Provider Notices

Please Note: Prior to submitting our Provider Relief Emergency Temporary Practitioner Application, please verify if they are already contracted and a participating provider.

To confirm that your provider is considered participating, we have three convenient options for you to choose from.

  • Give us a call
    Oregon: (541) 684-5582 or (888) 977-9299
    Idaho: (208) 333-1596 or (800) 688-5008
    Montana: (406) 442-6589 or (877) 590-1596
  • Email us: cs@pacificsource.com
  • Go online

    You can find our online provider directory at PacificSource.com. Select the Find a Provider link from our top menu bar. On the right hand side of your screen, find the Quick Links menu and click on PacificSource Provider Directory.

    If you have any questions, please feel free to contact us at the numbers listed above.

Claims

12/4/2018 9:10:19 AM

Change to sterilization consent requirements effective 1/1/2019

Starting January 1, 2019, the Oregon Health Authority (OHA) will no longer require a sterilization consent form for procedures that are unrelated to voluntary sterilization but would result in sterilization (such as ovarian cancer surgery). This means:

  • Providers will no longer need to collect a consent form for procedures that cause sterilization if the purpose of the procedure is something other than sterilization.
  • OHA will still require consent when the purpose of the procedure is sterilization.

Starting January 1, some claims will process without suspending for a consent form. However, some claims will continue to suspend for additional information, such as chart notes. In these cases, providers will need to submit documentation that shows:

  • The patient’s reproductive capacity remained intact after the procedure, or
  • The patient was sterile before the procedure, or
  • The purpose of the procedure was to treat illness/injury and not to cause sterilization.

To learn more about OHA’s sterilization consent requirement, see Oregon Administrative Rule 410-130-0580.

 

Ambulatory surgical centers can bill OHA for post-procedure long-acting reversible contraceptive placement effective 1/1/2019

Starting January 1, 2019, OHA will pay for long-acting reversible contraceptive (LARC) placement provided in an ambulatory surgical center (ASC) to Oregon Health Plan (OHP) members not enrolled in a CCO for physical health care.

  • This means ASCs will be able to bill OHA fee-for-service for LARC placement the same as clinics, hospitals, and other settings.
  • LARC placement includes IUDs and subdermal implants.

 


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