On Wednesday, February 21, 2024, Change Healthcare, one of our clearinghouse partners, was impacted by a cybersecurity event. This event compelled them to suspend business with all...
We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after May 15, 2024....
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...
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...
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're pleased to inform you that PacificSource members are eligible to enroll in the PAXCESS™ Patient Support Program through Pfizer. A current prescription...