Effective |
Title |
Provider types affected |
| 02/08/2010 |
Attend Provider Web Portal training in February |
Targeted Providers in Portland and Salem areas |
| 02/06/2010 |
Mass managed care plan enrollment changes |
All providers |
| 01/12/2010 |
2010 dispensing cost survey |
Pharmacy providers |
| 01/06/2010 |
Senior Prescription Drug Assistance Program ended Jan. 1, 2010 |
All providers |
| 01/01/2010 |
Relative Value Unit (RVU) code updates |
Providers of physician services |
| 01/01/2010 |
Biennial HSC Prioritized List now online |
All providers |
| 01/01/2010 |
Details of the OHP Plus dental and vision benefit reduction |
All providers interested in changes to dental and vision benefits |
| 01/01/10 |
New MCOs for Tillamook, Curry and Lincoln counties |
Providers in Tillamook, Curry and Lincoln counties |
10/01/09
(posted 12/21/09) |
Hospice rates-CMS corrections to October 1, 2009 |
Hospice providers |
| 01/01/10 |
Updated home health rates for Jan. 1, 2010 |
Home Health providers |
| 01/01/10 |
OHP Preferred Drug List Updates - Changes for open-card prescriptions |
Prescribers and pharmacies |
| 01/01/10 |
Coverage reduction to the OHP Plus and OHP with limited drug benefit plans |
All providers interested in changes to dental and vision benefits |
| 11/10/09 |
Free Provider Web Portal Training - Fall 2009 |
All providers who want to learn how to set up their account, verify eligibility and bill using the Provider Web Portal |
| 10/28/09 |
Flu season update for pharmacies - Federal guidelines for Tamiflu use |
Pharmacies |
| 10/27/09 |
Pharmacy reminder - Billing for compound drugs |
Pharmacies |
| 10/23/09 |
OHP coverage of antiviral treatments for influenza |
Prescribing providers and pharmacies |
| 10/16/09 |
Information about mandatory state office closures |
All providers |
| 10/01/09 |
Health care expanded for pregnant CAWEM clients in Benton, Clackamas, Deschutes, Hood River, Jackson, Lincoln, and Multnomah counties |
All providers |
| 10/01/09 |
Seasonal and H1N1 flu vaccine coverage |
Prescribing providers |
| 10/01/09 |
Seasonal and H1N1 flu vaccine coverage |
Pharmacy providers |
| 9/25/09 & 10/01/09 |
Administrative Rule revisions, effective September and October 2009 |
All providers |
| 10/02/2009 |
Rate reductions for fee-for-service prescriptions |
Prescribing providers and pharmacies |
| 10/13/09 |
Free Portland-Area Provider Web Portal Training - Fall 2009 |
All providers who want to learn how to set up their account, verify eligibility and bill using the Provider Web Portal |
| 10/1/2009 |
Annual hospice rate changes |
Hospice Providers |
| 9/28/2009 |
Impact of Revised Wage Index on FFY 09 Oregon Medicaid Hospice rates |
Hospice Providers |
| 9/3/2009 |
Newborn Notification Form (2410) Update |
Hospitals, birthing centers, direct entry mid-wives |
| 8/20/2009 |
Request for 2007 Medicare Cost Report information |
Home health agencies |
| 8/7/2009 |
Get paid faster with EFT and electronic billing |
All Providers |
| 8/5/2009 |
Administrative Rule Revisions, August 2009 |
All providers |
| 8/3/2009 |
OHP clients may bring Proof of Payment Form (OHP 3045) |
All providers |
| 7/28/2009 |
CHIPRA Requirements for Dental Service Information effective August 4, 2009 |
Dental providers |
| 7/22/2009 |
Help enroll newborns in OHP |
Hospitals, birthing centers, and direct entry midwives |
| 7/1/2009 |
Use AVR, Provider Web Portal, or EDI for eligibility and claim status inquiries |
All providers |
| 7/1/2009 |
New PA requirements for Long-Acting Opioids, CNS Stimulants and select laxatives |
Prescribers and pharmacies |
| 7/1/2009 |
DMAP Administrative Rule Revisions, July 2009 |
All providers |
| 6/1/2009 |
DMAP stops mailing Provider Announcements |
All providers |
| 5/27/2009 |
Pharmacy reminder - Enter prescriber NPI on all pharmacy claims |
Pharmacy providers |
| 6/1/2009 |
DCM/MCM vendor change for Medical fee-for-service clients |
Prescribing providers |
| 6/1/2009 |
DMAP stops mailing provider announcements |
All providers |
