June 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaJune 2025. The following changes to criteria are effective June 22, 2025: Prior Authorization...
Providers
May 2025 Community Solutions (Medicaid) formulary and coverage policies notification
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...
Changes to utilization management prior authorization submission requirements (Medicaid)
We would like to inform you of changes to utilization management prior authorization submission requirements for PacificSource Community Solutions (Medicaid). Effective...
2025 Community Capacity-Building Funding for HRSN services
The Oregon Health Authority (OHA) will be distributing Community Capacity Building Funding (CCBF) to coordinated care organizations (CCOs) interested in providing Health-Related Social Needs (HRSN)...
April 2025 Drug List Change Notification (Commercial)
Updates on Existing Criteria April 2025. The following changes to criteria are effective April 22, 2025:Prior Authorization Criteria –...
March 2025 Community Solutions (Medicaid) formulary and coverage policies notification
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...
March 2025 Drug List Change Notification (Commercial)
Updates on Existing Criteria March 2025. The following changes to criteria are effective March 22, 2025:Prior Authorization Criteria –...
Pharmacy coverage for 90-day medications now available via retail (Medicaid)
PacificSource Community Solutions (Medicaid) members now have access to 90-day supplies of certain medications via retail in addition to mail order. This change gives your patients more...
February 2025 Drug List Change Notification (Commercial)
Updates on Existing CriteriaJanuary 2025. The following changes to criteria are effective January 22, 2025:Prior Authorization Criteria –...
December 2024 Formulary Provider Notification Pharmacy Coverage Updates
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...