Providers: Apply for federal Provider Relief Fund payments by Sep. 13, 2020
The federal Department of Health and Human Services expects to distribute approximately $15 billion to eligible Medicaid/CHIP providers who have not yet received a payment from the Provider Relief Fund General Distribution.
Learn more on the Provider Relief Fund website. Look for "6 Steps for Applying for Phase 2 General Distribution Funding for Medicaid, CHIP, Dental and Certain Medicare Providers."
Need to find out if you are on Oregon's list of Medicaid organizations and providers? Search the list now (use Ctrl-F to search by name).
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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
To view all recent OHP announcements,
visit our Announcements page.
Forms and publications
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
|OHA 6625||OHA 6625 - Order Form for Applications||English|
|OHP 2410||OHP 2410 - Newborn Notification||English|
|OHP 1074||OHP 1074 - Prior Authorization for Out-of-State Services||English|
Questions and answers for OHP providers
Use the Search field to filter the questions for your search term.
Registration, technical assistance for electronic data interchange (EDI) trading partners
Becoming an OHP provider or updating your information
Fee-for-service medical and dental prior authorization requests
PA Line - 800-336-6016 (option 3) or 503-945-6821
Nurse advice, and information about available providers, for members not in an OHP medical plan
Determining OHP coverage for specific condition / treatment pairs
OHP Code Pairing and Prioritized List Hotline - 800-336-6016 (option 4) or 503-945-5939
Complex billing questions, appeals and requests for claim reconsideration
Fee-for-service pharmacy prior authorization requests
Oregon Pharmacy Call Center - 888-202-2126
DHS|OHA Electronic Funds Transfer (EFT) Coordinator - 503-945-6872
DHS Fraud Hotline: 888-FRAUD01 (888-372-8301)
Report third-party liability (TPL) to DHS/OHA
Provider Web Portal password resets
Behavioral health prior authorization requests