| 5/4/2009 |
Provider Alert: Client coverage letters are in the mail |
All providers |
| 5/5/2009 |
Get paid faster with EFT and electronic billing |
Nursing Facilities |
| 5/1/2009 |
Administrative Rule Revisions, May, 2009 |
All providers |
| 8/1/2009 |
DMAP requires red forms by August 1, 2009 |
Providers who bill using CMS-1500 and UB-04 paper claims |
| 5/1/2009 |
How to bill for hospital readmissions |
Hospitals |
| 4/17/2009 |
CBSA codes required on hospice claims |
Hospice providers |
| 4/28/2009 |
Prescriber NPI required on all pharmacy claims |
Pharmacies and prescribers |
| 4/1/2009 |
Administrative Rule Revisions, April 2009 |
All providers |
| 4/1/2009 |
Prioritized List revised to add/delete diagnosis, CPT and HCPCS codes |
All providers |
| 3/12/2009 |
Provider Alert - Initial mailing of coverage letters begins |
All providers |
| 3/10/2009 |
Pharmacy billing reminders and updates |
Pharmacy providers |
| 1/30/2009 |
Prospective Drug Utilization Review (ProDUR) overview |
Pharmacy providers |
| 3/1/2009 |
New MMIS Web portal functionality |
All providers |
| 02/12/2009 |
Provider alert: Status of 1099 mailings to DHS providers |
Providers who receive 1099 forms from DHS |
| 02/04/2009 |
EDI Bulletin 21: Go-live updates - Corrected 2/13/09 |
Electronic data interchange (EDI) trading partners |
| 02/01/2009 |
Administrative Rule Revisions, Jan. 09 |
All providers |
| 01/16/2009 |
Provider Alert - MMIS transitional issues/temporary protocols |
All providers |
| 01/15/2009 |
Newborn notification reminder |
Hospitals, birthing centers and direct-entry midwives |
| 01/01/2009 |
Medication Therapy Management Services Claims |
Pharmacy providers |
| 01/09/2009 |
Rx temporary workaround |
Pharmacy providers |
| 01/02/2009 |
OHP client eligibility and Point-of-Sale |
Pharmacy providers |
| 12/31/2008 |
Supplemental Provider numbers for the new MMIS |
Selected providers |
| 01/01/2009 |
National Drug Code Required for Medicaid |
Providers with Physician-Administered Drug claims |
| 01/01/2009 |
DME reimbursement reminder |
DME providers |
| 01/01/2009 |
FFS COLA increase and RVU |
DHS Medicaid providers |
| 12/24/2008 |
Interim Modifications to the Prioritized List of Health Services |
All providers and OHP managed care organizations (MCOs) |
| 12/22/2008 |
New Medical Care ID cards delayed - how to verify eligibility |
All providers |
| 12/16/2008 |
MMIS Go Live Updates |
All providers |
| 12/9/2008 |
MMIS conversion and local match payments |
BRS, SBHS and TCM providers |
| 12/6/2008 |
Required changes to pharmacy Point of Sale transactions |
Pharmacy providers |
| 12/9/2008 |
Nutritional Supplements & Universal Claim Form 5.1 |
DME providers |
| 1/1/2009 |
PA no longer required for incontinent supplies |
DME providers |
| 12/9/2008 |
Provider guide to the new MMIS |
All providers |
| 12/1/2008 |
Admin Rule Revisions Nov. and Dec. 08 and Jan. 09 |
All providers |
| 11/28/2008 |
Important billing info re Medicare crossover claims |
Providers who bill Medicare |
| 12/9/2008 |
Assigning Access to new Provider Web Portal |
Providers who will be using the new Web Portal and AVR |
| 11/24/2008 |
MMIS Insider: Volume 2, Issue 7 |
All Providers |
| 11/20/2008 |
Enroll as DMAP BRS provider, using new forms |
Behavioral Rehabilitation Services providers |
| 11/19/2008 |
Suspended claims denied in error |
Affected Targeted Case Management providers |
| 11/19/2008 |
TCM providers must enroll with new forms |
Targeted Case Management providers |
| 11/17/2008 |
MMIS Insider - Focus on EDI |
Fee-for-service (FFS) electronic billers |
| 12/6/2008 |
Billing changes for Oregon Health Plan |
Pharmacy providers |
| 12/9/2008 |
Prior Authorization (PA) changes Dec. 9 |
Provider types who submit PA requests to DMAP |
| 12/9/2008 |
Prior Authorization (PA) changes with the new MMIS |
Providers who receive PA approvals and denials from DMAP |
| 10/30/2008 |
Time is running out for MMIS provider training! |
All providers |
| 10/29/2008 |
Additional MMIS training scheduled for pharmacies - 12/2/08 |
