News and updates
May 2021 Drug List Change Notification
Updates on Existing Criteria:
May 2021. The following changes to criteria are effective May 22, 2021:
Prior Authorization Criteria – Clinical Updates
Carbaglu...
New Client Service Representative in Idaho
PacificSource Health Plans is pleased to announce Lisa Brown has been promoted to the role of Client Service Representative. Lisa will partner with you to provide service and support...
New special enrollment periods for individuals and families announced
Special enrollment periods (SEP) in Montana, Oregon, and Washington began February 15.
The uninsured enrollment period for Idaho begins March 1.
SEPs may include consumers on and off...
April 2021 Drug List Change Notification
Updates on Existing Criteria
April 2021. The following changes to criteria are effective April 22, 2021:
Preauthorization Criteria – Clinical Updates...
Added requirements for nuclear medicine and SPECT/CT codes
Effective May 17, 2021, PacificSource Health Plans will require prior authorization for the following nuclear medicine and SPECT/CT codes:...
March 2021 Drug List Change Notification
Updates on Existing Criteria:
March 2021. The following changes to criteria are effective March 22, 2021:
Preauthorization Criteria – Clinical Updates
Arcalyst...
What you need to know about the CAHPS surveys
Your commercial and Medicare patients may be asked to participate in the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The survey is overseen by a company called SPH...
What you need to know about the CAHPS surveys
Your commercial and Medicare clients may be asked to participate in the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The survey is overseen by a company called SPH...
Provider Notice: Billing for COVID-19 vaccines
Please note that providers may bill PacificSource for the administration of the vaccine, but not for the vaccine itself, which is paid for by the federal government. If you...
Reporting requirement for providers using offshore contractors
PacificSource is required to meet standards set by multiple federal and state regulators as well as accrediting standards and contractual obligations to various groups. As a contracted entity of...