Upcoming Medical Assistant Workshop
Information regarding Workshop for Medical Assistants

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Pharmacy Coverage Updates Effective November 1, 2017
Pharmacy Coverage Updates Effective November 1, 2017

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Provider-based Billing Update Effective 8/1/2017
Update to Provider-based Billing Services Policy 

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Alternative Therapies New Requirements
New Requirement for Alternative Therapies can be found here:

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New OHA DMAP Requirement/Edit
Please click on the read more link to find out detailed information on this requirement.

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American Cancer Society new ECHO interactive colorectal screening tool
The American Cancer Society is partnering with RMPHTC to launch a new interactive tool regarding colorectal screenings.  

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Home Health Update from Oregon Health Authority – Temporary Administrative Rules
Information regarding this update can be found at the link within this post:

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Medicaid Compliance Training Notification
Letters were mailed to Medicaid Providers Regarding Annual Compliance Training

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Pharmacy Network Change Effective August 1, 2017
Pharmacy Network Change Effective August 1, 2017

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Pharmacy Coverage Updates Effective September 15, 2017
Pharmacy Coverage Updates Effective September 15, 2017

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Our Medicaid Provider Panel is looking for Behavioral Health providers in Central Oregon and the Gorge
PacificSource Community Solutions maintains a closed behavioral health panel for our Medicaid members in Central Oregon and the Gorge. In order to better serve our members’ needs, we are seeking additional behavioral health providers to be part of this panel. Click READ MORE for detailed information.

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Update to Medicaid HCPC codes
There has been an update to the OHA HCPC codes as outlined in this post. Please contact PacificSource Community Solutions with any questions. Thank you!

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Pain Management Treatment Update
PacificSource has added information to the current Pain Management treatment guidelines.  

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Update for PT, OT, and ST Services
Please review a change to the PT/OT/ST services effective June 17, 2017.

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Hemophilia Clotting Factor Billing
PacificSource Community Solutions covers blood clotting factors and related items used for the administration of such factors for hemophilia patients competent to use such factors without medical supervision. Please refer to the body of this post for specific information:

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Pharmacy Coverage Updates Effective July 15, 2017
Pharmacy Coverage Updates Effective July 15, 2017

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Pre-Approval Change for CPT codes 45378-45398
There has been a change to the Pre-Approval process for Colonoscopy cpt codes

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Policy Update: Hospital Bed Coverage
An update has been made to the PacificSource Hospital Bed Coverage for Medicaid. 

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Coverage Update Effective May 18, 2017

Effective May 18, 2017, CPT 98925 will require a preapproval. 



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Hospital and CAH- Provider-Based Billing Services
An update to the Medicaid policy for Provider-based billing services can be found here.  Please contact your Provider Representative if you have any questions.  Thank you. 

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Pharmacy Coverage Updates Effective May 22, 2017
Pharmacy Coverage Updates Effective May 22, 2017

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Pharmacy Coverage Updates Effective May 1, 2017
Pharmacy Coverage Updates Effective May 1, 2017

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Errata to the 01/01/2017 Oregon Health Authority Prioritized List
Update to the Errata codes can be found here.

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Smoking Cessation and elective surgical procedures
An updated smoking cessation guideline for elective surgical procedures can be found here.  Please contact your Provider Service Representative with any questions.  Thank you.

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February is Heart Health Month
February is Heart Health Month: Celebrate by Maintaining a Healthy Blood Pressure

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Long-Acting Reversible Contraceptive Placement (LARC)
New payment guidelines have been established for Long-Acting Reversible Contraceptive Placement.  Please read the details below. 

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Upcoming Clinical Diabetes Workshop Information
An upcoming provider workshop relating to Chronic Disease Management of Prediabetes. This presentation does count towards CME Credits.

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Prior Authorization and Referral Information
PacificSource Prior Authorization (PA) and Referral Guideline can be found here.  Please contact your Provider Service Representative if you need clarification or have any questions.

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Coordination of Benefits (COB) Policy
PacificSource COB policy information can be found here. Please contact your Provider Service Representative if you need further clarification or have any questions.

