News and updates

We would like to inform you of changes to our PacificSource Community Solutions formulary and coverage policies. ...

Updates on Existing Criteria September 2023. The following changes to criteria are effective September 22, 2023:  Prior Authorization Criteria –...

Effective June 1, 2023, PacificSource Health Plans has collaborated with Aetna Signature Administrators® to offer commercial members in-network access to Aetna’s broad...

Did you know PacificSource has a team of Member Support Specialists that help members with needs beyond healthcare? They work to remove roadblocks and help members through the...

Effective March 31, PacificSource purchased Advantage Dental’s Medicare and Commercial dental contracts.  What does this mean for...

These updated documents contain policy guidance for the Medicaid Grievance and Appeals System. The changes will also be included in the next update of our Provider Manual. ...

Updates on Existing Criteria August 2023. The following changes to criteria are effective August 22, 2023:  Prior Authorization Criteria – Clinical...

The COVID-19 National Emergency and PHE ended on May 11, 2023. Our FAQ provides a brief overview of changes for Medicare and Medicaid providers. The FAQ includes: Answers to general questions An...

Updates on Existing Criteria July 2023. The following changes to criteria are effective July 22, 2023:  Prior Authorization Criteria – Clinical...

Beginning May 15, 2023, PacificSource Health Plans will use the CMS/National Correct Coding Initiative (NCCI) designation for the consideration of C-code reimbursements....