Access to Care Survey is now conducted by phone  As a provider, you understand how access to care is vital to healthy communities. As required by Centers for Medicare and Medicaid Services (CMS...

Quantity limit updates The following changes to the covered drug list are effective March 15, 2022: Type of Change: Utilization management added Epinephrine solution auto-...

We are unable to accept prior authorization requests via email.  Please submit all prior authorizations via our secure provider portal, InTouch. If you have any questions or concerns,...

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

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...