News and updates

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...

Updates on Existing CriteriaAugust 2025. The following changes to criteria are effective August 1st, 2025:Prior Authorization...

Updates on Existing CriteriaJune 2025. The following changes to criteria are effective June 22nd, 2025:Prior Authorization Criteria...

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...

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...

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

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...

We would like to inform you of changes to utilization management prior authorization submission requirements for PacificSource Community Solutions (Medicaid). Effective...

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)...

Updates on Existing Criteria April 2025. The following changes to criteria are effective April 22, 2025:Prior Authorization Criteria –...