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  • Or Pacificsource Care Coordination Request Form 2021

Get Or Pacificsource Care Coordination Request Form 2021-2025

Coverage. We understand and are here to help you or your covered family members. By completing this form, we will be able to contact you (or your designee) to discuss your care and answer any remaining questions. First, please complete the applicable sections below and return this form as soon as possible to: PacificSource Health Plans, ATTN: Health Services Dept. PO Box 7068, Springfield, OR 97475-0068 Email: MSSTeamCommercial PacificSource.com Fax: 541-684-5486 Questions? 888-977-9299, TTY 7.

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Examples of specific care coordination activities include: Establishing accountability and agreeing on responsibility. Communicating/sharing knowledge. Helping with transitions of care. Assessing patient needs and goals. Creating a proactive care plan.

800-431-4135, TTY: 711 We will respond within 24 hours.

Call our Customer Service team at 800-431-4135, TTY: 711.

PacificSource Customer Service can be reached by phone during business hours at 888-977-9299 or by email at cs@pacificsource.com.

In Oregon, Medicaid is called the Oregon Health Plan, or “OHP,” and is run by the Oregon Health Authority. In specific regions in Oregon, PacificSource Community Solutions coordinates your care and manages your OHP benefits.

Phone: Oregon: 888-691-8209.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232