News and updates

Updates on Existing Criteria November 2023. The following changes to criteria are effective November 22, 2023: ...

For Medicaid plans: Effective November 1, 2023, a prior authorization will be required for CPT Code 26055 (Tendon Sheath Incision).

Flu season is just around the corner, and while many PacificSource members already plan to get their flu vaccine, reminders help. Here are five reasons to inspire those procrastinators...

For commercial plans (individual and group), fractional laser treatment (codes 0479T and 0480T) will require prior authorization effective November 1, 2023.

Updates on Existing Criteria October 2023. The following changes to criteria are effective October 22, 2023: Prior Authorization Criteria – Clinical Updates...

We’re excited to announce an easier-to-use experience where you can access your account and find all our services in one place. What changed...

We would like to inform you of changes to our PacificSource Community Solutions formulary and coverage policies. ...

Updates on Existing Criteria September 2023. The following changes to criteria are effective September 22, 2023:  Prior Authorization Criteria – Clinical Updates...

Effective June 1, 2023, PacificSource Health Plans has collaborated with Aetna Signature Administrators® to offer commercial members in-network access to Aetna’s broad...

Did you know PacificSource has a team of Member Support Specialists that help members with needs beyond healthcare? They work to remove roadblocks and help members through the...