Skip to main content

Search

Shop Plans
- Individuals & Families
  - Individuals & Families Overview
  - View Plans
- Employers
- Dental
- Medicare
- Medicaid
Members
- Members
  - Members Overview
  - New Members
  - Print ID Card
  - Plan Information
  - Getting Care
  - Healthy Resources
  - Behavioral Health Services
  - Prescription Drug Information
  - Vision
  - Dental
  - About InTouch for Members
  - Make a Payment
- Medicare
- Medicaid
- FSA & HRA
- COBRA
Employers
- Employers Overview
- Employer InTouch
- FSA & HRA
- COBRA
- Wellness
- Flu Clinic
- Documents and Forms
Producers
Providers
- Providers Overview
- Claims and Billing
- Prior Authorization
- Resources and Guides
- Education
- Partner with Us
- Contact Provider Relations
- Medicare
Resources
- Resources Overview
- Learning Center
- Documents and Forms
- myPacificSource Mobile App

Log in
Find a doctor
Find a drug
Careers
Contact Us

- Find a:
  - Doctor
  - Drug
Search

Search

Shop Plans
Individuals & Families Overview

View Plans

Employers Overview

View Plans

Administrative Services

Small Group

Large Group

Self-Funded
Individuals & Families

Individuals & Families Overview

View Plans

View Individual & Family Plans

Employers

Employers Overview

View Plans

View Employer Plans

Administrative Services

Small Group

Large Group

Self-Funded

Dental

Employers > Dental

Medicare

Medicaid
Members
- Members
- Medicare
- Medicaid
- FSA & HRA
- COBRA
Members Overview

New Members

Print ID Card

Plan Information

Getting Care

Healthy Resources

Behavioral Health Services

Prescription Drug Information

Vision

Dental

About InTouch for Members

Make a Payment

Getting Care Overview

Find a Doctor

Your Member ID

Telehealth

Urgent and Emergency Care

Explanation of Benefits

Prior Authorization

Member Support Specialists

Healthy Resources Overview

Fitness Center Discount

Weight Management

Condition Support Program

Prenatal Program

Flu Prevention

Health Ed Reimbursement

Global Emergency Services

Rare Disease Program

Prescription Drug Information Overview

Find a Drug

Find a Pharmacy

Drug Resources

Lists and Criteria

Drug Costs
Members

Members > Members

Members Overview

New Members

Print ID Card

Print ID Card

Plan Information

Members > Plan Information

Getting Care

Getting Care Overview

Find a Doctor

Your Member ID

Telehealth

Urgent and Emergency Care

Explanation of Benefits

Prior Authorization

Member Support Specialists

Healthy Resources

Healthy Resources Overview

Fitness Center Discount

Weight Management

Condition Support Program

Prenatal Program

Flu Prevention

Health Ed Reimbursement

Global Emergency Services

Rare Disease Program

Behavioral Health Services

Prescription Drug Information

Members > Individuals > Pharmacy Information

Prescription Drug Information Overview

Find a Drug

Find a Pharmacy

Drug Resources

Lists and Criteria

Drug Costs

Vision

Members > Vision

Dental

Members > Individuals > Dental

About InTouch for Members

Make a Payment

Medicare

Members > Medicare

Medicaid

Members > Medicaid

FSA & HRA

Flexible Spending Accounts and Health Reimbursement Arrangements

COBRA

COBRA
Employers
Wellness Resources

Wellness Toolkits

Wellness Consulting
Employers Overview

Employers > Employers Overview

Employer InTouch

Members > Employers > Employer InTouch

FSA & HRA

COBRA

Wellness

Wellness Resources

Wellness Toolkits

Wellness Consulting

Flu Clinic

Members > Employers > Flu Clinic

Documents and Forms

Members > Employers > Documents & Forms
Producers
Producers Overview

Plan Details

InTouch for Producers

Get Quotes and Materials

Get Appointed

Documents and Forms
Providers
Provider Portal

Claims Guidelines: Medical

Claims Guidelines: Dental

Appeals

Electronic Transactions

Medicaid Behavioral Health Directed Payments

Prior Authorization: Medical

Prior Authorization: Dental

Authorization Grid

Documents and Forms

Prescription Drug Resources

Provider Resource Center

Provider Manual

Clinical Policies & Practice Guidelines

News and Updates
Providers Overview

Claims and Billing

Provider Portal

Claims Guidelines: Medical

Claims Guidelines: Dental

Appeals

Electronic Transactions

Medicaid Behavioral Health Directed Payments

Prior Authorization

Prior Authorization: Medical

Prior Authorization: Dental

Authorization Grid

Resources and Guides

Documents and Forms

Prescription Drug Resources

Provider Resource Center

Provider Manual

View the Provider Manual

Clinical Policies & Practice Guidelines

News and Updates

Education

Partner with Us

Contact Provider Relations

Medicare
Resources
Learning Center Overview

Health Library

Glossary

News and Updates

Video Library

FAQ
Resources Overview

Learning Center

Learning Center Overview

Health Library

Glossary

News and Updates

Video Library

Video Library

FAQ

Documents and Forms

Documents and Forms

myPacificSource Mobile App

Providers Overview
Claims and Billing
Medicaid Behavioral Health Directed Payments

Medicaid Behavioral Health Directed Payments

Updated: January 2025

Resources

OHA BH Directed Payment Guidance Document (PDF)
2025 Attestation form (XLS)
Co‐Occurring Disorders (PDF)
Cultural and Linguistic Specific Services (PDF)

Questions?

Contact the Provider Network Oregon Contracting team at PNORC@PacificSource.com

About
Our Mission
History
Company News
Office Locations
Careers

Community
A Culture of Helping
Not-for-Profit Status
Investing in Our Communities

Resources
Contact Us
Member ID Card
InTouch Online Portal
Health Library
Policies and Guidelines

Products
Individual and Families
Employers
Administrative Services
Medicare
Medicaid

Non-discrimination Notice | Security | Interoperability & Transparency | Terms of Service | Notice of Privacy Practice

Products provided by PacificSource Health Plans, PacificSource Community Solutions, PacificSource Community Health Plans, or PacificSource Administrators, Inc.
PacificSource Community Health Plans is an HMO, HMO-DSNP, and PPO plan with a Medicare contract and a contract with Oregon Health Plan (Medicaid). Enrollment in PacificSource Medicare depends on contract renewal.

© 2025 PacificSource. All rights reserved.