Articles

PacificSource Health Plans and PacificSource Community Solutions are notifying providers of COVID-19 vaccine reimbursements for dates of service on or after March 15, 2021....

Applications received April 1–30 will have an effective date of May 1, 2021.  This applies to:  New and existing enrollees On and off the Exchange No proof of prior coverage will be needed. Note about changing plans ...

Updates on Existing Criteria: May 2021. The following changes to criteria are effective May 22, 2021: Prior Authorization Criteria – Clinical Updates Carbaglu – rename Carglumic Acid and update to include new indication of acute hyperammonemia due to propionic...

PacificSource Health Plans is pleased to announce Lisa Brown has been promoted to the role of Client Service Representative. Lisa will partner with you to provide service and support to your small group clients insured with PacificSource. Lisa will be your point of contact for any...

Effective immediately, Montana and Oregon “received by” and “effective” dates are consistent across on- and off-exchange consumers. This is a correction to the Producer Bulletin special enrollment period information sent February 23, 2021. Enrollment Periods & Effective Dates | 2021 ...

Special enrollment periods (SEP) in Montana, Oregon, and Washington began February 15.  The uninsured enrollment period for Idaho begins March 1.  SEPs may include consumers on and off the exchange. Please note timing and eligibility differences across Idaho, Montana, Oregon, and...

Updates on Existing Criteria April 2021. The following changes to criteria are effective April 22, 2021: Preauthorization Criteria – Clinical Updates Antiemetics – add criteria for Akynzeo oral treatment Antithymocyte Globulin – Update dosing for renal...

PacificSource Health Plans is committed to supplying members with accurate, up-to-date directories of our network providers. To that end, we’ve entered into a partnership aimed at improving our provider directories.   Effective January 2021, we’ve teamed up...

Effective May 17, 2021, PacificSource Health Plans will require prior authorization for the following nuclear medicine and SPECT/CT codes: 78195,78201, 78202, 78215, 78216, 78226 , 78227, 78230, 78231,...