All pharmacies |
| 11/28/2008 |
Pharmacy Benefit Manager Conversion |
Pharmacy providers |
| 10/28/2008 |
MMIS Insider: Volume 2, Issue 6 |
All providers |
| 9/15, 10/1 & 2/2008 |
Administrative Rule revisions, effective September and October, 2008 |
All providers |
| 9/20/2008 |
Register for new MMIS provider training dates |
All providers |
| 9/20/2008 |
Pharmacies - Register for free MMIS training! |
Pharmacies |
| 10/1/2008 |
New hospice rates |
Providers of hospice services |
| 10/1/2008 |
Requirements for Tamper Resistant Prescription Pads |
Prescribing providers and pharmacies |
| 9/10/2008 |
MMIS Insider: Volume 2, Issue 5 |
All providers |
| 10/1/2008 |
Tamper-resistant prescription requirements |
Prescribing providers and pharmacies |
| 8/22/2008 |
Current process for Medicaid/SCHIP Local Match |
School-based, Targeted Case Management and Behavioral Rehabilitative Services providers |
| 8/15/2008 |
MMIS Insider: Volume 2, Issue 4 |
All providers |
| 8/31/2008 |
Eligibility Verification Updates - Changes to EEVS and EDI Services |
All providers |
| 8/8/2008 |
PCMs and MMIS changes |
OHP Primary Care Managers |
| 8/1/2008 |
Administrative Rule Revisions, effective 8/1/2008 |
SBHS and MedSurg providers |
| 8/1/2008 |
Change to Medicaid/SCHIP local match process |
School Based Health Services (SBHS), Behavioral Rehabilitative Services (BRS) and Targeted Case Management (TCM) providers |
| 7/21/08 |
MMIS Insider: Volume 2, Issue 3 |
All Providers |
| 7/14/2008 |
EDI Bulletin 20 |
Electronic billers |
| 7/9/2008 |
Clarification about Medicaid/SCHIP local match process |
School Based Health Services (SBHS), Behavioral Rehabilitative Services (BRS) & Targeted Case Management (TCM) providers |
| 7/1/2008 |
Administrative Rule Revisions, effective July 2008 |
All providers |
| 9/2008 |
Upcoming changes to Medical Care IDs and the eligibility verification process |
All providers |
| 6/30/08 |
MMIS Insider - Focus on EDI |
Electronic billers |
| 6/20/08 |
Nursing facility claims method changes |
All providers |
| 6/13/08 |
Summer staff shortage, call center |
All providers |
| 5/29/08 |
MMIS Insider: Volume 2, Issue 2 |
DMAP, SPD & AMH providers |
| 5/19/08 |
Have you registered for replacement MMIS training? |
All providers |
| 5/23/08 |
The NPI is Here. The NPI is Now. |
All providers |
| 7/1/08 |
Medicaid/SCHIP local match options |
School Based Health Services (SBHS), Behavioral Rehab Services & Targeted Case Mgt (TCM) providers |
| 5/12/08 |
MMIS training sessions for pharmacy providers |
Pharmacy Providers |
| 5/1/08 |
Administrative rule revisions, May 2008 |
All Providers |
| 4/30/08 |
MMIS Insider: Volume 2, Issue 1 |
All Providers |
| 4/28/08 |
Update to home health rates for Jan. 1, 2008 |
Home Health Providers |
| 5/23/08 |
EDI bulletin 19 |
All Providers |
| 4/1/08 |
CAWEM prenatal program/OHP-plus coverage information |
All Providers |
| March 14 and 27; April 1, 2008 |
Administrative Rule Revisions/Rulebook Updates |
All Providers |
| 4/1/2008 |
Reminder about tamper-resistant prescription pad requirements |
Prescribing Providers |
| 4/1/2008 |
Revised MMIS implementation and training schedule |
All Providers |
| 4/1/2008 |
15-Month CAWEM Prenatal Expansion Pilot |
All Providers |
| 4/1/2008 |
DMEPOS rate change 4/1/08 |
DME service providers, physicians and nurse practitioners |
| 4/1/2008 |
Changes to pharmacy reimbursements |
Pharmacies |
| 5/1/2008 |
Revised Trading Partner Agreement (TPA) |
EDI Clearinghouses |
| 3/1/2008 |
Administrative Rule Revisions, March, 2008 |
All providers |
| 4/1/2008 |
Reminder about tamper-resistant prescription pad requirements |
Prescribing providers and pharmacies |
| 03/2008 |
Correcting the 800 "busy signal" problem |
Providers |
| 2/28/08 |
Payment Error Rate Measure (PERM) letter to providers from OPAR |
Medicaid and SCHIP Providers |
| 3/1/08 |
OHP copayments reduced on some prescription drugs |
All prescribing providers |
| 2/1/08 |
DMAP Admin rule revisions - Feb. 2008 |
