News and updates | PacificSource

December 08, 2025

January 2026 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...

December 04, 2025

Update on PacificSource’s Lane County CCO Participation

PacificSource has made the difficult decision to exit the Lane County Coordinated Care Organization (CCO). This follows months of good-faith collaboration with the Oregon Health Authority (OHA...

Providers

November 10, 2025

Medicaid and Commercial Prior Authorization Changes

Commercial and Medicaid: Starting January 1, 2026, these services with the listed billing codes will require prior authorization for both Commercial and Medicaid plans:...

Providers

October 20, 2025

December 2025 Drug List Change Notification (Commercial)

Updates on Existing CriteriaDecember 2025. The following changes to criteria are effective December 22, 2025:
Prior Authorization...

Individual & Family, and Employer Members Providers

October 17, 2025

Medicaid Peer delivered services policy update

PacificSource Community Solutions has updated the peer-delivered services policy effective January 1, 2026.Clarifying criteria for service eligibility for peer-delivered services, including medical...

Providers

October 06, 2025

November 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...

Medicaid/OHP Members Providers

September 29, 2025

Montana State Based Drug List Change Notification (Commercial)

Updates on Existing CriteriaOctober 2025. The following changes to criteria are effective October 1, 2025:
Removed from Formulary...

Individual & Family, and Employer Members Providers

August 19, 2025

October 2025 Drug List Change Notification (Commercial)

Updates on Existing CriteriaOctober 2025. The following changes to criteria are effective October 22, 2025:
Prior Authorization...

Individual & Family, and Employer Members Providers

August 04, 2025

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...

Providers

July 24, 2025

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...

Providers