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Fall 2018

In this issue: 

It’s Flu Season! 
CLAS Standards Support Better Care for All
Provider Medicare/Commercial Workshops—Still Time to Attend   
New Online Commercial Provider Manual Offers Easy Access 
Medicaid   

 


It’s Flu Season!Flu shot

You may already see an increase in patients with cold and flu symptoms. We want to make sure that you have the resources you need to help patients stay healthy. Check out these free resources.

Tools to Prepare Your Practice for Flu Season

No matter your role, you can help encourage patients to get a flu vaccine. The Centers for Disease Control and Prevention (CDC) has several free preparation tools on their website that may be useful for your practice. They include:

  • How to Make a Strong Flu Vaccine Recommendation
  • Prepare Your Practice for Flu Season
  • Patient Flier
  • Appointment Reminder Email template
  • Pharmacist Guide and Talking Points

Patient Resources

Check out these free patient resources from the CDC website. You can print them for your office or use them as patient hand-outs:

Common Myths

Have you ever heard any of the following common comments from patients?

    • I never get sick
    • The flu shot gives you the flu
    • Flu shots don’t work
    • I’m scared of needles
    • I don’t have time
    • I can’t afford it

If so, our short, myth-busting videos can help. They can be played in waiting rooms, exam rooms, or shared via social media.

And as always, flu vaccines are FREE to all PacificSource members when provided by an in-network provider or pharmacist.

If you have any questions about flu shot resources, give us a call, we’re happy to help!

 


CLAS Standards Support Better Care for AllFamily

Equity in healthcare means providing the best possible care for all, including care that is tailored according to diverse characteristics, such as gender, race, ethnicity, language, geographic location, sexual orientation, and socioeconomic status. Health systems are seeking tools that help them better tailor care for diverse population groups and address disparities that impact cost, quality, and outcomes.

The National Culturally and Linguistically Appropriate Services (CLAS) standards help fulfill the need. The 15 CLAS standards offer organizations a guiding framework to advance health equity, improve quality, and reduce disparities in healthcare and health outcomes. PacificSource works in partnership with our provider community to advance the adoption of CLAS according to the appropriate needs of each provider group. The overarching, principle standard reads as follows: 

“Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.”

The remaining 14 CLAS standards are organized according to three main topic areas:

  • Standards 2–4: Governance, Leadership, and Workforce
  • Standards 5–8: Communication, Health Literacy, and Language Assistance
  • Standards 9–15: Engagement, Continuous Improvement, and Accountability

The CLAS standards are best-practice guidelines. They propose concrete methods providers can adopt to improve service quality, as appropriate for the needs of their practice and patient population. We encourage a review of all CLAS standards by visiting ThinkCulturalHealth.hhs.gov. 

 


Provider Medicare/Commercial Workshops—Still Time to AttendPresentation

There are still seats available in many of our provider workshops (Medicare and commercial only). If you haven’t yet signed up, visit our events page to view your options and register. Visit https://medicare.pacificsource.com/Providers/Events 

 


New Online Commercial Provider Manual Offers Easy Access

Our Commercial Provider Manual is now entirely online. You’ll find the manual in the usual place at PacificSource.com > Providers > Provider Manual.

A few things are missing from the new manual:

    • No PDF juggling. The section links go to web pages, not PDFs. No more waiting forever for a PDF to open.
    • No page flipping, just clicking. Most sections, such as Physicians and Providers, contain quick links at the top to help you quickly jump to the information you need. The quick links are labeled and numbered to match the old PDF manual.
    • No side-to-side scrolling or backflips. Because the pages are web-based, they will adjust to your own web browser view settings.

All the information in the old manual is still there, plus you have easier access to the information you need. Everything is just a click away.

 


Medicaid

Medical Nutrition Therapy Referral/Preauthorization Change

In-network providers must now submit a referral request, not a preapproval/preauthorization request, for Medical Nutrition Therapy. Note: out of network providers must submit a preauthorization request, not a referral. Please contact us if you have any questions.

New Prior Authorization Requirements for Contact Lenses—Effective 07/29/2018

Effective July 29, 2018, contact lens for codes V2500 – V2599 require a prior authorization. Please refer to OAR 410-140-0160 for further information. Please contact us if you have any questions.

 


Contact Us

Questions?

Replies to this email will not be seen. If you have any questions, your Provider Service Representative is happy to help.

(800) 624-6052, ext. 2580

providerservicerep@pacificsource.com


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