October 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaOctober 2025. The following changes to criteria are effective October 22, 2025:
Prior Authorization...
Prior Authorization...
News and updates
September 2025 Community Solutions (Medicaid) 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...
2025 Fall Provider Workshops
Coming this OctoberOur annual Provider Workshops return this fall, with sessions designed to keep you informed, connected, and ready for the year ahead.We’ll cover...
Stronger security for InTouch and the myPacificSource app
We are improving our member portal, lnTouch, and the myPacificSource app to enhance the security of your personal information. You'll notice the changes when you log in, after mid-August 2025...
Medicaid Grievance and Appeals policies
These updated documents contain policy guidance for the Medicaid Grievance and Appeals System. Grievances Appeals and HearingsMember Information and Education RequirementsNotice of Adverse...
Additional August 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaAugust 2025. The following changes to criteria are effective August 22, 2025: Prior Authorization...
July 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaJuly 2025. The following changes to criteria are effective July 22, 2025: Prior Authorization...
July 2025 Community Solutions (Medicaid) 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...
Stelara coverage is changing for your PacificSource patients
Here’s what you need to know:Coverage of Stelara (ustekinumab) through PacificSource Health Plans will change to biosimilar formulations.
Will I still be able to prescribe...
Will I still be able to prescribe...
August 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaAugust 2025. The following changes to criteria are effective August 1st, 2025:Prior Authorization...