All providers |
| 1/8/08 |
Managed care enrollment in Jackson County |
Providers in Jackson County |
| 2/1/08 |
Hysterectomy and sterilization form and billing changes |
Physicians and hospitals |
| 1/28/08 |
Update of billing provider customers |
OHP billing providers |
| 1/24/08 |
DMAP requires PA on OTC drugs
Update: The comment period for the proposed change to pharmacy copayments has been extended to Monday, February 4, 2008. |
Prescribing providers and pharmacies |
| 1/1/08 |
Home health rate adjustment |
Home health care providers |
| 1/1/08 |
FFS RVU rate increase |
All providers |
| 12/21/07 |
MMIS Insider - Focus on EDI |
Electronic billers |
| 12/31/07 |
EDI Bulletin 17 |
All providers |
| 12/14/07 |
DRG hospital billing error correction |
DRG hospitals |
| 12/13/07 |
Codes for transportation claims |
Transportation providers |
| 1/1/08 |
OHP Pharmacy Management Program |
Pharmacies and prescribing Providers |
| 12/5/07 |
Administrative Rule Revisions |
All Providers |
| 10/1/07 |
Revised Hospice Rates |
Hospice Providers |
| 11/15/07 |
OIG fee-for-service dental study |
All OHP dentists |
| 11/16/07 |
MMIS Insider, Volume 1, Issue 3 |
All providers |
| 11/09/07 |
2007-2008 Flu Shot Update |
Prescribing providers |
| 11/08/07 |
Anesthesiology Billing Update |
Anesthesiologists and nurse anesthetists |
| 11/01/07 |
Newborn notification reminder |
Hospitals, birthing centers, direct entry midwives |
| 10/29/07 |
MS-DRG Grouper Version 25 implemented |
DRG hospitals |
| 10/12/07 |
MMIS Insider - Focus on EDI |
Electronic billers |
| TBA |
Delayed implementation of the DRG Grouper |
DRG hospitals |
| 11/1/2007 |
DMEPOS rate reduction |
Providers of durable medical equipment, prosthetics, orthotics & supplies |
| 10/8/2007 |
Columbus Day holiday delays EFT payments |
Providers who receive electronic funds transfer (EFT, or direct deposit) payments from DHS |
| 10/3/2007 |
Delay in paper claims processing |
Providers who bill paper UB-04, CMS-1500, ADA and DMAP 505 claims |
| 10/1/2007 |
6-month delay in tamper-resistant prescription pad requirement |
Pharmacies and prescribing providers |
| 9/12/2007 |
Value codes |
Institutional billers: fee-for-service |
| 9/7/2007 |
Reminder to send paper claims to PO boxes |
All providers |
| 10/1/2007 |
PA policy for sedative hypnotic drugs |
Prescribing providers and pharmacies |
| 9/17/2007 |
NPI and taxonomy code requirements Q&A memo |
All electronic billers |
| 10/1/2007 |
Tamper resistant prescription pads |
Pharmacies and prescribing providers |
| 10/1/2007 |
New payment rates for hospice services, effective 10/1/2007 |
Providers of hospice services |
| 10/1/2007 |
DRG coding changes for inpatient rehabilitation and neonate hospital services |
DRG hospitals |
| 9/1/2007 |
Oregon NPI Authentication Repository Project |
All Providers |
| 8/21/2007 |
EDI Bulletin 16 |
Electronic billers |
| 7/1/2007 |
Plan Drug List (PDL) updated effective July 1, 2007 |
Prescribing Providers and Pharmacies |
| 8/17/2007 |
MMIS Insider: Volume 1, Issue 2 |
All providers |
| 9/1/2007 |
Restrictions on institutional codes on EDI transactions |
Electronic billers using 837i claims transactions |
| 8/15/2007 |
Billing update: Accepted Place of Service codes and CMS 1500 emergency flag |
All providers |
| 12/31/2007 |
NPI Compliance Deadline for Electronic Data Interchange (EDI) Claim Submission |
Fee-for-Service Providers |
| 8/17/2007 |
DMAP AIS will be unavailable 8:30 p.m. 8/17 to 6:30 a.m. 8/20 (ET) |
All Providers |
| 7/31/2007 |
Resubmit claims denied for invalid modifier |
All Providers |
| 8/13/2007 |
New federal requirement for Medicaid-covered outpatient drug prescriptions |
Pharmacies, Prescribing Practitioners |
| 8/1/2007 |
Important billing reminder: Pharmacy NPI required on all POS transactions |
Pharmacies |
| 7/3/2007 |
Replacement DMAP Medical Care IDs |
All providers |
| 7/23/2007 |
Crossover claim information Introducing the new DMAP 505 |
All DMAP providers who bill using the OMAP 505 claim form |
