Medicare AdvantageCoverageMedium impact
PacificSource Launches PACE Program in Lane County
PacificSource Health Plans·OR · Geriatrics, Internal Medicine, Palliative Care·Medicare
Effective date
Jul 1, 2026
We identified it
Jul 2, 2026
Summary
PacificSource has launched a new PACE (Program of All-Inclusive Care for the Elderly) program in Lane County, Oregon, effective July 1, 2026. This is a Medicare Advantage product offering integrated medical, pharmaceutical, meal, transportation, and social support services for eligible seniors. Billing teams must understand enrollment pathways, service coordination, and any specific billing requirements for PACE-covered services versus traditional Medicare Advantage claims.
Action Required
By July 1, 2026: Billing team should monitor for PACE member eligibility updates in claims processing systems and confirm whether PacificSource PACE requires separate billing submission pathways or prior authorization for referrals to the PACE program. Contact PacificSource at PACE@pacificsource.com or visit PacificSource.com/PACE to obtain complete billing guidelines, fee schedules, and claim submission instructions specific to PACE services. Front-desk staff should be trained to identify and route PACE-eligible inquiries appropriately. This is informational at present—no immediate billing code changes are indicated, but proactive outreach to PacificSource is required to prevent claim delays or denials once members enroll.