News and updates

These updated documents contain policy guidance for the Medicaid Grievance and Appeals System. Grievances Appeals and Hearings Member Information and Education RequirementsNotice of Adverse...

Here’s what providers should know if they want to provide health-related social needs (HRSN) services.Qualifications and process for becoming an HRSN service providerTo become an HRSN service...

We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after May 15, 2024....

Oregon is distributing Community Capacity Building Funding to organizations interested in providing Health-Related Social Needs (HRSN) benefits such as climate-related supports, housing supports, and...

We're pleased to inform you that PacificSource members are eligible to enroll in the PAXCESS™ Patient Support Program through Pfizer. A current prescription...

We have recently updated our prior authorization list and coverage policies for Medicaid patients. This change is effective for dates of service on or after February 15, 2024....

All claim-status checks must be completed using our secure provider portal, InTouch for Providers (OneHealthPort). We will no longer accept Claim Status Request forms submitted via...

Certain codes will require prior authorization for Oregon Medicaid members.

We have recently updated our prior authorization list and coverage policies. This change is effective for dates of service on or after November...

Here’s what you need to know: Coverage of Humira (adalimumab) through PacificSource Community Solutions will change to other, biosimilar formulations. Will I still be able to prescribe Humira?...