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

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.

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 Ohio Next Generation Program Update Webinar03/04/2025
Navigate Policy Updates March 202503/01/2025
Navigate Update to Serious Illness Supportive Care Program02/26/2025
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 Medical Record Reviews02/19/2025
Navigate 2025 Q2 CareSource Townhall02/18/2025
Navigate Dates Announced: ODM to Roll Out EVV Claims Processing Changes in Seven Phases02/18/2025
Navigate Patient Liability Claims Notification02/07/2025
Navigate Policy Updates January 202502/01/2025
Navigate Avalon Q3 Policy Update - February 202502/01/2025
Navigate Home Modification Sourcing Tool Home Modification Sourcing Tool02/01/2025
Navigate MyCare Opt-In Terminations Received by CMS01/28/2025
Navigate Patient Liability Notification01/16/2025
Navigate Provider Network Management Provider Directory Information01/06/2025
Navigate Updating Demographics01/01/2025
Navigate CMS Notice of Medicare Non-Coverage (NOMNC) Model Document Updates for Medicare Advantage Enrollees01/01/2025
Navigate Prior Authorization Requirement Update01/01/2025
2024Date
Navigate November 2024 Policy UpdatesREVISION12/16/2024
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 TurningPoint 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 Claim Validation Based on the ODM PNM System11/1/2024
Navigate Waiver Authorization Requirements10/18/2024
Navigate Reminder - Prior Authorization Request and Appeals Process for Part B (Medical Drugs)10/15/2024
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 Member Redetermination Date Now Visible on Provider Portal08/16/2024
Navigate Policy Updates August 202408/01/2024
Navigate Private Duty Nursing Services for Greater than 60-Days07/19/2024
Navigate Change to Prior Authorization Request Process for Part B (Medical Drugs)UPDATE07/01/2024
Navigate PharmScript Pharmacy Termination Disclosure07/01/2024
Navigate Patient Liability Notification06/17/2024
Navigate Provider Satisfaction Survey06/12/2024
Navigate Prior Authorization Update06/03/2024
Navigate Change to Prior Authorization Request Process for Part B (Medical Drugs)05/31/2024
Navigate Service Plan Enhancements05/23/2024
Navigate Visit the CareSource Health Equity Webpage for Resources and Trainings!05/20/2024
Navigate 2024 Q2 CareSource Townhall-Ohio Home Health Providers04/23/2024
Navigate 2024 Q2 CareSource Live Provider Education and Training Series04/02/2024
Navigate 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 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 February 202402/01/2024
Navigate Member Balance Billing01/23/2024
Navigate ODM Medicaid Agreement Revalidations - PNM01/19/2024
Navigate 2024 Q1 CareSource Live Provider Education and Training Series01/08/2024