Survey06/12/2024
Navigate Prior Authorization Update06/04/2024
Navigate Q1 2024 Avalon Policy Updates06/01/2024
Navigate Policy Updates June 202406/01/2024
Navigate Change to Prior Authorization Request Process for Part B (Medical Drugs)05/31/2024
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 2024 Q2 CareSource Townhall-Ohio Home Health Providers04/23/2024
Navigate 2024 Q2 CareSource Live Provider Education and Training Series04/02/2024
Navigate Policy Updates April 202404/01/2024
Navigate Provider Portal Claim Submission Tool Update03/27/2024
Navigate CareSource Connections 03/25/2024
Navigate It's Patient Experience Survey Season!03/12/2024
Navigate Availity Essentials Live Webinar Training03/06/2024
Navigate Change Healthcare Cybersecurity Incident03/04/2024
Navigate Policy Updates March 202403/01/2024
Navigate Q4 Avalon Policy Updates March 202403/01/2024
Navigate Member Balance Billing01/23/2024
Navigate 2024 Q1 CareSource Live Provider Education and Training Series01/08/2024
Navigate Changes in D-SNP Pharmacy Coverage: Preferred Diabetic Part B Glucometers, Test Strips and Continuous Glucose Monitors (CGMs)01/03/2024
Navigate Avaolon Policy Updates - January 202401/01/2024
Navigate D-SNP Access to Care Updates01/01/2024
Navigate Policy Updates January 202401/01/2024