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Free Workshop for Medical Assistants
Yearly Testing and Preventive Care Best Practices

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2017 Authorization Grid updates effective January 22, 2017
2017 Authorization Grid code updates.

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Pharmacy Coverage Updates Effective January 1, 2017
We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after January 1, 2017.

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2017 Authorization Grid updates effective 01/01/2017
PacificSource Community Solutions 2017 Authorization Grid updates effective 01/01/2017. Please click on the Read More below for more detailed information.

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Claims will be rejected for missing or incomplete/invalid National Drug Code (NDC) Information

PacificSource Community Solutions will begin rejecting claims with missing or incomplete/invalid NDC information.  Please click on the Read More below for more detailed information.



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Referrals and preapprovals for members assigned to St. Charles Medical Group providers

Referrals and preapprovals for members assigned to St. Charles Medical Group providers differ from other primary care clinics. Please click Read More for detailed information. 



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New Drug Policy Effective September 5, 2016

PacificSource Community Solutions is implementing a new drug policy effective September 5, 2016. Please click the Read More button for detailed information.



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Cultural and Linguistic Survey

As a member of our network, your organization’s input into this assessment is critical. The survey should only take about 10 minutes. Please click on Read More for more detailed information and to take the survey.



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Medicaid Rollout of Back Pain Guidelines and Alternative Treatments Presentation

Please click Read More below for additional detailed information and to register for the upcoming presentation on June 22, 2016



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Pharmacy Coverage Updates Effective July 15, 2016

We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after July 15, 2016.



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Genetic Testing

As a friendly reminder, most genetic testing requires a prior authorization.  The ordering physician in most cases should be the requestor of the prior authorization.



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Submitting claims with $0 charges

Billing services with $0 charges causes issues when encountering the claims data. Always bill with at least $.01 charges.



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Payment for Behavioral Health Services Provided in Integrated Patient Centered Primary Care Homes (PCPCHs)

PacificSource is pleased to announce that effective April 1, 2016 we will begin reimbursing medically necessary behavioral health services provided by licensed behavioral health providers who deliver care as part of an integrated primary care team in PCPCHs.



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Coverage Updates Effective April 15, 2016 – Medicaid Formulary

We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies.

We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after April 15, 2016.



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Physical Therapy Multiple Procedure Reductions

PacificSource has made an administrative decision to no longer reduce physical therapy claims billed on CMS 1500 claims for multiple procedure reductions.  We originally indicated we would be following CMS billing guidelines but after careful review have determined that will not be the case.



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Coverage Updates Effective December 15, 2015 – Medicaid Formulary

We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies.

We have recently updated our prior authorization list and coverage policies. These changes are effective for dates of service on or after December 15, 2015.



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Important

Each year, the Centers for Medicare & Medicaid Services (CMS) requires PacificSource to disseminate certain training documents to our first tier, downstream and related entities (FDRs) and their employees who handle PacificSource Medicare or Medicaid business.



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Coverage Updates Effective October 15, 2015 – Medicaid Formulary

We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies. These changes are effective for dates of service on or after October 15, 2015.



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Partial Fill Program - Effective October 1, 2015

We are starting a new ‘Partial Fill’ program to help patients who are prescribed drugs used to treat cancer find the drug that will work best for them.



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Medicaid Conversion Go-Live Reminders

Go-live is August 1, 2015. We want to share some reminders based on questions we have received over the last week.



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Referring for Pain Management Services

PacificSource Community Solutions has modified the process regarding referrals for Pain Management services. 



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Medicaid Conversion Provider Workshop Presentation

We have received an increase in calls from providers unaware of our Medicaid Operations Conversion go-live on August 1, 2015.



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Reminder: New Referral and Preapproval Submission Process – Effective July 27, 2015

As a reminder, the last day to submit electronic referral and/or preapproval requests through CIM is Friday, July 24, 2015.



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Reminder: New Payor ID 20416 is Effective Now

As a reminder, providers should now be submitting electronic claims using our new payor ID 20416.



