News and updates
November 2024 Community Solutions formulary and coverage policies notification
We would like to inform you of changes to our PacificSource Community Solutions formulary and coverage policies.We have recently updated our prior authorization list and coverage...
Don’t miss our 2024 Fall Provider Workshops
Learn the latest and greatest, starting October 8Our yearly Provider Workshops are an important event for healthcare professionals and service providers. You'll get all the updates on our plans and...
Revised coding policies for Emergency Department outpatient facility Evaluation and Management
As part of our continued efforts to reinforce accurate coding practices, we are revising the current Emergency Department (ED) outpatient facility Evaluation and Management (E/M) coding reimbursement...
Pharmacy coverage updates, effective September 15, 2024 (Medicaid)
We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after September 15, 2024.Summary of changes...
Medicaid Grievance and Appeals policies
These updated documents contain policy guidance for the Medicaid Grievance and Appeals System. Grievances Appeals and Hearings Member Information and Education RequirementsNotice of Adverse...
Information for HRSN service providers
Here’s what providers should know if they want to provide health-related social needs (HRSN) services.Qualifications and process for becoming an HRSN service providerTo become an HRSN service...
Pharmacy coverage updates effective May 15, 2024 (Medicaid)
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....
Community Capacity-Building Funding for HRSN services
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...
Paxlovid™ is available to most PacificSource members at no cost, or at a discount
We're pleased to inform you that PacificSource members are eligible to enroll in the PAXCESS™ Patient Support Program through Pfizer. A current prescription...
Pharmacy coverage updates effective February 15, 2024 (Medicaid)
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....