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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
11/13/2023
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
10/16/2023
Formulary Changes - GLP-1 RA's - Effective January 1, 2024
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Behavioral Health treatment plans required in 2024
9/27/2023
Behavioral Health treatment plans required in 2024
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Prior Authorization changes for 2024
9/19/2023

Prior Authorization changes for 2024


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End of the COVID-19 Public Health Emergency FAQ
6/9/2023
End of the COVID-19 Public Health Emergency FAQ
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New direct phone for Washington providers
1/13/2023

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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Medicare Advantage Claims Pay Hold
12/29/2022

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
12/28/2022
Pharmacy Coverage Updates Effective March 1, 2023
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Annual Compliance Training
12/27/2022

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
12/21/2022

Behavioral health criteria changes delayed


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