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New Primary Care Provider (PCP) Change Form – Effective July 17, 2015

We have updated our Primary Care Provider (PCP) Change Form.



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New PacificSource Community Solutions Payor ID - 20416

Our new electronic payor ID for Medicaid was effective July 10, 2015.



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Medicaid Operations Conversion – Upcoming Important Dates Reminder

There’s only a few weeks left until Medicaid operations conversion go-live. Below are some upcoming important dates to remember.



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Medicaid Operations Conversion Update – Workshop Questions & Answers

Medicaid conversion workshops are winding down, and we’ve answered most of the questions that have been asked in the various workshops.



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Medicaid Operations Conversion Update – Workshop Questions & Answers

Medicaid conversion workshops are underway, and we’ve been receiving excellent questions.



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Medicaid Operations Conversion Update – Workshop Questions & Answers

Medicaid conversion workshops are underway, and we’ve been receiving excellent questions.



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Medicaid Operations Conversion Update
On March 6th we announced that PacificSource Community Solutions (Medicaid) operations will be brought in-house in late summer/early fall.

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Let's Talk Diversity Coalition - Training Series
The Let's Talk Diversity Coalition will be holding Parts 1 and 2 of their well-known 4-part training series on cultural competency for healthcare, education, and community organizations serving diverse populations.

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Provider Manual – Updated March 2015
We have made updates to our Medicaid Provider Manual and published it to our website on March 16, 2015.

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Medicaid Operations Conversion Announcement
We are excited to announce that PacificSource Community Solutions (Medicaid) operations will be brought in-house to PacificSource.

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Coverage Updates Effective April 8, 2015
We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies.

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Compliance Corner - March 2015 Edition Available
The latest edition of Compliance Corner, our Government Programs Compliance newsletter, is now available.

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Coverage Updates Effective 12/1/14 (Now Changed to Effective 2/1/15)
We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies.

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Modifier 59 and the New X Modifiers
Modifier 59 continues to be the most widely used and incorrectly used modifier. In an effort to minimize the confusion on the correct use of modifier 59, Centers for Medicare & Medicaid Services (CMS) has created four new, more descriptive, modifiers known as the “X” modifiers.

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2015 Pre-Approval Grid – Effective January 1, 2015
The PacificSource Community Solutions 2015 pre-approval grid was added to our website on November 1, 2014. This new grid will be effective January 1, 2015.

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Revised PCP Referral Approval Timeline
We would like to inform you of changes regarding PCP referral approval timelines for PacificSource Community Solutions.

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Submit provider appeals online via InTouch starting October 1
Providers with access to InTouch, as of October 1, 2014, you now have the ability to submit your appeals online.

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Electronic Submission Requirements for Pharmacy Prior Authorization Requests
Effective November 1, 2014, PacificSource Medicare and PacificSource Community Solutions will require that all pharmacy prior authorization requests be submitted electronically through our InTouch for Providers secure web portal. This change is being implemented to streamline the prior authorization process.

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PacificSource coverage for compounded medications is changing
From time to time, we make changes to our prescription drug benefits. In developing our medication coverage policies, it is our goal to provide access to medications with the best clinical results at the lowest costs. To support this goal, we will be changing how we cover compounded medications beginning October 15, 2014.

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Coverage Updates Effective September 1, 2014 - Medicaid Formulary
We would like to inform you of changes to our PacificSource Community Solutions' formulary and coverage policies.

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Coverage Updates Effective May 15, 2014 - Medicaid Formulary
We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies, which took effect on May 15, 2014. These formulary changes were primarily implemented to provide additional coverage for our members.

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Claims Processing Edit Updates Effective May 12, 2014
We would like to inform you of changes to our PacificSource Community Solutions’ claims processing edits that will take effect May 12, 2014.

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Coverage Updates Effective May 1, 2014
We have recently updated our prior authorization list and coverage policies for our 2014 Medicaid plans. These changes are effective for dates of service on or after May 1, 2014.

