Training for OHP providers

This page provides training resources for Oregon Health Plan (OHP) providers. Please use these resources in conjunction with your provider specialty's administrative rules, DMAP's General Rules, and Supplemental Information documents. Rules and guidelines for your provider type are available online.

• Classroom training
• Web-based training
• Self-help tutorials
• Need help registering?
• Training handbooks and material

Classroom training - Provider Web Portal training sessions

These one-day sessions are held from 9 a.m. to 3 p.m. Information and to learn how to register  is available online. (12/30/11)

Web-based training

Sign up for Webinar! A live trainer will walk you through Provider Web Portal basics and answer your questions during this free, interactive training.

• Medicaid Electronic Health Records Incentive Program for Eligible Professionals (Jan. 19, 2012) - Reviews application process and provides more information about how to calculate patient volume.
• Targeted Medicaid EHR Incentive Program trainings - These trainings provide more information on how to calculate patient volume.
  • Tribal health clinics - Jan. 12, 2012
  • Federally Qualified Health Centers - Jan. 17, 2012
  • Rural Health Clinics - Jan. 18, 2012
• Oregon Health Plan Basics  - Client eligibility, benefits, OHP funding, web site navigation and the basics you need to serve OHP clients
• Provider Web Portal Basics  - Everything you need to know to start using the Provider Web Portal
• Web Portal Eligibility  - Verify client eligibility, including benefit plan, managed care enrollment and client copay information
• Web Portal Health Services Prioritized List  - View the Prioritized List to determine OHP funding and covered services
• Web Portal Prior Authorization  - Submit and review status of prior authorization (PA) requests
• Web Portal Claims - Bill DMAP for Medicaid services using the Provider Web Portal. Register by claim type:
  • Dental Claims 
  • Institutional Claims 
  • Professional Claims 
  • Pharmacy Claims 
  • Crossover and Secondary Claims 

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Self-help tutorials

Use these self-paced tutorials to learn about doing business as a health care provider with DHS.

• Medicaid EHR Incentive Program for eligible professionals (video, 68 min.) - Find out whether you are eligible and how to apply for this program.
• National Drug Code (NDC) Billing for Physician-Administered Drugs  - Walk through the NDC billing requirements for physician-administered drugs.
• EDI Registration Packet  - Learn how to sign up to become an electronic data interchange (EDI) trading partner.
• Eligibility verification  - Learn how to verify eligibility using Automated Voice Response or the Provider Web Portal.
• Paper claims tutorials - Learn how to submit paper claims and adjustments to OHA.
• Web claims tutorials - Learn how to submit professional , institutional  and dental  claims using the Provider Web Portal. Also learn search for a Web claim .
• Web portal account setup  - How to setup your Provider Web Portal account.
• Web portal clerk setup  - How to add, update and delete clerk roles from Provider Web Portal accounts.
• Web portal HSC list inquiry  - How to check whether a procedure is potentially covered according to the Prioritized List of Health Services.
• Web portal PA requests  - How to submit prior authorization (PA) requests using the Provider Web Portal.
• What to do after you receive your RA - Learn about how to resolve underpaid, overpaid and zero-paid claims.

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Need help registering?

Contact DMAP Provider Training: 1-503-945-6549 (Salem) or provider-trng.dmap@state.or.us.
Hours: M-F 8:00 a.m. - 5:00 p.m.

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Training handbooks and material

For Provider Web Portal material, go to the Provider Web Portal page. For material to help you learn how to bill DHS, go to the OHP Billing Tips page. Go to the following links for updated billing guidelines and other procedures.

• DMAP provider guidelines
• SPD provider guidelines
• AMH provider guidelines

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