News and updates
Change Healthcare cybersecurity event: what to know and do
On Wednesday, February 21, 2024, Change Healthcare, one of our clearinghouse partners, was impacted by a cybersecurity event. This event compelled them to suspend business with all...
Pharmacy coverage updates effective May 15, 2024 (Medicaid)
We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after May 15, 2024....
Humira coverage is changing for commercial PacificSource members
Beginning June 22, 2024, coverage of Humira (adalimumab) through PacificSource Health Plans will change to other, biosimilar formulations. This change applies to commercial (Employer and Individual...
May 2024 Drug List Change Notification (Commercial)
Updates on Existing CriteriaMay 2024. The following changes to criteria are effective May 22, 2024:Prior Authorization Criteria – Clinical...
Community Capacity-Building Funding for HRSN services
Oregon is distributing Community Capacity Building Funding to organizations interested in providing Health-Related Social Needs (HRSN) benefits such as climate-related supports, housing supports, and...
April 2024 Drug List Change Notification (Commercial)
Updates on Existing CriteriaApril 2024. The following changes to criteria are effective April 22, 2024:Prior Authorization Criteria –...
Healthcare improves when patients share their experiences
Every year, PacificSource takes part in the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which is distributed by our partner, Press Ganey.Participants are randomly...
Healthcare improves when your clients share their experiences
Every year, PacificSource takes part in the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which is distributed by our partner, Press Ganey....
March 2024 Drug List Change Notification (Commercial)
Updates on Existing Criteria
March 2024. The following changes to criteria are effective March 22, 2024:
Prior Authorization Criteria – Clinical Updates...
Paxlovid™ is available to most PacificSource members at no cost, or at a discount
We're pleased to inform you that PacificSource members are eligible to enroll in the PAXCESS™ Patient Support Program through Pfizer. A current prescription...