News and updates

Updates on Existing Criteria: October 2021. The following changes to criteria are effective October 22, 2021: Prior Authorization Criteria – Clinical Updates...

To simplify how members and providers work with us, PacificSource has announced changes to our network beginning Jan. 1, 2022. Once the changes are complete, we will serve members across the region...

Updates on Existing Criteria: September 2021. The following changes to criteria are effective September 22, 2021: Prior Authorization Criteria – Clinical Updates...

Effective August 30, 2021, PacificSource will require prior authorization for the following codes related to Optical Coherence Tomography for...

Updates on Existing Criteria August 2021. The following changes to criteria are effective August 22, 2021:
Prior Authorization Criteria – Clinical Updates...

Updates on Existing Criteria July 2021. The following changes to criteria are effective July 22, 2021: Prior Authorization Criteria – Clinical Updates Arcalyst...

Special enrollment periods (SEP) in Idaho, Montana, Oregon, and Washington began in February or March. SEPs may include consumers on and off the exchange. Because each state has its own rules and...

The American Rescue Plan (ARP) Act of 2021 includes COBRA subsidies and increases dependent care account maximums to help Americans. COBRA premium assistance Individuals may have 100% of COBRA...

Updates on Existing Criteria: June 2021. The following changes to criteria are effective June 22, 2021: Prior Authorization Criteria – Clinical Updates Botox –...

Effective March 15, 2021, prior authorization for deep sedation will no longer be required for: 
•    Upper endoscopy,
•    Colonoscopy,...