The essential reference for our contracted providers.
Provider resource center
Centralized online reference for common provider questions.
What’s New for Providers
After a three-year pause, the process of checking member eligibility for renewing Medicaid health insurance coverage has begun again. It’s estimated that anywhere between 5 and 15 million people are going to lose their coverage nationwide. Here’s some information to help you support your patients...
January 2024 Drug List Change Notification (Commercial) Updates on Existing Criteria January 2024. The following changes to criteria are...
Prior authorization requirement changes effective January 1, 2024 (Medicaid) Certain codes will require prior authorization for Oregon Medicaid members.
Behavioral health criteria changing November 13, 2023 Beginning November 13, 2023, PacificSource will use different criteria for level-...
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