Service for you and your patients
Helping you deliver care to our members, and gain access to tools for supporting them.
Help your patients learn what's happening with Medicaid renewal.
Download the general FAQ or Oregon FAQ
Access patient health information online
Our secure website for providers, InTouch, lets you access claims, request and check the status of preauthorization, and view member benefit eligibility, any time.
Ways we can help you
Search tools and resources
Provider resource center
Centralized online reference for common provider questions.
Provider Directory
Searchable repository of our provider partners.
Commercial Provider Directory
Medicaid Provider Directory
Medicare Provider Directory
What’s New for Providers
What you need to know about Medicaid renewal
After a three-year pause, the process of checking member eligibility for renewing Medicaid health insurance coverage has begun again. It’s estimated that anywhere between 5 and 15 million people are going to lose their coverage nationwide. Here’s some information to help you support your patients...
November 2023 Drug List Change Notification (Commercial) Updates on Existing Criteria November 2023. The following...
Behavioral Health treatment plans required in 2024 Effective January 1, 2024, PacificSource will begin completing utilization management reviews...
Trigger finger or thumb surgical procedure will require prior authorization effective November 1, 2023 For Medicaid plans: Effective November 1, 2023, a prior authorization will be required for CPT Code...
Compliance requirements
Help us prevent, detect, and correct noncompliance and fraud, waste, and abuse (FWA). Our Code of Conduct and Compliance and Program Integrity Plan ensure compliance with laws, regulations, and our internal policies and procedures. Please download the Provider Manual to learn more.
We’re here to help.
Dental
Medicaid
Please contact the patient's dental care organization for services other than hospital dentistry.
We accept all relay calls.