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

2024Date
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
2023Date
Navigate Provider Sourcing Tool Notification11/15/2023
Navigate CMS Implements New Code Edits11/13/2023
Navigate TurningPoint Policy Updates - November 202311/01/2023
Navigate Policy Updates November 202311/01/2023
Navigate 2024 Prior Authorization Requirement Updates10/19/2023
Navigate Avalon Policy Updates (Q3/Q4) October 202310/01/2023
Navigate Avalon Policy Updates (Q1) October 202310/01/2023
Navigate Policy Updates October 202310/01/2023
Navigate Multi-Language Insert Requirement10/02/2023
Navigate Providers Access Standard Requirements for Primary Care Provider and Behavioral Health09/25/2023
Navigate Retro Patient Liability08/29/2023
Navigate 2023 Q3 and Q4 CareSource Live Provider Education and Training Series08/22/2023
Navigate Prior Authorization Requirement Update08/18/2023
Navigate Importance of Providers Receiving the Flu Vaccination08/16/2023
Navigate August 2023 Avalon Policies08/01/2023
Navigate Policy Updates August 202308/01/2023
Navigate August 2023 NIA Policies08/01/2023
Navigate Multi-Factor Authentication Implementation08/01/2023
Navigate FREE Virtual CME Training Available!07/20/2023
Navigate Inflation Reduction Act Implementation Notice07/12/2023
Navigate Policy Updates July 202307/01/2023
Navigate Policy Updates June 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 Public Health Emergency Ending – Copayment Requirements05/11/2023
Navigate Case & Recovery Management Service Discontinuation05/12/2023
Navigate Removal of Peer-to-Peer Option05/05/2023
Navigate Public Health Emergency Ending - Resumption of Preadmission Screening and Resident Review (PASRR) Requirements05/05/2023
Navigate Q3/Q4 Avalon Policies05/01/2023
Navigate Policy Updates May 202305/01/2023
Navigate Patient Liability04/19/2023
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 Policy Updates April 202304/01/2023
Navigate Q1 2023 CareSource Live Instructor-Led Provider Training and Education Series – UPDATE03/17/2023
Navigate 2023 D-SNP and Ohio MyCare Model of Care Training Requirement03/14/2023
Navigate Medicaid Coverage Redetermination Resumes April 103/10/2023
Navigate Pulsewrx for Diabetes Monitoring03/06/2023
Navigate Policy Updates March 202303/01/2023
Navigate 2023 Pharmacy Network Change02/23/2023
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 MyCare Preferred Diabetic Part B Glucometers and Test Strips Formulary Change02/17/2023
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE01/26/2023