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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.

Clarification about CAWEM Plus (CWX) eligibility during the COVID-19 emergency; Fee-for-service reimbursement for non-emergent medical transportation (NEMT) trips to COVID-19 drive-through vaccination clinics; Updated COVID-19 guidance, talking points and investigative guidelines; Patient letter template to encourage COVID-19 vaccination; J&J vaccine information; VBP webinar series - Next session is May 19; May-June 2021 VBP focus groups; Medicaid EHR Incentive Program is open for Program Year 2021; CAWEM benefit to include emergency dialysis services effective July 1, 2021; Recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

Applies To
5/18/2021Add-on fee for interpreter services extended for fee-for-service paymentAll Providers
5/5/2021Provider Presentation for Year One Review of Adult Mental Health Residential Standardized RatesAMH-licensed residential treatment providers
5/3/2021System of Care needs assessment and additional supportsBehavioral health providers, CCOs, Children's psychiatric residential treatment providers, 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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