In our effort to slow the spread of COVID-19, PacificSource office locations remain closed. Until further notice, we’re unable to accommodate any walk-in visitors. As always, our Customer Service team is glad to answer your questions by phone or email. Let us know how we can help!
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Provider Notices
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Expand your knowledge in tele-mental health services
Designed for providers and clinicians across the spectrum of behavioral health, this workshop series provides step-by-step instructions on setting up a tele-mental health practice with insights on best practices for client care, administration, and ethics in virtual care. Plus, get answers to your questions about developing a comprehensive tele-mental health practice.
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We will be updating our prior authorization list effective for dates of service on or after January 1, 2021. Please review the summary of these changes below.
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Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a highly rated, evidence-based therapy designed to treat children ages 3-17 with an array of trauma histories, including children with multiple and complex traumas in their lives.
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The THW Liaison team is available to support the integration and utilization of THWs (birth doulas, personal health navigators, peer support specialists, youth support specialists, family support specialists, peer wellness specialists and community health workers). Working in partnership with the Provider Services team, the Liaisons can assist THWs with Oregon Health Authority (OHA) approved training, OHA THW certification, best practices and other technical assistance.
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We have noticed an increased number of providers submitting duplicate claims days apart from each other. This duplicate volume significantly impacts the workflow resulting in delays.
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Medicaid Provider Stability Payments
In collaboration with the Oregon Health Authority, PacificSource is in the process of issuing provider stability payments to support providers who serve our CCO members and who rely on fee-for-service payments from PacificSource. This is intended to offset financial impacts on providers due to the COVID-19 pandemic.
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PacificSource Community Solutions is working to support our members and communities during this pandemic. We have implemented the following to support providers in this time of uncertainty:
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Eased operational burdens on providers
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Expanded telehealth billing policies
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Distributed early payments under 2019 risk arrangements
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Distributed 2019 quality incentive “early release” funds made available by
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On behalf of OHA we are sharing this information to keep our providers informed and current with any changes made. This Information is specific to Oregon Health Plan physical and behavioral health providers.
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PacificSource is proactive in moving claims electronically, and we encourage providers to consider electronic billing opportunities.
Some of the benefits providers can realize by transmitting claims electronically are:
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Faster reimbursement. By eliminating the time it takes for mailing, internal routing, and data entry, claims are in our system much faster, and are in line for payment sooner.
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Reduced costs. Electronic billing saves pr
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Oregon Health Plan (OHP) Members receive dental benefits through Dental Care Organizations (DCOs). All OHP Members have dental benefits. PacificSource CCO Members receive dental benefits through the following DCO partners in all PacificSource regions:
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Advantage Dental
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Capitol Dental Care
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For questions regarding participation status please contact our Customer Service teams or your Provider Service Representative.
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Medicaid Member PCP and DCO assignment for the new CCO areas for Lane, Marion and Polk Counties is in progress. Providers needing to submit new Prior Authorizations within our Provider Portal (InTouch) we are advising to wait until 1/6/20.
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PacificSource Community Solutions is happy to announce our Health Care Interpreter (HCI) partners effective 1/1/20.
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We are wanting to ensure our providers are updated regarding our Medicaid members starting with PacificSource Community Solutions with an effective date of 1/1/20 for Lane, Marion and Polk.
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