News and updates
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,...
Correction: 2022 Medicaid Neuropsychological Code Updates - Effective 1/1/2022
Effective January 1, 2022, prior authorization requirements will remain on Neuropsychological codes. A prior authorization requirement will be added to code 96137 Psych or...
New Radiology Program Effective April 1, 2022
Effective April 1, 2022, PacificSource will transition the review of all outpatient diagnostic imaging services for PacificSource Community Solutions members to AIM Specialty Health.
Your...
SNF Enhanced Rates
OHA has recently updated the fee-for-service payment rates, and also included a new enhanced wage add-on rate for approved nursing facilities effective 10/1/2021. Those who qualify will be notified...
Pharmacy Coverage Updates Effective March 15, 2022
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 policies. These...
On Behalf of OHA - Funding Opportunity: Clinical Supervision Program for Behavioral Health Providers
OHA has opened its first round of solicitations for the Clinical Supervision Program. This solicitation intends to provide financial awards to expand clinical supervision for behavioral health...