News and updates
May 2024 Drug List Change Notification (Commercial)
Updates on Existing CriteriaMay 2024. The following changes to criteria are effective May 22, 2024:Prior Authorization Criteria – Clinical...
Community Capacity-Building Funding for HRSN services
Oregon is distributing Community Capacity Building Funding to organizations interested in providing Health-Related Social Needs (HRSN) benefits such as climate-related supports, housing supports, and...
April 2024 Drug List Change Notification (Commercial)
Updates on Existing CriteriaApril 2024. The following changes to criteria are effective April 22, 2024:Prior Authorization Criteria –...
Healthcare improves when patients share their experiences
Every year, PacificSource takes part in the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which is distributed by our partner, Press Ganey.Participants are randomly...
March 2024 Drug List Change Notification (Commercial)
Updates on Existing Criteria
March 2024. The following changes to criteria are effective March 22, 2024:
Prior Authorization Criteria – Clinical Updates...
Paxlovid™ is available to most PacificSource members at no cost, or at a discount
We're pleased to inform you that PacificSource members are eligible to enroll in the PAXCESS™ Patient Support Program through Pfizer. A current prescription...
Pharmacy coverage updates effective February 15, 2024 (Medicaid)
We have recently updated our prior authorization list and coverage policies for Medicaid patients. This change is effective for dates of service on or after February 15, 2024....
February 2024 Drug List Change Notification (Commercial)
Updates on Existing Criteria
February 2024. The following changes to criteria are effective February 22, 2024:
Prior Authorization...
New process for claim-status checks
All claim-status checks must be completed using our secure provider portal, InTouch for Providers (OneHealthPort). We will no longer accept Claim Status Request forms submitted via...
Alternative care contracting changes for some Oregon and Washington providers
Effective March 1, 2024, alternative care providers contracted through The CHP Group will no longer be considered in-network. Instead, PacificSource will begin contracting directly with alternative...