Criteria for prior authorization decisions
Criteria may be requested by contacting our Health Services team. Criteria can be emailed, faxed, or mailed to you per your request.
PacificSource Health Plans
Attn: Health Services
PO Box 7068
Springfield, OR 97475-0068
Inpatient admission notification and utilization review
We require notification of all inpatient hospital admissions. Notification allows for timely and effective discharge planning as well as the identification of patients in need of case management.
Submission of inpatient admission notification and utilization review must be initiated via your online provider portal, InTouch for Providers. For step by step instructions on how to submit, please reference our InTouch for Providers Resource Guide.