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 Formulary
  • Medical, pharmacy, reimbursement and administrative policies
  • Authorization requirements as communicated through network notifications below 

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

2023Date
Navigate Policy Updates December 202312/01/2023
Navigate TurningPoint Policy Updates - November 202311/01/2023
Navigate Policy Updates November 202311/01/2023
Navigate 2024 Prior Authorization Requirement Updates10/19/2023
Navigate NIA Policy Updates October 202310/01/2023
Navigate Policy Updates October 202310/01/2023
Navigate Multi-Factor Authentication Implementation – UPDATE10/03/2023
Navigate Multi-Language Insert Requirement10/02/2023
Navigate Policy Updates September 202309/01/2023
Navigate 2023 Q3 and Q4 CareSource Live Provider Education and Training Series08/22/2023
Navigate Multi-Factor Authentication Implementation– UPDATE08/08/2023
Navigate August 2023 Avalon Policies08/01/2023
Navigate August 2023 DentaQuest Policies08/01/2023
Navigate Policy Updates August 202308/01/2023
Navigate August 2023 NIA Policies08/01/2023
Navigate Multi-Factor Authentication Implementation07/27/2023
Navigate FREE Virtual CME Training Available!07/20/2023
Navigate Inflation Reduction Act Implementation Notice07/12/2023
Navigate Policy Updates June 202306/01/2023
Navigate 2023 Q2 CareSource Live Provider Education and Training Series05/25/2023
Navigate Closing Diabetes Retinopathy Screening Care Gaps05/24/2023
Navigate Q3/Q4 Avalon Policies05/01/2023
Navigate Policy Updates May 202305/01/2023
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 Member Balance Billing Update03/09/2023
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 CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE01/26/2023
2022Date
Navigate Multi-Language Insert Requirement12/08/2022
Navigate Policy Updates December 202212/01/2022
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures - UPDATE11/30/2022
Navigate Face-to-Face Visit Encounter Requirement11/21/2022
Navigate Provider Alternative Format Request11/10/2022
Navigate Updated Prior Authorization List11/1/2022
Navigate Policy Updates November 202211/1/2022
Navigate Policy Updates October 202210/01/2022
Navigate CareSource and TurningPoint Partnership for Cardiac and Musculoskeletal Surgical Procedures10/01/2022
Navigate Q4 Live Instructor-Led Provider Training and Education Series10/01/2022
Navigate Quarter 2 Avalon Medical Policy Update10/01/2022
Navigate October 2022 Provider Orientation and Education Live Webinar Invitation09/12/2022
Navigate CLIA-Waived Tests Update09/01/2022
Navigate Policy Updates September 202209/01/2022
Navigate Billing Update: Incorrect Billing of Modifier 58 Notification08/24/2022
Navigate Billing Update Re: Multiple Outpatient Claims08/17/2022
Navigate Quarter 1 2022 Avalon Medical Policy Update08/01/2022
Navigate Policy Updates - July 202207/21/2022
Navigate CareSource Live Instructor-Led Provider Training and Education Series07/07/2022
Navigate Quarter 3 & 4 Avalon Medical Policy Update06/30/2022
Navigate We Want to Hear from You!06/30/2022
Navigate Upload Claim Submissions Seamlessly in Provider Portal06/01/2022
Navigate Quarter 2 Avalon Medical Policy Update05/31/2022
Navigate Introducing Teladoc, CareSource’s New Telehealth Partner05/31/2022
Navigate Quarter 2 Avalon Reimbursement Policy Update05/31/2022
Navigate Policy Updates - May 202205/01/2022
Navigate Billing Updates: Chiropractic Unbundling04/26/2022
Navigate June 2022 Provider Orientation Webinar Registration04/25/2022
Navigate Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/01/2022
Navigate Billing Updates: EDCf Evaluation & Management Policy03/25/2022
Navigate Quality Patient Experience Guide (CAHPS resource)03/18/2022
Navigate Retro Authorization Submission Guidelines03/15/2022
Navigate Policy Updates March 202203/01/2022
Navigate Provider Portal Account Linking Enhancement02/21/2022
Navigate Model of Care Training Requirements02/09/2022
Navigate Annual Update - International Classification of Diseases, 10th Revision, Diagnosis Codes (ICD-10-CM)01/27/2022
Navigate Prior Authorization Requirement Updates01/14/2022
Navigate Correct Coding Claims Update01/11/2022
Navigate UPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation01/06/2022
Navigate Policy Updates January 202201/01/2022
2021Date
Navigate 2021 Quarter 3 Provider Portal Updates12/28/2021
Navigate 2021 Global Quality Enhancer: Value-Based Reimbursement Program12/29/2021
Navigate Notice of Philips Respironics Voluntary Medical Device Recall - UPDATE12/15/2021
Navigate You’re Invited! CareSource Provider Webinar12/13/2021
Navigate Prior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
Navigate Importance of the flu vaccination11/16/2021
Navigate HIPAA CORE Compliant Codes10/15/2021
Navigate New Laboratory Benefit Management Programs10/01/2021
