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Medical Assistance (General Rules) Program

Medical Assistance (General Rules) Program

Oregon Administrative Rules and supplemental information administered by the Division of Medical Assistance Programs.

Recent rule filings

You can sort or filter by document type or effective date. You can also view Medical Assistance (General Rules) Program rules 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).

  
  
File Description
  
120-changes-100114Permanent Rule Filing
410-120-0000, 410-120-1160, 410-120-1200, 410-120-1230, 410-120-1260
Revise OHP Exclusions, Definitions, Copayment Table, and Codification Corrections
10/1/2014
120-0006-092314 PermPermanent Rule Filing
OAR 410-120-0006
Align with Department of Human Services OAR Chapter 461 Rules
9/23/2014
Nprm-120-091614Notice of Rulemaking Hearing
OAR 410-120-0000, 410-120-1160, 410-120-1200, 410-120-1230, 410-120-1260
Revise OHP Exclusions, Definitions, Copayment Table, and Codification Corrections
Rulemaking Hearing: September 16, 2014, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: September 18, 2014, by 5 p.m. Send comments to: dmap.rules@state.or.us 
9/16/2014
120-1140-TempMedicaid-ID070314Permanent Rule Filing
410-120-1140
Including Additional Form Number as a Temporary Medicaid ID
7/3/2014
120-0006-070114Permanent Rule Filing
410-120-0006
Align with Department of Human Services OAR Chapter 461 Rules
7/1/2014
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Administrative rulebooks

  
  
120rb0703147/3/2014
120rb0701147/1/2014
120rb0404144/4/2014
120rb0331143/31/2014
120rb0201142/1/2014
1 - 5Next
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Supplemental information and guidelines

Provider guides

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General Rules Provider Guide, 9-26-2014
Prior Authorization Handbook
Employee Education about False Claims Recoveries

Fraud and abuse authorities

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Answer
You can also report fraud online. For more information, see the DHS frequently asked questions about reporting fraud.
 
Medicaid Fraud Control Unit (MFCU)
1515 SW 5th Avenue, Suite 410, Portland, OR 97201
Phone (971) 673-1880, or fax (971) 673-1890
Provider Audit Unit (PAU)
2850 Broadway St. NE, Salem, OR 97303
Phone (888) 372-8301, or fax (503) 378-3437
Fraud Investigations Unit (FIU)
P.O. Box 14150, Salem, OR 97309-5027
Phone (888) 372-8301, or fax (503) 373-1525


Other resources

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Eligibility Group categories
Questions and answers about client co-payments
Oregon primary care providers and procedure codes
2014 federal primary care codes and rates
Sample Oregon Health ID (formerly Medical Care ID)
Oregon Medicaid Vaccines for Children administration codes and rates
2013 federal primary care codes and rates
Provider Discrimination Review Process

Forms

  
  
DMAP 1074DMAP 1074 - Prior Authorization for Out-of-State Services
DMAP 3035DMAP 3035 - Provider Information Update
DMAP 3113DMAP 3113 - Provider Enrollment Short Form
DMAP 3162DMAP 3162 – AVR Quick Reference Guide
DMAP 3161DMAP 3161 - PWP eligibility verification screen
DHS 3970DHS 3970 - EDMS Cover Sheet
DMAP 3085DMAP 3085 - Request for Administrative Review
DMAP 3165 (Word)DMAP 3165 - OHP Client Agreement to Pay for Health Services
DMAP 3165 (PDF)DMAP 3165 - OHP Client Agreement to Pay for Health Services
DMAP 3165 (Word)DMAP 3165 - OHP Client Agreement to Pay for Health Services
DMAP 3165 (PDF)DMAP 3165 - OHP Client Agreement to Pay for Health Services
DMAP 3165 (Word)DMAP 3165 - OHP Client Agreement to Pay for Health Services
DMAP 3165 (PDF)DMAP 3165 - OHP Client Agreement to Pay for Health Services
DMAP 3165 (Word)DMAP 3165 - OHP Client Agreement to Pay for Health Services
DMAP 3165 (PDF)DMAP 3165 - OHP Client Agreement to Pay for Health Services

Who to call for help

Provider Services 800-336-6016 or email us
Address and telephone contacts

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