News and updates

Beginning June 22, 2024, coverage of Humira (adalimumab) through PacificSource Health Plans will change to other, biosimilar formulations. This change applies to commercial (Employer and Individual...

Updates on Existing CriteriaMay 2024. The following changes to criteria are effective May 22, 2024:Prior Authorization Criteria – Clinical...

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...

Updates on Existing CriteriaApril 2024. The following changes to criteria are effective April 22, 2024:Prior Authorization Criteria –...

Every year, PacificSource takes part in the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which is distributed by our partner, Press Ganey.Participants are randomly...

Updates on Existing Criteria March 2024. The following changes to criteria are effective March 22, 2024: Prior Authorization Criteria – Clinical Updates...

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....

Updates on Existing Criteria February 2024. The following changes to criteria are effective February 22, 2024:Prior Authorization...