News and 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...

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 policies. These...

OHA has opened its first round of solicitations for the Clinical Supervision Program. This solicitation intends to provide financial awards to expand clinical supervision for behavioral health...

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

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

Updates on Existing Criteria: December 2021. The following changes to criteria are effective December 22, 2021: Prior Authorization Criteria – Clinical Updates...

After a brief pause, PacificSource has resumed auditing pre-payment hospital claims, beginning October 15, 2021.  The policy document is available upon request and your Provider Service...

On June 14, 2021, Philips issued a recall notification for specific affected ventilation and sleep apnea devices. The notification informs patients, users, and customers of potential impacts on...

Updates on Existing Criteria:  November 2021. The following changes to criteria are effective November 22, 2021: Prior Authorization Criteria – Clinical...

Updates on Existing Criteria: October 2021. The following changes to criteria are effective October 22, 2021: Prior Authorization Criteria – Clinical Updates...