News and updates

We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after May 15, 2024....

Oregon is distributing Community Capacity Building Funding to organizations interested in providing Health-Related Social Needs (HRSN) benefits such as climate-related supports, housing supports, and...

We're pleased to inform you that PacificSource members are eligible to enroll in the PAXCESS™ Patient Support Program through Pfizer. A current prescription...

We have recently updated our prior authorization list and coverage policies for Medicaid patients. This change is effective for dates of service on or after February 15, 2024....

All claim-status checks must be completed using our secure provider portal, InTouch for Providers (OneHealthPort). We will no longer accept Claim Status Request forms submitted via...

Certain codes will require prior authorization for Oregon Medicaid members.

Clarification and update. See frequently asked questions below. Effective January 1, 2024, PacificSource will begin completing utilization management reviews for members who have...

We have recently updated our prior authorization list and coverage policies. This change is effective for dates of service on or after November...

Here’s what you need to know: Coverage of Humira (adalimumab) through PacificSource Community Solutions will change to other, biosimilar formulations. Will I still be able to prescribe Humira?...

PacificSource Community Solutions (Medicaid) allows a 20-day skilled nursing facility (SNF) stay for individuals who qualify for skilled care. Prior authorization is not required for admission to a...