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How to become an Oregon Health Plan provider
To bill DMAP for medical and dental services delivered on a fee-for-service ("open card") basis to OHP clients, providers need to enroll with DMAP and receive an Oregon Medicaid provider number for billing.
If you have questions about becoming a fee-for-service OHP provider, call DMAP Provider Enrollment at 1-800-422-5047 or e-mail provider.enrollment@state.or.us. If you have questions about providing services through an OHP managed care plan, contact the plan.
Who can enroll?
Medical and dental providers who need to bill DMAP for services can enroll. This includes out of state providers who serve OHP clients not enrolled in an OHP medical or dental plan.
- If a hospital bills DMAP for your services, you do not need to enroll; DMAP will pay the hospital. For dental hygienists, if the dentist or dental clinic bills on your behalf, you do not need to enroll; DMAP will pay the dentist/clinic for your services.
- Mental health providers must secure a contract with a contracted Mental Health Organization (MHO) or Community Mental Health Program (CMHP) in order to deliver services to OHP clients. Refer to the AMH Provider Manual for more information.
Individual practitioners in Federally Qualified Health Centers, Rural Health Clinics, and tribal health centers can enroll as non-paid providers in order to apply for federal Medicaid EHR Incentives through the "EHR incentive" screen of the Provider Web Portal at https://www.or-medicaid.gov.
How to enroll with DMAP
Complete required forms:
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Paid providers: Print and use this checklist to ensure you complete everything you need to get started as an OHP provider.
Non-paid providers: Complete the DMAP 3108 (PDF).
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Send us your information:
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Medical/dental providers: Fax completed forms to 503-378-3074 (Salem). Fax in each enrollment request with all required documentation under its own EDMS coversheet. Missing or incomplete documentation may delay your enrollment.
Mental health providers: Mail completed forms to:
AMH Medicaid Policy Analyst
500 Summer St NE, E86
Salem OR 97301
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Sign up for direct deposit
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Make sure to complete the DHS 189 (Direct Deposit Authorization Form) to receive your payments securely and electronically.
- For Medicaid EHR Incentive Program payments - Enter the Oregon Medicaid provider number and account information associated with the payee you identified when registering with CMS for EHR incentive payments.
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How to stay enrolled
To maintain your active provider status and ensure uninterrupted claim processing, keep your information current as required by DMAP General Rule 410-120-1260(10) (Provider Enrollment Required Updates).
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