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Spread the word: “Send the fast-track back!”
Do you know someone who received the fast-track letter but hasn’t sent it back? This week the Oregon Health Authority (OHA) is mailing a reminder notice to Oregonians who qualify for fast-track enrollment.

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OHP Fast-Track Enrollment Information
"Fast-track" enrollment for the Oregon Health Plan. About 260,000 adult Oregonians have already been screened for OHP and do not have to apply through Cover Oregon.

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Risk Adjustment Chart Review
The Centers for Medicare & Medicaid Services, known as CMS, reimburses health plans based on the health risk of individual Medicare members. Using the requirements provided by CMS, PacificSource Medicare is conducting data validation for submission to CMS for a portion of risk-adjusted payment.

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Coverage Updates Effective January 5, 2013
We would like to inform you of changes to our PacificSource Community Solutions Policies effective January 5, 2013.

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Lane County Spring Provider Workshops
Please join us for our educational provider workshops. We will be providing information on PacificSource Medicare, Healthy KidsConnect, and Commercial plans. Each workshop will last an hour and a half and will cover important topics such as: plan changes, benefit clarifications, referrals, and electronic COB claims.

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New Preapproval Requirements for Occupational and Physical Therapy Effective May 13, 2012
We would like to inform you of changes to our PacificSource Community Solutions (Medicaid) preapproval requirements.

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PacificSource Community Solutions Online System (CIM) Training - Updated
Please join us for training on our PacificSource Community Solutions online system (CIM). This workshop will focus on the new PCP referral submission process and management.

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PacificSource Community Solutions Timely Filing Guideline: Effective 1/1/2012
PacificSource Community Solutions identified an error in our Provider Manual in regards to Claims Submission Requirements. Currently, the provider manual states: • COIHS plans accept claims within 120 days from date of service • Providers have up to 1 year from the date of service to re-submit claims for reprocessing. This is an out-of-date guideline. • When Clear One is secondary submit your claim with the primary carrier’s EOB. Providers have up to 1 year from the date of payment/denia

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Coverage Updates Effective October 1, 2011
We would like to inform you of changes to our PacificSource Community Solutions’ Health & Behavior coverage rules effective October 1, 2011.

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Coverage Policy Updates Effective 09/01/2011
We would like to inform you of changes to our PacificSource Community Solutions’ Coverage Policies effective 09/01/2011.

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Coverage Policy Updates
We would like to inform you of changes to our PacificSource Community Solutions’ Coverage Policies.

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Important Notification Regarding COIHS Name Change Effective April 1st
Great News – This Friday COIHS will change to PacificSource Community Solutions!

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COIHS – ABHA Integration Effective January 1, 2011 - update 1/10/11
Over the past year, Central Oregon Individual Health Solutions (COIHS) has been working with the State of Oregon and Accountable Behavioral Health Alliance (ABHA) to integrate the payment of Mental Health, Physical Health and Chemical Dependency Services.

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COIHS/DMAP Copayment Notification
In November, the Division of Medical Assistance Programs (DMAP) posted a provider announcement about Jan. 1 copayment requirements.

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COIHS NPI Requirement Effective 12/09/2010
Important changes to Medicaid pharmacy adjudication system, effective 12/09/2010.

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Clear One/COIHS Coverage Policy Updates Effective 01/01/2011
Effective January 1, 2011, Clear One Health Plans / COIHS will be implementing new medication coverage policies.

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4th and Final Winner!
Congratulations to Jenny Johnson of BMC who is our 4th Week Winner for completing Clear One Health Plans' Provider Survey. Thank you to all who participated!

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The Winner Is......
Tori Ammerman of Bend OB/GYN. Congratulations for being this week's winner for completing the Clear One Health Plans' 2010 Provider Survey!

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2nd Winner of the Provider Survey Submission
Congratulations to Angelica Padilla of Columbia Gorge Familiy Medicine for winning this week's prize for completing Clear One Health Plans' Provider Survey.

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1st Winner for completing the Provider Survey
Congratulations to Tanya Searcy of LaPine Community Health Center for winning the first prize for completing Clear One Health Plans' 2010 Provider Survey.

