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How to become an Oregon Health Plan provider
If you are a mental health or chemical dependency provider, also refer to the AMH Provider Manual for information on AMH's enrollment requirements.
If you have questions about becoming an OHP provider, call DMAP Provider Enrollment at 800-422-5047 or e-mail provider.enrollment@state.or.us.
Step 1: Complete, print and sign all enrollment forms
You have two options for submitting your enrollment information: Web or paper enrollment. Click here to find step-by-step instructions for submitting enrollment information on the Web.
| Web enrollment instructions |
Paper enrollment instructions |
- Click here to enter your initial enrollment information on the Web portal. Click "Provider," then "Enrollment."
- When you get to Step 10 of the Web enrollment process, download, complete and print the following forms:
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- Print and use this checklist to ensure you complete everything you need to get started as an OHP provider.
- Then click here to find all of the enrollment forms you need to complete for your provider type. All forms can be completed on your computer using Microsoft Word or Adober Reader.
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Step 2: Submit completed forms and required documentation to DHS
Make sure to submit all documentation requested. If you do not submit all required documentation, your enrollment may be delayed until you submit the required documentation.
DMAP no longer accepts enrollment requests by mail: these enrollment requests must be faxed to ODM as listed below. Mailing enrollment forms to DMAP will delay enrollment.
| AMH providers |
DMAP providers |
Mail to:
AMH Medicaid Policy Analyst
500 Summer Street NE, E86
Salem, OR 97301
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Fax with a completed EDMS coversheet to:
DHS Office of Document Management
503-378-3074
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Step 3: Sign up for direct deposit and Electronic Data Interchange
- If you want to receive DHS payments electronically, send a completed and signed Direct Deposit Authorization Form (DMAP 3077) as indicated on the application form.
- If you want to do business with DHS using Electronic Data Interchange (EDI), complete and sign the EDI Registration Packet (DHS 2080 Packet) - This packet includes the Trading Partner Agreement (DHS 2080), Exhibit A (DHS 2081) and Exhibit B (DHS 2082). For more information about EDI registration, go to the EDI Testing and Registration page.
- Also make sure to register your National Provider Identifier and associated taxonomy codes using the DMAP 1038 (NPI Registration Form). For more information about NPI, review the DHS NPI Tutorial (in PowerPoint or PDF).
Step 4: Keep your information updated
DMAP General Rule 410-120-1260(10) (Provider Enrollment Required Updates) states that enrolled providers must report changes to address, business affiliation, licensure, certification, ID numbers (including billing ID, NPI, or Federal Tax ID), ownership and control information, or any other information that relates to the provider’s qualification to provide services as a Medicaid provider.
- Enrolled providers who need to update information on file with DHS should submit the Provider Information Update, DMAP 3035 (PDF) to DMAP.
- You can also submit updates to address information, contact names, e-mail addresses, and telephone numbers, office hours and more using the Demographic Maintenance feature of the secure Provider Web Portal. For information about how to use this feature, refer to the Web Portal Account Administration Handbook.
Submit any updates within 30 calendar days of the change.
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