News and updates

PacificSource Community Solutions (Medicaid/OHP) members now have access to 90-day supplies of certain medications via retail in addition to mail order. This change gives your patients more...

Updates on Existing CriteriaDecember 2024. The following changes to criteria are effective December 22, 2024:Prior Authorization Criteria –...

Updates on Existing CriteriaDecember 2024. The following changes to criteria are effective December 22, 2024:Prior Authorization Criteria –...

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...

Learn the latest and greatest, starting October 8Our yearly Provider Workshops are an important event for healthcare professionals and service providers. You'll get all the updates on our plans and...

Updates on Existing CriteriaNovember 2024. The following changes to criteria are effective November 22, 2024:Prior Authorization Criteria –...

As part of our continued efforts to reinforce accurate coding practices, we are revising the current Emergency Department (ED) outpatient facility Evaluation and Management (E/M) coding reimbursement...

Updates on Existing CriteriaThe following changes to criteria are effective October 22, 2024:Prior Authorization Criteria – Clinical UpdatesArikayce...

Often times, patients with Alzheimer's disease or other forms of dementia are supported by a family caregiver—a valuable part of the patient’s care team. Now, these caregivers have a new...

We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after September 15, 2024.Summary of changes...