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How to become an Oregon Health Plan provider

National Provider Identifier (NPI) requirements

All health care providers subject to NPI requirements must provide their 10-digit NPI when enrolling as an Oregon Medicaid provider. (Providers not subject to NPI, such as transportation providers, are not required to provide an NPI.)
  • To get an NPI, apply online at the National Plan and Provider Enumeration System (NPPES) website.
  • To look up your NPI information, use the NPI Registry.

If you want to enroll with the Oregon Health Authority:

  • Complete and fax all forms and documentation listed for your description under an EDMS Coversheet (MSC 3970). Requests submitted without the EDMS Coversheet will not be processed or returned to you. Learn more about using the EDMS Coversheet.
  • If you are an out of state provider (more than 75 miles outside the Oregon border) seeking payment for services to OHP members, also include the claim you are seeking payment for.
  • If you do not bill us, but need to be reported in our system for other reasons (such as obtaining Provider Web Portal or Automated Voice Response access, or rendering/ ordering/ prescribing/ referring services for OHP members), use "Non-Payable Provider" as the search term.
All forms are in PDF.

If you want to enroll with an OHP health plan:

Medical and behavioral health providers: If you have questions about enrolling with a coordinated care organization (CCO), contact the CCO. If you were denied participation in a CCO's provider network, read about the OHA Provider Discrimination Review process and form.

Dental providers: If you have questions about enrolling with an OHP dental plan, contact the plan.

Need help?

  • To get help enrolling with OHA: Call Provider Enrollment at 1-800-422-5047 or e-mail provider.enrollment@state.or.us.
  • To stay enrolled: Submit updates within 30 days of the change on the OHP 3035 form. Also send us a copy of your licensure renewal when you receive it from your licensing board. When faxing the 3035 or licensure renewals, please fax directly to Provider Enrollment at 503-947-1177 (Salem). An EDMS Coversheet is not required.
  • To request direct deposit: Submit the MSC 189 (Direct Deposit Authorization Form) to DHS/OHA Financial Services. 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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