Updates & Announcements

Quick References

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.

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

General Updates

2025Date
Navigate Important Reminder: Reporting Practice Changes to CareSource03/26/2025
Navigate It's Patient Experience Survey Season03/14/2025
Navigate Hearing Aid Coverage – Ohio House Bill 31503/10/2025
Navigate Provider Connections - Ohio03/06/2025
Navigate Automated Blood Pressure Cuffs - A467003/05/2025
Navigate Ohio Next Generation Program Update Webinar03/04/2025
Navigate Pharmacy Policy Updates March 202503/01/2025
Navigate Policy Updates March 202503/01/2025
Navigate Pediatric Vision Directory Survey02/27/2025
Navigate Temporary Waiver of Prior Authorization Requirements for Nursing Home Admissions from Hospital02/24/2025
Navigate 2025 Q1/Q2 Home Health Provider CareSource Townhall02/21/2025
Navigate 2025 Q2 CareSource Townhall02/18/2025
Navigate Dates Announced: ODM to Roll Out EVV Claims Processing Changes in Seven Phases02/18/2025
Navigate Provider Network Management (PNM) Module Refresher02/14/2025
Navigate Policy Updates February 202502/01/2025
Navigate Avalon Policy Update - February 202502/01/2025
Navigate Avalon Q3 Policy Update - February 202502/01/2025
Navigate Prior Authorization Requirement Update01/31/2025
Navigate Access to Lactation Consulting Services for Medicaid Beneficiaries01/29/2025
Navigate Provider Network Management Provider Directory Information01/06/2025
Navigate Policy Updates January 202501/01/2025
Navigate Pharmacy Policy Updates January 202501/01/2025
Navigate Updating Demographics01/01/2025
Navigate Prior Authorization Requirement Update01/01/2025
2024Date
Navigate Newborn RSV Prevention12/13/2024
Navigate Policy Updates November 2024 – UPDATE12/09/2024
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 Brand Name Buprenorphine-Naloxone Take-Home Doses (Suboxone, Zubsolv)12/02/2024
Navigate TurningPoint Policy Updates12/01/2024
Navigate Pharmacy Policy Updates December 202412/01/2024
Navigate Policy Updates December 202412/01/2024
Navigate Modifiers JZ and JW11/04/2024
Navigate Evolent Policy Updates11/01/2024
Navigate 1330 Specialty Spectacle Lenses Policy Notification11/01/2024
Navigate Policy Updates November 202411/01/2024
Navigate Spravato Pharmacy Policy Update11/01/2024
Navigate Electronic Visit Verification10/25/2024
Navigate ICD-10-CM Coding Guidelines10/24/2024
Navigate Nomi Health Partnership10/24/2024
Navigate Prior Authorization Requirement Update10/22/2024
Navigate Approved ABA Service Authorizations10/9/2024
Navigate Versant Policy Updates - October 202410/01/2024
Navigate Policy Updates October 202410/01/2024
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 HEDIS Spotlight: Kidney Health Evaluation for Patients with Diabetes (KED)09/03/2024
Navigate Policy Updates September 202409/01/2024
Navigate Pharmacy Policy Updates September 202409/01/2024
Navigate 2024 Quarter 3 CareSource Townhall: Ohio Post-Acute Providers08/22/2024
Navigate Member Redetermination Date Now Visible on Provider Portal08/16/2024
Navigate Vision Claims Processing Errors08/05/2024
Navigate PNM Refresher Training08/05/2024
Navigate Policy Updates August 202408/01/2024
Navigate Private Duty Nursing Services for Greater than 60-Days07/19/2024
Navigate DentaQuest Policy Updates - July 202407/01/2024
Navigate Policy Updates July 202407/01/2024
Navigate Provider Satisfaction Survey06/12/2024
Navigate Prior Authorization Update06/03/2024
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 Policy Updates May 202405/01/2024
Navigate 2024 Q2 CareSource Townhall-Ohio Home Health Providers04/23/2024
