News and updates

We recognize that providers rely on timely access to information and support to serve patients and members effectively. To help streamline support and connect providers with the right resources, we...

Updates on Existing CriteriaDecember 2026. The following changes to criteria are effective by December 22, 2026:Prior Authorization...

PacificSource has made the difficult decision to exit the Montana market for individual and family, employer-sponsored, and Medicare Advantage health plans. This change is part of a...

Updates on Existing CriteriaNovember 2026. The following changes to criteria are effective by November 30, 2026:Prior Authorization...

Managing your health takes more than understanding your health plan. It also means staying connected to the care, resources, and support that help you stay well.You may already be familiar with Epic...

Updates on Existing CriteriaOctober 2026. The following changes to criteria are effective by October 22, 2026:Prior Authorization...

We want to make you aware of an upcoming change related to behavioral health billing. Effective October 1, 2026, board-registered associates (BRAs) will no longer be eligible to treat or bill...