News and updates

Effective October 1, 2022, a prior authorization requirement will be added to Durable Medical Equipment (DME) that are not on OHA's fee schedule, are set to manual pricing, and/or are designated as...

Pre authorization requirement update Effective August 29, 2022 pre authorization is required for codes 96116, 96121, 96132, 96133, 96136, 96137, and 96146 Please visit the authorization grid to...

Prior Authorization requirement on CPT 97010 - Effective 8/19/22

OHA distributed a news release on June 15th indicating that new rules made by the state Legislature’s passage of HB 2359 during the 2021 session related to use of qualified or certified health...

Dear Behavioral Health Providers, We want first to thank you for your continued care of our members. We have received several questions from our Behavioral Health provider partners requesting more...

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 has been made aware of a phone scam claiming to be the Oregon Medical Board, asking for personal information.  The Oregon Medical Board has released an official notice on these...

Your best source for health advice is your personal doctor, but there are times when you want to know more about a symptom or explore treatment options.  The Health Library is an online health...

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...