Additional June 22nd Drug List Changes (Commercial)
Updates on Existing CriteriaJune 2025. The following changes to criteria are effective June 22nd, 2025:Prior Authorization Criteria...
News and updates
Continued access to care through OHSU and PeaceHealth
Great news: Continued access to care through OHSU and PeaceHealthWe’re excited to share that we’ve reached new agreements with both OHSU and PeaceHealth...
May is Mental Health Awareness Month
According to the National Institute of Mental Health, more than 59 million people live with a mental illness, and it’s estimated that only half receive treatment. To mark Mental Health Awareness...
Helping older patients live their best lives
As patients age, many will quietly accept changes in their activity level, balance, and cognition as inevitable aspects of growing older. But these issues (and others such as...
June 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaJune 2025. The following changes to criteria are effective June 22, 2025: Prior Authorization...
May 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...
Changes to utilization management prior authorization submission requirements (Medicaid)
We would like to inform you of changes to utilization management prior authorization submission requirements for PacificSource Community Solutions (Medicaid). Effective...
2025 Community Capacity-Building Funding for HRSN services
The Oregon Health Authority (OHA) will be distributing Community Capacity Building Funding (CCBF) to coordinated care organizations (CCOs) interested in providing Health-Related Social Needs (HRSN)...
April 2025 Drug List Change Notification (Commercial)
Updates on Existing Criteria April 2025. The following changes to criteria are effective April 22, 2025:Prior Authorization Criteria –...
March 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...