For CCO Enrollment:
CCOs are the plans that serve Oregon Health Plan members. Contact the CCO for questions about CCO enrollment and credentialing.
To Check Enrollment Status:
Check enrollment status online using the Application Tracking Number (ATN) on your application.
OHA Fax Numbers
For enrollment forms, updates and revalidations
For licensure renewals and CLIA updates. An EDMS Coversheet is not required. For licensure renewals:
- Include a copy of the licensure notice and the provider's& Medicaid ID or NPI.
- If you are licensed by the Oregon Board of Medical Examiners, the Oregon Board of Pharmacy, or the Oregon Board of Nursing, you do
not need to send us this information. This is true even if you get a letter asking you to send it to us.
410-120-1260 - Provider Enrollment
410-120-1400 - Provider Sanctions
410-120-1460 - Type and Condition of Sanctions
Email us or call 800-336-6016.