News and updates
New provider support email and resource 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...
Over 65? Here’s What to Know About Breast Cancer Screenings
Breast Cancer Awareness Month is a good reminder to check in on your health. But as you get older, you may wonder: Do I still need regular mammograms?The answer depends on your age,...
November 2026 Medicaid Drug List Change 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...
Wildfire Resources for PacificSource Members in Oregon and Idaho
Wildfires and smoke continue to affect communities across Oregon and Idaho, forcing some families from their homes and creating difficult conditions for many others. PacificSource is here to help....
A More Connected Way to Manage Your Health
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...
Important PacificSource Coverage Update
PacificSource is making difficult but necessary decisions to ensure we can continue to fulfill our mission and serve members for the long term amid growing pressures across the healthcare...
Changes to our PacificSource Community Solutions formulary and coverage policies
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...
May 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...
Hospital observation services: billing and reimbursement policy updates
Effective July 1, 2026, PacificSource will implement updates to its policies regarding hospital outpatient observation services. Key considerations when billing for these services include the...
Pharmacy prior authorization extension notification
As part of our effort to improve access to affordable healthcare, our Pharmacy department is reducing administrative burden by extending the approved date range for certain maintenance...