Tools for OHP health plans
Technical assistance for the health and dental plans that coordinate care for over 80 percent of Oregon Health Plan (OHP) clients.
OHP managed care is changing - Learn more about Coordinated Care Organizations.
The Model Contracts describe the services generally covered by contracted plans.
Plan coverage must be comparable to DMAP's fee-for-service coverage.
Mental health drugs (Excel ) are always billed to DMAP instead of the plan for all OHP members. All other prescriptions are billed to OHP health plans (CCO, FCHP, PCO).
Doing business with DMAP
If you need help with member enrollment issues, contact Client Enrollment Services. For other issues: