News and updates

Effective January 1, 2022, prior authorization requirements will remain on Neuropsychological codes.  A prior authorization requirement will be added to code 96137 Psych or...

PacificSource has removed the prior authorization requirement for mental health and substance use disorder residential and partial hospitalization treatment. This change is for our commercial members...

Effective April 1, 2022, PacificSource will transition the review of all outpatient diagnostic imaging services for PacificSource Community Solutions members to AIM Specialty Health.  Your...

New legislation shields consumers from unexpected charges    Starting January 1, 2022, the federal No...

Updates on Existing Criteria March 2022. The following changes to criteria are effective March 22, 2022: Prior Authorization Criteria – Clinical Updates...

OHA has recently updated the fee-for-service payment rates, and also included a new enhanced wage add-on rate for approved nursing facilities effective 10/1/2021. Those who qualify will be notified...

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...

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...

Updates on Existing Criteria February 2022. The following changes to criteria are effective February 22, 2022: Prior Authorization Criteria – Clinical Updates...

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...