News and updates
Pharmacy Coverage for 90-day Medications
Community Solutions members now have access to 90-day supplies of certain medications via mail order. This allows members to receive extended day supplies delivered directly to them by CVS Caremark...
Prior Authorization Requirement Removed for CPT 97129 - Effective April 15, 2022
Effective April 15, 2022, CPT 97129 will no longer require a prior authorization for Medicaid, PacificSource Community Solutions.
97129 - Therapeutic interventions that focus on cognitive...
Telehealth Place of Service Code 10 - Updated Information
On March 25, 2022, a notice was posted stating that Oregon Health Authority (OHA) made the determination that POS 10 for telehealth will no longer be recognized for Medicaid claims. OHA has now...
Telehealth Place of Service Code 10 - Effective Immediately
Oregon Health Authority (OHA) recently made the determination that POS code 10 for telehealth will no longer be recognized for Medicaid claims billing. PacificSource is following this guidance...
30-day Notification – Prior Authorization Required for 58571
Effective 04/25/2022, A prior authorization requirement will be added to code 58571 Laparoscopy, Surgical, with Total Hysterectomy, for Uterus 250g or Less; with Removal of Tube(s) and/or Ovary(s)...
Delay in AIM Radiology Program Roll Out
There was unfortunately an unforeseen technical challenge delaying the roll out of the AIM Radiology Program. We estimate this to be resolved April 3, 2022. Please continue to use InTouch for...
Access To Care Survey Is Now Conducted by Phone
As a provider, you understand how access to care is vital to healthy communities. As required by Centers for Medicare and Medicaid Services (CMS) and the National Committee for Quality Assurance (...
Correction to Prior Notice: New Radiology Program Effective April 1, 2022
Our prior notice incorrectly listed the portal opening date as March 13, 2022. The correct portal open date is March 21, 2022 for dates of service April 1, 2022 and after. We apologize...
Notificación de cambios en la lista de medicamentos de marzo de 2022 (Medicaid)
Actualizaciones de los límites de cantidad
Los siguientes cambios en la lista de medicamentos cubiertos entran en vigor el 15 de marzo de 2022:
Tipo de cambio: Gestión de...
Prior Authorization Submission reminder
We are unable to accept prior authorization requests via email. Please submit all prior authorizations via our secure provider portal, InTouch. If you have any questions or concerns,...