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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.

  
  
1/27/2023
  
Monthly partner webinar series: Preparing for the COVID-19 Public Health Emergency (PHE) to end; From the Centers for Medicare & Medicaid Services: Resources for Medicare members about savings under the new prescription drug law; Fee-for-service reprocessing of CWM Plus postpartum professional and dental claims; Join OHA as we review the Substance Use Disorder (SUD) 1115 Demonstration Waiver, Feb. 8 and Feb. 9, 2023; New Early and Periodic Screening, Diagnostic and Treatment (EPSDT)  education session for behavioral health and Behavior Rehabilitation Service providers; provider resource updates; recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
2/1/2023Learn more about Early and Periodic Screening, Diagnosis and Treatment (EPSDT) for behavioral health and BRS providers at OHA’s Feb. 15 webinarBehavior Rehabilitation Services providers, Behavioral health providers
1/27/2023Fee-for-service reprocessing of Citizenship Waived Medical Plus postpartum professional and dental claimsAll Providers
1/13/2023Plan of Care rate increases now complete, effective July 1, 2022Adult mental health residential 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.
Advance DirectiveAdvance DirectiveEnglish
MSC 0189MSC 0189 - Direct Deposit AuthorizationEnglish
MSC 1419MSC 1419 - MAC Local Match Leveraging FormEnglish
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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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