We would like to inform you of changes to utilization management prior authorization submission requirements for PacificSource Community Solutions (Medicaid). Effective...

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)...

Updates on Existing Criteria April 2025. The following changes to criteria are effective April 22, 2025: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...

Updates on Existing Criteria March 2025. The following changes to criteria are effective March 22, 2025:Prior Authorization Criteria –...

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...

Updates on Existing CriteriaJanuary 2025. The following changes to criteria are effective January 22, 2025: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...

Clarification and update. See frequently asked questions below.Effective January 1, 2024, PacificSource began completing utilization management reviews for...

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