Navigate You’re Invited! CareSource Provider Webinar09/15/2021
Navigate Notice of Philips Respironics Voluntary Medical Device Recall - This notification has been revised. See notification dated 12/15/202109/13/2021
Navigate Save the Date: Upcoming Provider Orientation Webinar09/02/2021
Navigate Policy Updates September 202109/01/2021
Navigate You’re Invited! CareSource Provider Webinar07/22/2021
Navigate Policy Updates July 202107/01/2021
Navigate CMS Interoperability06/22/2021
Navigate You’re Invited! CareSource Provider Webinar06/09/2021
Navigate We Want to Hear From You!06/07/2021
Navigate Balance Billing Reminder05/21/2021
Navigate Utilization Management Process05/18/2021
Navigate Policy Updates May 202105/01/2021
Navigate UPDATE - Prior Authorization Requirements04/26/2021
Navigate Transplant Services Reimbursement Update03/11/2021
Navigate Opioid Treatment Program Reimbursement – UPDATE02/26/2021
Navigate Community Behavioral Health Center Re-Credentialing Process02/16/2021
Navigate Annual Notification of Requirements02/12/2021
Navigate Provider Directory Changes for Optometry Service Providers Not Contracted with Superior Vision02/10/2021
Navigate 2020 Quarter 4 Provider Portal Updates02/01/2021
Navigate Policy Updates February 202102/01/2021
Navigate Elective Transplant Process Change01/08/2021
2020Date
Navigate Dual-Eligibility Billing Reminder12/31/2020
Navigate UPDATE - Prior Authorization Requirements12/31/2020
Navigate Introducing New Prior Authorization Procedure Code Look-Up Tool12/17/2020
Navigate SolarWinds Cyberattack12/16/2020
Navigate Register With Dental Partner DentaQuest - Reminder12/14/2020
Navigate Nursing Facility Assessment Tool12/09/2020
Navigate 2021 Prior Authorization List Reminder12/01/2020
Navigate Opioid Treatment Program Reimbursement – This notification has been revised. See notification dated 02/26/2021.12/01/2020
Navigate Policy Updates December 202012/01/2020
Navigate Register with CareSource’s Payment Partner ECHO Health11/23/2020
Navigate Policy Updates November 202011/01/2020
Navigate Quarter 3 Provider Portal Updates10/28/2020
Navigate Updates to MA/D-SNP, MyCare Prior Authorization List10/16/2020
Navigate 2020 Quarter 2 Provider Portal Updates10/05/2020
Navigate Claim Payment Advice (835) Enhancements09/23/2020
Navigate Home Health Value Code Requirement09/16/2020
Navigate DentaQuest to Administer Dental Services for MA/D-SNP Member09/16/2020
Navigate Hospice Claim Modifier Requirement09/11/2020
Navigate Appeal and Payment Dispute Timely Filing Deadline09/10/2020
Navigate Claim Remittance Delay09/03/2020
Navigate Enhanced Claim Editing Implementation09/01/2020
Navigate 2020 Global Quality Enhancer Program07/31/2020
Navigate Durable Medical Equipment Billing Resource Tool07/23/2020
Navigate Provider Directory Information Attestation07/22/2020
Navigate Opioid Treatment Program Reimbursement Update – UPDATE07/16/2020
Navigate Risk Adjustment Coding Education07/15/2020
Navigate Interactive Voice Response (IVR) Enhancements for Providers06/25/2020
Navigate Feedback Requested: SNF Provider Summit Ideas06/22/2020
Navigate Provider Portal Claims Submittal Enhancement06/15/2020
Navigate Accurate ICD-10 Coding05/26/2020
Navigate Holiday Claim Remittance Delays05/19/2020
Navigate Provider Portal Claims Quick Start Guide – UPDATE04/29/2020
Navigate Designation of Availity as Exclusive EDI Gateway04/15/2020
Navigate Correct Payer ID for Claims Submissions04/06/2020
Navigate Recent Provider Portal Updates03/30/2020
Navigate FQHC and RHC Provider Billing Reminder03/27/2020
Navigate Model of Care Training Requirements – UPDATE03/27/2020
Navigate Issue Resolution: Electronic Remittance Advice (ERA) PLB and Claim Level Adjustments03/13/2020
Navigate Provider Portal Quick Start Guide – This notification has been revised. See notification dated 04/29/2020.03/11/2020
Navigate Consent Forms Reminder03/05/2020
Navigate FQHC Use of Uniform Billing Form UB-04 – UPDATE03/03/2020
Navigate Access and Availability Standards03/02/2020
Navigate Policy Updates March 202003/01/2020
Navigate FQHC Use of Uniform Billing Form UB-04 – This notification has been revised. See notification dated 03/03/2020.02/19/2020
Navigate Annual Notice of Requirements02/19/2020
Navigate Patient-Driven Groupings Model Implementation02/19/2020
Navigate Instructions on Attaching Medical Records in Provider Portal02/07/2020
Navigate Provider Model of Care Training – This notification has been revised. See notification dated 03/27/2020.01/29/2020
Navigate Opioid Treatment Program Reimbursement – This notification has been revised. See notification dated 07/16/2020.01/28/2020
Navigate Recent Provider Portal Updates01/28/2020
Navigate Paper Checks Dated 1/21, 1/22, 1/2301/27/2020
Navigate EAPG Claims Status01/22/2020
Navigate Inpatient Facility Claims Guidelines01/20/2020
Navigate Provider Payment Migration Complete01/13/2020