News and updates
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...
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....
New process for claim-status checks
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...
Prior authorization requirement changes effective January 1, 2024 (Medicaid)
Certain codes will require prior authorization for Oregon Medicaid members.
Pharmacy coverage updates effective November 15, 2023 (Medicaid)
We have recently updated our prior authorization list and coverage policies. This change is effective for dates of service on or after November...