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Please complete Survey By November 1st!
COMPLETE OUR SURVEY AND WIN!

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New Medication Coverage Policies Effective September 8, 2010
On September 8, 2010 the Clear One Health Plans and COIHS Pharmacy and Therapeutics Committee approved new or revised medication coverage policies.

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Vision Benefits Administration Changes
Effective July 1, 2010, Clear One Health Plans will be implementing the following changes to how we administer vision benefits for our commercial members

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PacificSource Health Plans Completes Acquisition
We’re pleased to announce that on May 21, 2010, PacificSource Health Plans completed its acquisition of Clear One Health Plans, Inc. (Clear One), and its subsidiary companies, Central Oregon Individual Health Solutions, Inc. (COIHS) and Trusteed Plans Service Corporation (TPSC).

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Clear One Healthy KidsConnect
Beginning February 1, 2010, Clear One Health Plans will be the regional carrier of the new Healthy KidsConnect Plan in Oregon.

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High Desert ESD Claims Processing
Beginning January 1, 2010, Trusteed Plans Service Corporation (TPSC), a division of Clear One Health Plans, will be processing claims for High Desert ESD.

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PacificSource Health Plans to acquire Clear One Health Plans, Inc.
Clear One Health Plans is pleased to announce that it has entered into a definitive merger agreement to be acquired by PacificSource Health Plans.

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Claims Processing Update for High Desert ESD
Beginning January 1, 2010, Trusteed Plans Service Corporation, a division of Clear One Health Plans, will be processing claims for High Desert ESD.

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(DMAP IM 09-143) Coverage reduction to the OHP Plus benefit package
(DMAP IM 09-143) Coverage reduction to the OHP Plus benefit package

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Provider BPO address notice
Beginning December 1, 2009, Clear One Health Plans will transition to our new claims vendor.

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Clear One Health Plans Check Run Update 11/5/2009
During our claims data transition this week, we encountered an issue whereby the claims processing system was down for 4 business days and we were unable to process the regularly scheduled check run on Wednesday 11/4.

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Sisters School District
Attention Providers for Sister’s School District Members: Effective October 1, 2009 Sister’s School District members will move from Clear One Health Plans to the OEBB plan.

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CLEAR CHOICE HEALTH PLANS UNVEILS NEW NAME, LOGO, AND BRAND PROMISE - 09/08/2009
Bend, Ore. September 8, 2009 – Clear Choice Health Plans, lnc. (OTCBB: CCHN) announced today the unveiling of its new name, Clear One Health Plans, and brand promise, which represents a significant milestone in the company’s history and further emphasizes the company’s commitment to its customers.

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Important Medication Coverage Changes
Effective October 1, 2009, Clear Choice is adopting new Commercial coverage policies for the medications listed in this annoucement.

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Attestation of Training
To meet your compliance training requirements, complete the attached Attestation of Training form.

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2009 Provider Education of Member ER Usage
COIHS has noticed that members are going to the Emergency Room for conditions which are not an emergency.

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2009 Authorization Grid
The updated Clear Choice Health Plans, Inc. list of services requiring prior authorization is now posted online.

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Chiro AT Modifier
Effective August 1, 2009, Clear Choice Health Plans in accordance with Medicare guidelines is requiring the usage of the AT modifier for the CPT code range 98940-98942.

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DME Time Modifier
Clear Choice Health Plans in accordance with Medicare guidelines is requiring the usage of time modifiers on DME rent-to-cap supplies.

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Provider Announcement
Please see the links below for updates and information from DMAP.

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Clear Blog Newsletter
January's issue of the Clear Blog Newsletter is available using the link below.

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Clear Blog Newsletter
December's issue of the Clear Blog Newsletter is available.

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Please Complete Survey by January 15th!
Please take 3-10 minutes to complete our online provider satisfaction survey.

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COMPLETE OUR SURVEY AND WIN!
Please take 3-10 minutes to complete our online provider satisfaction survey.

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Clear Blog Newsletter
CCHP is pleased to announce distribution of the Clear Choice Newsletter, Clear Blog, to our Providers.

