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Latest Notices and Updates


New CMS rule requires counselors and therapists to have a Provider Transaction Access Number (PTAN) - Effective 1/1/24
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Formulary Changes - GLP-1 RA's - Effective January 1, 2024
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Behavioral Health treatment plans required in 2024
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Prior Authorization changes for 2024


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End of the COVID-19 Public Health Emergency FAQ
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Washington State providers now have a new direct phone to reach PacificSource Provider Services: 888-224-3556, TTY: 711. We accept all relay calls.


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All Medicare Advantage claims with 2023 dates of service will be held while we validate correct pricing and benefits.  We anticipate these claims will be released by January 16, 2023. Thank you for your patience as we ensure the accuracy of our claims processing.  

Please reach out to your Provider Service Representative should you have any questions. 


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Pharmacy Coverage Updates Effective March 1, 2023
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All providers and their staff are required to take complete Compliance & FWA Training annually. Please review PacificSource Code of Conduct and PacificSource Compliance and Program Integrity Plan annually.


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Behavioral health criteria changes delayed


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