№ lp_2_3_54302
Administrative FAQ and request form outlining eligibility criteria, approval process, funding conditions, and submission procedures for Health-Related Services Flex Fund requests within PacificSource Community Solutions CCO plans.
Organization: PacificSource Community Solutions
Program: Health-Related Services Flex Fund
Type of document: Frequently Asked Questions and Funding Request Form
Geographic coverage: Central Oregon; Columbia Gorge; Lane; Marion-Polk; Portland; Legacy Health PS (Health Share of Oregon)
Eligibility: Members enrolled in a PacificSource Community Solutions CCO Plan
Submission methods: Fax (541) 322-6435; Email [email protected]
Contact phone: (888) 675-0350
Office hours: Monday–Friday, 8:00 a.m.–5:00 p.m.
Decision timeframe: 1–3 weeks typical; up to 60 days in some cases; 1–3 business days for urgent requests
Approval requirement: Provider with access to member’s main treatment plan
Funding conditions: Payer of last resort; community resources and APD/IDD K-Plan must be exhausted
Restrictions: Not available once regional annual allocation is exhausted until the following calendar year
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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