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CCMA Medical Record Review
Clear Choice Health Plans Medicare Advantage Medical Record Review By Cognisight, LLC

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Provider Bulletin
Below are a few informational items Clear Choice Health Plans, Inc. would like to keep you apprised of during our transitional process with our new claims platform.

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Authorization Processing Delays
Upon implementation of our system conversion, we have encountered delays in the processing of authorization requests.

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Important: System Conversion
Clear Choice Health Plans, Inc. will undergo a system conversion effective July 1, 2008.

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Dental and Vision Claims Administration
Effective 07/01/2008, QVI Risk Solutions will be administering the Dental and Vision benefits/claims for any group not administered by Companion Life.

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ePower Scheduled Maintenance
ePower will be down starting at 6pm, 05/16, until Monday morning for scheduled maintenance.

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Phone Lines are Up
All phone lines for CCHP are now back up.

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Main Phone Line is Down
The main phone number for Clear Choice Health Plans is down at this time.

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Healthscape, LLC benefits now administered by Health Future, LLC
Effective 05/01/2008 Clear Choice Health Plans will no longer administer benefits for Healthscape, LLC.

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ePower Scheduled Downtime
On 04/16/08, ePower will have scheduled downtime from 6pm - 7pm PST.

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We're Moving in May!
Clear Choice Heath Plans, Inc. is scheduled to move into its new headquarters located at 2965 NE Conners Avenue in Bend, Oregon in May.

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Vision and QVI Risk Solutions
Effective today, 04/01/2008, Vision claims for certain Commercial group plans previously processed by Clear Choice Health Plans will be processed by QVI Risk Solutions.

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ePower is back up
ePower is up and running.

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ePower is Down
ePower is temporarily down.

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Clear Choice Launches New Website Layout!
Effective 02/01/2008, you will notice a new format to our website.

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Refund Submission Address
In an effort to better serve our Provider offices and streamline our refund process, we have made a change in the address for refunds.

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Co-Pay's on ID Cards
Effective 01/01/2008, the new Clear Choice member ID cards will not have the co-pays listed.

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New TPA for Confederated Tribes of Warm Springs
Effective January 1, 2008, Clear Choice Health Plans, Inc. will no longer administer benefits for the Confederated Tribes of Warm Springs (CTWS).

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Congratulations to Corene Follett!
Congratulations to Corene Follett! She entered her name into the weekly drawing after completing the Provider Satisfaction Survey on-line. Complete the survey and enter your name into next week’s drawing.

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New Commercial Fax number
Effective 12/01/2007, a new fax number for the Commercial lines of business will be available for sending chart notes and authorizations.

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Congratulations to LeAnn Morrison!
She entered her name into the weekly drawing after completing the Provider Satisfaction Survey on-line.

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COMPLETE OUR SURVEY AND WIN!
COMPLETE OUR SURVEY AND WIN! Please take 3 minutes to complete our online provider satisfaction survey.

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Authorization Grid Effective 12/01/2007
As of 12/01/2007, the updated Authorization Grid will be in effect for dates of service on or after 12/01/2007.

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ePower Maintenance at 10:00am on 10/04/07
At 10:00am (PST), there will be ePower maintenance completed for approximately 30 minutes.

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Authorization Grid Effective 12/01/07
Due to needed updates and changes to the authorization grid, it will not be effective until 12/01/2007.

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ePower working properly
ePower is now working properly.

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ePower difficulties
We are currently having technical difficulties with the ePower system.

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2007 Updated Authorization Grid
Effective 12/01/2007, the updated Authorization Grid is effective.

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General Contact List
There have been questions on the phone numbers to call for each line of business that Clear Choice offers.

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ePower is working properly
If you experience any difficulties with logging into ePower, please call Provider Relations at (541) 385-5315.

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ePower connectivity issues
We are having difficulties with some Provider offices logging on to ePower.

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ePower updates completed
There were updates ran on ePower last night...

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Phone lines are up
All phone lines are up and running properly.

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Phone lines are down
We are experiencing difficulties with our main phone lines and are working on the issue.

