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.
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.
Fingerprint and background requirements
If the provider is not enrolled with Medicare, there could be a delay in enrollment
OHA may be reaching out for site visit and fingerprints or verification that these have been completed through Medicare
Required for new applications received April 1st