News and updates

Updates on Existing Criteria August 2022. The following changes to criteria are effective August 22, 2022: Prior Authorization Criteria – Clinical Updates...

Starting July 1, 2022, people who are 19-25 or 55 and older may be eligible for full Oregon Health Plan (OHP) and other medical assistance benefits regardless of their immigration...

PacificSource ha tenido conocimiento de una estafa telefónica que dice ser la Junta Médica de Oregón y que pide información personal. La Junta Médica de Oregón ha publicado un aviso oficial sobre...

Updates on Existing Criteria July 2022. The following changes to criteria are effective July 22, 2022: Prior Authorization Criteria – Clinical Updates Carglumic...

  Update May 19, 2022 PacificSource Health Plans is committed to supplying members with accurate, up-to-date directories of our network providers. Last year, PacificSource...

Community Solutions members now have access to 90-day supplies of certain medications via mail order. This allows members to receive extended day supplies delivered directly to them by CVS Caremark...

Effective April 15, 2022, CPT 97129 will no longer require a prior authorization for Medicaid, PacificSource Community Solutions. 97129 - Therapeutic interventions that focus on cognitive...

Updates on Existing Criteria June 2022. The following changes to criteria are effective June 22, 2022: Prior Authorization Criteria – Clinical Updates Abilify...

Effective June 15, 2022, PacificSource will require prior authorization for Continuous Glucose Monitoring for members on our commercial plans. This change pertains to CPT codes  E2102, K0554,...

On March 25, 2022, a notice was posted stating that Oregon Health Authority (OHA) made the determination that POS 10 for telehealth will no longer be recognized for Medicaid claims.  OHA has now...