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COVID-19 Guidance for CCOs and Oregon Health Plan providers

 Get OHA's Coronavirus Updates by text or email

 Get OHP provider updates by text or email

Resources for all Oregon providers

Visit OHA's Public Health Division website for crisis care resources, testing guidance and data, clinical and infection control guidance for health care providers, labs, pharmacies and other health care partners.

Visit OHA's main COVID-19 page for updates about the current situation in Oregon and community resources.

Join OHA and OHSU's COVID-19 weekly provider information sessions - Thursdays at 12 p.m. >> 

Resources for Oregon Health Plan providers and CCOs

Operational and billing information for Oregon Health Plan (Medicaid) providers and coordinated care organizations. 

Please refer to the Oregon Medicaid COVID-19 Provider Guide for:

  • Current guidance regarding covered services, telemedicine, eligibiliity, prior authorization and billing instructions during the COVID-19 emergency
  • Links to previously-issued memos, related resources, pertinent Oregon Administrative Rules and federal guidance  

Provider Matters

This twice-monthly ebulletin contains a round-up of recent COVID-19 updates and resources. For older issues, visit the Provider Matters page.

  
  
6/4/2021Behavioral health personal care attendant (PCA) reimbursement for trips to COVID-19 vaccination appointments

Memos

  
  
Applies To
  
6/3/2021PCA reimbursement for transportation to COVID-19 vaccination sitesPersonal care attendants, Community Mental Health Programs
5/18/2021Add-on fee for interpreter services extended for fee-for-service paymentAll Providers
4/22/2021Status of fee-for-service claims for COVID-19-related services delivered to CAWEM membersAll Providers
3/12/2021Suspension of credentialing requirements for COVID-19 vaccination administration providers & requirements for encounter submissions for COVID-19 vaccinationsCCOs
1/25/2021Help Oregon complete Phase 1a of the COVID-19 Vaccine Sequencing Plan All Providers, CCOs
10/28/2020Updates to COVID-19 testing requirements in long-term care facilitiesHome health providers, Hospice providers
8/3/2020Short-term Medicaid stability loans for providers with reduced business caused by COVID-19 All Providers
3/13/2020Emergency Response to a Governor Declared State of EmergencyRespiratory therapist stakeholders

Questions and answers

For Providers and CCOs

View Medicaid flexibilities during COVID-19 >>

  
Topic
  
Oregon Medicaid COVID-19 Provider Guide - Updated 6/4/2021, see bookmarks for changesReference
Oregon Medicaid Coverage of COVID-19 Vaccine Administration - Updated with 5/13/2021, see bookmarks for changesBilling
Novel Coronavirus Coding - Updated 4/28/2021Codes
Reimbursement for COVID-19 Vaccine Administration for FQHC, RHC and IHCP ProvidersBilling
Reimbursement for COVID-19 Vaccine Administration under the Alternative Payment and Advanced Payment Care Model ProgramAlternate Payment Methodology, Billing
Fee-for-Service Provider Stability Payment ApplicationCOVID-19
Fee-for-Service Provider Stability Payment InstructionsCOVID-19
Provider Relief Fund Medicaid Distribution Tip SheetCOVID-19
Telemedicine-Telehealth Guidance for School-Based Health Services Providers.pdfReference

For Members

View COVID-19 information for OHP members >>

  
Getting care from home - OHP member fact sheet - Spanish.pdf
Getting care without leaving your home - OHP member fact sheet.pdf
Novel coronavirus COVID-19 - OHP member fact sheet
Novel coronavirus COVID-19 - OHP member fact sheet - Spanish.pdf
(More Documents...)

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