Navigate Ohio Behavioral Health Claims Paying at 2023 Rates04/11/2024
Navigate 2024 Q2 CareSource Live Provider Education and Training Series04/02/2024
Navigate Q4 Avalon Policy Updates April 202404/01/2024
Navigate Policy Updates April 202404/01/2024
Navigate Provider Portal Claim Submission Tool Update03/27/2024
Navigate CareSource Connections 03/25/2024
Navigate Timely Filing Extension03/22/2024
Navigate It's Patient Experience Survey Season!03/12/2024
Navigate Virtual ABA Training03/08/2024
Navigate Hospice Billing Update03/06/2024
Navigate Availity Essentials Live Webinar Training03/06/2024
Navigate Change Healthcare Cybersecurity Incident03/04/2024
Navigate Pharmacy Policy Updates March 202403/01/2024
Navigate Q3 Avalon Policy Updates March 202403/01/2024
Navigate Policy Updates March 202403/01/2024
Navigate Report of Pregnancy (ROP) Form02/28/2024
Navigate EDI Billing Updates02/15/2024
Navigate CareSource and CCHMC Partnership for Utilization Management for HealthVine Members02/09/2024
Navigate Policy Updates February 202402/01/2024
Navigate Pharmacy Policy Updates February 202402/01/2024
Navigate ODM Coding and Billing Reminder01/22/2024
Navigate Ohio Department of Medicaid (ODM) Rate Increases01/22/2024
Navigate Ohio Medicaid Invalid NDC & HIPPS Code Rejections01/19/2024
Navigate ODM Medicaid Agreement Revalidations - PNM01/19/2024
Navigate New Prior Authorization Requirement - Genomic Analysis Panel for Psychiatric Conditions (0345U)01/18/2024
Navigate CANS (H2000) Claim Denial Trend and Resolution Guidance01/12/2024
Navigate Newborn and NICU Prior Auth Requirement Update01/09/2024
Navigate 2024 Q1 CareSource Live Provider Education and Training Series01/08/2024
Navigate TurningPoint Policy Updates - January 202401/01/2024
Navigate Policy Updates - January 202401/01/2024
2023Date
Navigate Updates to Diabetes Benefits in 2024 – Quick Reference Guide12/31/2023
Navigate Coverage of DexCom & FreeStyle Continuous Glucose Monitors (CGMs)12/31/2023
Navigate Enhanced Reimbursement for Diabetes Self-Management Education12/31/2023
Navigate Quality Enhancer Incentive Program12/29/2023
Navigate Technical Assistance Intervention Package ePRAF12/29/2023
Navigate Home Health Services Calendar Limits12/06/2023
Navigate Provider Network Management (PNM) Module Update – UPDATE12/04/2023
Navigate Avalon Policy Updates December 202312/01/2023
Navigate Policy Updates - December 202312/01/2023
Navigate Pharmacy Policy Updates December 202312/01/2023
Navigate CMS Implements New Code Edits11/13/2023
Navigate Pharmacy Policy Update - Beyfortus & Synagis11/09/2023
Navigate NIA Policy Updates - November 202311/01/2023
Navigate Policy Updates November 202311/01/2023
Navigate Provider Network Management (PNM) Module Update10/16/2023
Navigate Annual Notice of Requirements – UPDATE10/02/2023
Navigate Avalon Policy Updates (Q3/Q4) October 202310/01/2023
Navigate Avalon Policy Updates (Q1) October 202310/01/2023
Navigate Versant Policy Updates October 202310/01/2023
Navigate NIA Policy Updates October 202310/01/2023
Navigate Policy Updates October 202310/01/2023
Navigate DentaQuest Policy Updates - October 202310/01/2023
Navigate Policy Updates October 202310/01/2023
Navigate Annual Notice of Requirements – This notification has been revised. See notification dated 10/02/202309/13/2023
Navigate Oncology Drug Shortage Notification09/13/2023
Navigate Coding and Billing Updates09/01/2023
Navigate Policy Updates September 202309/01/2023
Navigate September 2023 Avalon Policies - Effective 11/1/2309/01/2023
Navigate September 2023 Versant Vision Policies - Effective 11/1/2309/01/2023
Navigate 2023 Q3 and Q4 CareSource Live Provider Education and Training Series08/22/2023
Navigate Prior Authorization Requirement Update08/18/2023
Navigate Policy Updates August 202308/01/2023
Navigate Multi-Factor Authentication Implementation08/01/2023
Navigate Rejection of Claims that Bypass the ODM Fiscal Intermediary – UPDATE07/21/2023
Navigate Level 5 Evaluation and Management Claim Update07/21/2023
Navigate FREE Virtual CME Training Available!07/20/2023
Navigate Payment for Determination of Refractive State (92015)07/19/2023
Navigate Policy Updates July 202307/01/2023
Navigate Synagis Program Update06/22/2023
Navigate Pregnancy Risk Assessment Form (ePRAF) Education Series 06/21/2023
Navigate Enteral B Codes06/20/2023
Navigate DentaQuest Policy Updates June 202306/01/2023
Navigate Policy Updates June 202306/01/2023
Navigate Versant Policy Updates - May 202306/01/2023
Navigate Ohio Pulsewrx Program for Continuous Glucose Monitoring05/31/2023
Navigate 2023 Q2 CareSource Live Provider Education and Training Series05/25/2023
Navigate Closing Diabetes Retinopathy Screening Care Gap05/24/2023
Navigate Withdraw Approval of Makena05/22/2023
Navigate Rejection of Claims that Bypass the ODM Fiscal Intermediary – UPDATE05/10/2023
Navigate Public Health Emergency Ending - Resumption of Preadmission Screening and Resident Review (PASRR) Requirements05/05/2023
Navigate ODM Claims Rejection Logic05/04/2023
Navigate Rejection of Claims Based on the Provider Master File05/02/2023
Navigate Rejection of Claims that Bypass the ODM Fiscal Intermediary Summary – This notification has been revised. See notification dated 5/10/202305/02/2023
Navigate Claims Readmission Policy04/12/2023
Navigate Public Health Emergency Ending – Updates to Benefits and Rates04/10/2023
Navigate CAHPS Email Campaign and Quality Patient Experience Guide04/03/2023
Navigate March 2023 OH MCD Turning Point Policy Updates04/01/2023
Navigate Prior Authorization Requirement for Non-Emergent NICU Transfers and Transports03/30/2023
Navigate Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series – UPDATE03/17/2023
Navigate ODM EDI Claims and Bridge Payments for Providers03/14/2023
Navigate Medicaid Coverage Redetermination Resumes April 103/10/2023
Navigate Pregnancy Risk Assessment Form (ePRAF) Education Series03/08/2023
Navigate Pulsewrx for Diabetes Monitoring03/06/2023
Navigate Policy Updates March 202303/01/2023
Navigate February 2023 Avalon Policy Updates03/01/2023
Navigate Pharmacy Policy Updates April 202302/27/2023
Navigate CareSource and AbsoluteCare Partner to Improve Health Outcomes02/22/2023
Navigate Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series This notification has been revised. See notification dated 03/17/202302/21/2023
Navigate Electronic Data Interchange (EDI) Reminder02/17/2023
Navigate Guidance Regarding 270 Eligibility Inquiry, Claim Submissions and Payer ID02/13/2023
Navigate Next Generation of Ohio Medicaid Managed Care: Payer ID Change - UPDATE01/31/2023
Navigate Program Delay - Phase 3 Launch of ODM Next Generation Managed Care - UPDATE01/27/2023
Navigate Next Generation December 1 Launch Training and Resources - UPDATE01/27/2023
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE01/26/2023
Navigate Ohio Next Generation Managed Care: New ODM Communication Available01/24/2023
Navigate Postpartum Depression Screening Promotion01/09/2023
Navigate Medicaid Advisory Letter (MAL) 666 Update01/06/2023
Navigate Next Generation December 1 Launch Training and Resources - UPDATE01/05/2023
Navigate Readmission Pre-Pay Claims Review01/03/2023