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Oregon Health Plan (MCO and CCO) Program



Oregon Administrative Rules and supplemental information administered by the Health Systems Division.

Recent rule filings

You can view OHP (MCO and CCO) Program rules as filed with the Secretary of State (please note that rules filed by the first of the month will not be posted on the Secretary of State website until the middle of the filing month).

Administrative rulebooks

Each rulebook is an interactive PDF that contains all program rules effective on the "Effective Date" listed for the rulebook. If you need an older rulebook not listed here, email hsd.rules@dhsoha.state.or.us

Supplemental information and guidelines

Also visit the OHP Tools for Health Plans, Managed Care Tax Rules and Forms, and Prioritized List of Health Services websites.

Guidelines

Drug Carve Out

Other Resources

Hospital Reimbursement

You can sort or filter by effective date.

DRG hospital reimbursement

Type A/B hospital reimbursement

Forms

Policy Quick Links

Rule and guidelines by program

Temporary rules

Notices of Proposed Rulemaking

Who to call for help

Provider Services

 800-336-6016 or  email us

 Address and telephone contacts

 Receive program updates by text or email - Please specify which program(s) you are interested in; otherwise, you will receive updates for all programs.

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