News and updates | PacificSource

February 28, 2025

2025 Community Capacity-Building Funding for HRSN services

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)...

Providers

February 14, 2025

April 2025 Drug List Change Notification (Commercial)

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

Individual & Family, and Employer Providers

February 06, 2025

March 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

January 15, 2025

March 2025 Drug List Change Notification (Commercial)

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

Individual & Family, and Employer Providers

January 09, 2025

Pharmacy coverage for 90-day medications now available via retail (Medicaid)

PacificSource Community Solutions (Medicaid) members now have access to 90-day supplies of certain medications via retail in addition to mail order. This change gives your patients more...

Providers

December 12, 2024

February 2025 Drug List Change Notification (Commercial)

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

Individual & Family, and Employer Providers

December 10, 2024

December 2024 Formulary Provider Notification Pharmacy Coverage Updates

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

December 03, 2024

Behavioral Health treatment reviews required in 2024

Clarification and update. See frequently asked questions below.Effective January 1, 2024, PacificSource began completing utilization management reviews for...

Providers

November 13, 2024

January 2025 Drug List Change Notification (Commercial)

Updates on Existing CriteriaDecember 2024. The following changes to criteria are effective December 22, 2024:Prior Authorization Criteria –...

Individual & Family, and Employer Providers

October 15, 2024

December 2024 Drug List Change Notification (Commercial)

Updates on Existing CriteriaDecember 2024. The following changes to criteria are effective December 22, 2024:Prior Authorization Criteria –...

Individual & Family, and Employer Providers