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Tools for Oregon Health Plan providers

Search all provider tools

Use the Search field to find the tool you need. For example, enter "guide" to view all provider guides, "claim" or "billing" to view tools related to claims or billing, or "APC" to view all ambulatory payment classification (APC) tools.

Need help? If you can't find what you need on this page or in the "Important Links," see our provider contacts list, and the list at the bottom of this page. If you need help with approval or payment for services to a CCO member, contact the CCO.


Recent provider updates

Read the latest Provider Matters

View past issues on the Provider Matters page.

  
  
1/21/2022
  
Please submit fee-for-service claim adjustments and appeals electronically; COVID-19 resource and guidance updates; treatment options for Omicron variant; Oregon Resource Allocation Advisory Committee: Call for applicants; Determination deadline for trial-related prior authorization requests; Change log for Jan. 1, 2022 Prioritized List of Health Services; Recent rule revisions (multiple programs)

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
1/21/2022Fee-for-service coverage of federally supplied oral antiviral COVID-19 treatmentsPharmacies, Prescribing providers
1/11/2022Medicaid Coverage of Crisis Respite Services and Respite CareAMH-Licensed Adult Foster Homes
1/7/2022Change to mental health assessment timeline for Wraparound referralsCCOs, Community Mental Health Programs
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Forms and publications

View OHP Billing Tips or the provider guidelines for your program for more information about provider forms. Find forms for enrolling as an OHP provider on our Provider Enrollment page.

  • Click the "Form and Description" heading to sort or select by Form. You can also sort or select by Language.
  • To view all OHP forms and publications, visit our Forms page.
OHA 6625OHA 6625 - Order Form for ApplicationsEnglish
OHP 2410OHP 2410 - Newborn NotificationEnglish
OHP 1074OHP 1074 - Prior Authorization for Out-of-State ServicesEnglish
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Questions and answers for OHP providers

Use the Search field to filter the questions for your search term.



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