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OHP tools for mental health providers

Behavioral health rules and guidelines

Resources related to provider reimbursement for behavioral health services to Oregon Health Plan (OHP) members. 

Recent rule revisions

You can sort or filter by document type or effective date. ​

  
  
File Description
  
172-changes-080114Permanent Rule Filing
Transferring and Renumbering Addiction and Mental Health rules from OAR 309-016 to Division of Medical Assistance Programs OAR 410-172
8/1/2014

 


Administrative rulebooks

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172rb0801148/1/2014

 


​Supplemental information and guidelines

Guidelines


  
1915(i) Home and Community-Based Services
Mental Health Services Provider Guide, 5-28-2014
Professional Billing Instructions
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Behavioral health procedure codes and fees


  
July 2014 Behavioral Health Fee Schedule - Excel
January 2014 Mental Health Fee Schedule - Excel
January 2014 Substance Use Disorder Fee Schedule - Excel
July 2013 Substance Use Disorder Fee Schedule
January 2013 Mental Health Fee Schedule
January 2013 Substance Use Disorder Fee Schedule
1 - 6Next

Behavioral health request and reporting forms

Plan of Care requests, Psychosocial Rehabilitative requests and Prior Authorization requests must be authorized by the appropriate Community Mental Health Program. They must also include supporting documentation as outlined in AMH Oregon Administrative Rules.

Description
  

Medicaid Personal Care Service Plan Authorization for Mental Health Services​

DMAP 531

Mental Health Discharge Information Form - To be completed whenever an individual moves out of an adult foster care or residential treatment program.​

OHA 8061

Mental Health Prior Authorization Request Form​

OHA 8060

Psychosocial Rehabilitative Service Plan of Care Request (To be used for H2018HK)

OHA 8059

Mental Health Plan of Care Request​

OHA 8057


Who to call for help

For information about authorizing services for CCO or MHO members, contact the CCO or MHO.
 
To correct an error in a Plan of Care authorization or a prior authorization, email AMH.Retrievers@state.or.us. Include the Prior Authorization number, the data that was entered incorrectly, and the correct information. Be sure to include contact information in case we need to contact you for clarification.
 
Provider Services 800-336-6016 or email us
Address and telephone contacts
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