News and updates
Pharmacy Coverage Updates Effective March 15, 2022
We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies.
We have recently updated our prior authorization list and coverage policies. These...
On Behalf of OHA - Funding Opportunity: Clinical Supervision Program for Behavioral Health Providers
OHA has opened its first round of solicitations for the Clinical Supervision Program. This solicitation intends to provide financial awards to expand clinical supervision for behavioral health...
February Drug List Change Notification
Updates on Existing Criteria
February 2022. The following changes to criteria are effective February 22, 2022:
Prior Authorization Criteria – Clinical Updates...
COVID prevention costs you $0
PacificSource will continue to cover the following COVID-related services, including those that are provided in an office setting, urgent care, or emergency room. These services will continue to cost...
COVID-19 coverage update for commercial members
Dear Member, the blog post below makes several references to COVID-19 benefits that will no longer be in effect as of May 11, 2023, due to the end of the federal public health emergency. While...
Streamlined EOBs are coming your way
Part of being a “members first” health insurer is communicating clearly with members. That’s why we’re pleased to announce a redesign of the Explanation of Benefits (EOB) statement you receive when...
Streamlined EOBs will debut soon
The Explanation of Benefits (EOB) is a statement that gives members important details on services performed, benefits paid, and payment responsibilities. That’s why we’re pleased to announce a...
Streamlined EOBs coming soon for PacificSource members
Being a “members first” health insurer means communicating in ways that members find easy to understand. That’s why we’re pleased to announce a redesign of the Explanation of Benefits (EOB)...
January 2022 Drug List Change Notification
Updates on Existing Criteria
January 2022. The following changes to criteria are effective January 22, 2022:
Prior Authorization Criteria – Clinical Updates...
December 2021 Drug List Change Notification
Updates on Existing Criteria:
December 2021. The following changes to criteria are effective December 22, 2021:
Prior Authorization Criteria – Clinical Updates...