News and updates
Prior Authorization requirement on CPT 97010 - Effective 8/19/22
Prior Authorization requirement on CPT 97010 - Effective 8/19/22
September 2022 Drug List Change Notification
Updates on Existing Criteria
September 2022. The following changes to criteria are effective September 22, 2022:
Prior...
Beginning July 1, 2022 health care providers reimbursed with state funds will be required to work with certified or qualified health care interpreters
OHA distributed a news release on June 15th indicating that new rules made by the state Legislature’s passage of HB 2359 during the 2021 session related to use of qualified or certified health...
Behavioral Health Fee Schedule Increases (Medicaid)
Dear Behavioral Health Providers,
We want first to thank you for your continued care of our members. We have received several questions from our Behavioral Health provider partners requesting more...
Prior authorization change: Three-Dimensional (3D) Printed Orthopedic Implants
Effective August 1, 2022, PacificSource will require prior authorization for Three-Dimensional (3D) Printed Orthopedic Implants.
This change pertains to CPT codes 0559T, 0560T, and 0562T.
Visit our...
August 2022 Drug List Change Notification
Updates on Existing Criteria
August 2022. The following changes to criteria are effective August 22, 2022:
Prior Authorization Criteria – Clinical Updates...
Healthier Oregon Program Starting July 1, 2022
Starting July 1, 2022, people who are 19-25 or 55 and older may be eligible for full Oregon Health Plan (OHP) and other medical assistance benefits regardless of their immigration...
Oregon Medical Board warns of phone scams
PacificSource has been made aware of a phone scam claiming to be the Oregon Medical Board, asking for personal information. The Oregon Medical Board has released an official notice on these...
July 2022 Drug List Change Notification
Updates on Existing Criteria
July 2022. The following changes to criteria are effective July 22, 2022:
Prior Authorization Criteria – Clinical Updates
Carglumic...
PacificSource teams with data validation experts BetterDoctor (updated May 19, 2022)
Update May 19, 2022
PacificSource Health Plans is committed to supplying members with accurate, up-to-date directories of our network providers. Last year, PacificSource...