News and updates
Behavioral health criteria changes delayed
Beginning in early 2023, PacificSource will use different criteria for level-of-care decisions (inpatient, residential, partial hospitalization, and intensive outpatient) for mental health treatment...
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
Effective for dates of service on and after April 9, 2023, the following updates will apply to the AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines.
As part of the AIM...
See what’s new with our website’s provider section
To better serve our provider partners, we are proud to announce several enhancements to PacificSource.com, with the aim of helping you connect with the information you need more easily and...
Genetic Testing Guideline Changes – Effective March 11, 2023
Effective for dates of service on and after March 11, 2023, AIM Specialty Health® (AIM) will transition to an updated set of Clinical Appropriateness Guidelines.
PacificSource has...
On Behalf of OHA- Provider billing and member reimbursement for retroactive OHP Supplemental Benefits
To reimburse OHP members who paid your office for OHP Supplemental benefits now retroactively covered, please be sure to bill the member's coordinated care organization (CCO), dental care...
Claims Status Checks now provided ONLY via InTouch For Providers
All Claim Status checks must be completed using our secure provider portal, InTouch for Providers. Please visit OneHealthPort.com to sign up or log in.
For claims status...
Diagnostic Digital Breast Tomosynthesis - CPT G0279
Effective 11/11/2022 PacificSource Community Solutions will no longer pay/reimburse for CPT G0279 (Diagnostic digital breast tomosynthesis; unilateral or bilateral).
CPT code G0279 has not been an...
Genetic Testing Guideline Changes – Effective March 11, 2023
Effective for dates of service on and after March 11, 2023, AIM Specialty Health® (AIM) will transition to an updated set of Clinical Appropriateness Guidelines.
PacificSource...
PacificSource...
EPSDT coverage will be expanded in Oregon beginning January 1, 2023
Sharing on behalf of OHA:
Oregon will not renew the longstanding waiver around EPSDT for children. The decision comes as a result of clear feedback from the community, advocates, children's...
Pharmacy Coverage Updates Effective October 15, 2022
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 policies. These...