Behavioral health rules and guidelines
Resources related to provider reimbursement for behavioral health services to Oregon Health Plan (OHP) members.
Recent rule filings
You can sort or filter by document type or effective date. You can also view Behabioral Health Rules and Guidelines 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).
|172-changes-080114||Permanent Rule Filing|
Transferring and Renumbering Addiction and Mental Health rules from OAR 309-016 to Division of Medical Assistance Programs OAR 410-172
Supplemental information and guidelines
Behavioral health procedure codes and fees
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.
Medicaid Personal Care Service Plan Authorization for Mental Health Services
Mental Health Discharge Information Form - To be completed whenever an individual moves out of an adult foster care or residential treatment program.
Mental Health Prior Authorization Request Form
Psychosocial Rehabilitative Service Plan of Care Request (To be used for H2018HK)
Mental Health Plan of Care Request
Who to call for help
For information about authorizing services for CCO or MHO members, contact the CCO
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.