News and updates

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

  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...

Community Solutions members now have access to 90-day supplies of certain medications via mail order. This allows members to receive extended day supplies delivered directly to them by CVS Caremark...

Effective April 15, 2022, CPT 97129 will no longer require a prior authorization for Medicaid, PacificSource Community Solutions. 97129 - Therapeutic interventions that focus on cognitive...

Please join us in welcoming Michelle Lauerman, our new Sales Executive serving Portland and other Oregon clients. She joined the Portland office team April 18. Michelle has more...

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

Effective June 15, 2022, PacificSource will require prior authorization for Continuous Glucose Monitoring for members on our commercial plans. This change pertains to CPT codes  E2102, K0554,...

On March 25, 2022, a notice was posted stating that Oregon Health Authority (OHA) made the determination that POS 10 for telehealth will no longer be recognized for Medicaid claims.  OHA has now...

Oregon Health Authority (OHA) recently made the determination that POS code 10 for telehealth will no longer be recognized for Medicaid claims billing.  PacificSource is following this guidance...

Effective 04/25/2022, A prior authorization requirement will be added to code 58571 Laparoscopy, Surgical, with Total Hysterectomy, for Uterus 250g or Less; with Removal of Tube(s) and/or Ovary(s)...