Medical Nutrition Therapy referral requirement
New Prior Authorization Requirements for Contact Lenses - Effective 07/29/2018
PacificSource allows “incident to” billing for caregivers who are not eligible to be credentialed by PacificSource or a delegated credentialing entity. This provides practices the opportunity to fully utilize their staff appropriately. PacificSource does NOT allow incident to billing for practitioners who are eligible for credentialing.
Effective June 1, 2018, in order for a service to be considered for payment under the “incident to” billing policy, the modifier SA must be appen
Effective 01/01/2018: oral devices preapproval required
New procedure information for cataract procedure reqirements as of January 1, 2018 can be found here.