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Tools for Oregon Health Plan providers

New COVID-19 provider funding opportunities open for applications this month

On September 29, 2021, health care providers will be able to apply for $25.5 billion in relief funds, including $8.5 billion in American Rescue Plan resources for providers who serve rural patients and $17 billion for Provider Relief Fund Phase 4 for a broad range of providers who can document revenue loss and expenses associated with the pandemic.

Learn who is eligible to apply and how to prepare for the upcoming applications on the Provider Relief Fund website.

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.

  
  
9/3/2021
  
Oregon Health Plan coverage for third dose of COVID-19 vaccine; Flexibility for non-emergent medical transportation brokerages to use private commercial transportation options; Mental health residential temporary rate increase for State Fiscal Year 2021 - Reimbursement for T1020 and T2033; Changes to hospital transfer policy and prior authorization requirements for long-term acute care and inpatient rehabilitation services; Vaccine requirements for health care providers and health care staff; Masking requirements; Testing information; Free provider learning opportunities; contract requirements and supplemental payments for the CCO Ground Emergency Medical Transportation Program; Available authorization forms for administrative exam providers; October 1, 2021 Prioritized List of Health Services

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
9/3/2021OHP coverage of pharmacist-administered monoclonal antibody treatment effective September 1, 2021Pharmacies
9/2/2021NEMT brokerage flexibility to use private commercial transportation optionsNon-emergent medical transportation brokerages
9/2/2021Oregon Health Plan coverage for third dose of COVID-19 vaccineAll Providers
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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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