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ePower Updates Completed
ePower is back up and running and has been tested for issues relating to log in problems.

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ePower Log In Issues
We are currently experiencing difficulties with some user accounts when logging into ePower.

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ePower Updates Completed
The ePower updates that were ran over the weekend are up and running.

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NPI Compliance with CCHP
Clear Choice Health Plans is holding to the May 23, 2007 compliance date for the NPI numbers.

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ePower updates
CCHP will be updating some functions in ePower this weekend and it will affect when you can use the site.

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2007 Provider Satisfaction Survey!
It's that time of year again to request your participation in a short survey.

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New Explanation of Payment Format!
Clear Choice Health Plans has been working diligently on providing your office staff with a newly formatted Explanation of Payment (EOP) voucher that has an up to date look and feel for easier viewing and reconciliation.

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COIHS pre-auth grid subject to benefits
January 1, 2007, Clear Choice Health Plans assumed administration of the OHP Standard population.

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New Group! Hooker Creek
This is to inform you that effective April 1, 2007, Hooker Creek is enrolling its medical benefits with Clear Choice Health Plans.

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Register your NPI with DHS
As many of you are aware, the National Provider Identification (NPI) number is going to be required for submitting claims beginning May 23, 2007.

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Important Information on CCHP & PHTech Partnership
Important Information on CCHP & PHTech Partnership

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NPI Compliance
National Provider Identifier – 90 Days Until Compliance Date

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New Claim Forms
Below are the effective dates that CCHP will be using to comply with Medicare regulations for the new claim forms:

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COIHS Claims Processing
A recent notification was sent to the provider offices notifying you of an upcoming change COIHS will be having to our claims processing for COIHS members.

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Voicemail is back up
Voicemail is back up and running.

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Voicemail Difficulties-Urgent
Clear Choice Health Plans is currently experiencing some technical difficulties with the voicemail system. There is a possibility that the system could be down for 2 days.

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New Customer Service Hours
Effective 11/01/06, our Customer Service hours have been extended.

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ePower difficulties
We were experiencing some technical difficulties this morning with ePower.

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Important Billing/Registration Changes
We are proud to announce the addition of new large group commercial members effective October 1, 2006

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ePower is Up
ePower is back up and running.

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ePower is down
ePower is down. Please continue to check Notices & Updates for more information.

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ePower is Up
ePower is back up and running.

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ePower is down
ePower is down right now. Please be patient as we work on getting it back up. Thank you.

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OMAP is now DMAP
Oregon Medical Assistance Programs (OMAP) has notified us that they have changed their name to the Division of Medical Assistance Programs (DMAP).

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Quality Awards Program Registration
Clear Choice Health Plans has had such a great response to the Quality Awards Program, and we would like to thank you for your participation.

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ePower is FIXED!
ePower is now fixed and you should be able to continue with business as usual.

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ePower is DOWN
ePower is currently down.

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ePower is FIXED!
ePower is now fixed and you should be able to continue with business as usual.

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Authorizations while ePower is DOWN
ePower is still down.

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ePower is DOWN
ePower is currently down.

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2006 Provider Satisfaction Survey!
It's that time of year again to request your participation in a short survey.

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ePower FIXED
ePower is now back up and running.

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ePower ERROR
Connectivity to ePower is currently down and we are working on the issue.

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Eligibility on ePower
If you are experiencing problems looking up eligibility in ePower, please note that we are aware of the situation and are working on it.

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New Authorization Grid Search
The new authorization grid search will be available online Wednesday, March 1, 2006. Please note that the information on the new grid

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The Clear Choice Provider Portal will have a new look
Effective Friday, January 6, 2006, the Clear Choice Provider Portal will have a new look. We have improved the website to make your browsing more pleasurable

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Technical Difficulties with ePower
We are experiencing technical difficulties with entering a primary service code into ePower authorizations.

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Retro Authorization Requests Update!
To clarify any previous notices and updates;

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American Pine Termed With Clear Choice Health Plans
Please note that effective 07/31/04 American Pine termed with Clear Choice Health Plans.

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