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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.

  
  
2/9/2024
  
  • Join session 2 in the free "ADA in Healthcare" monthly webinar series: 
  • Physical access and telehealth; 
  • Oregon Disability Emergency Management Advisory Council (DEMAC) is recruiting new members: Apply by March 31, 2024; 
  • Expansion of crisis respite services effective January 1, 2023; 
  • Listening session about Secure Residential Treatment Facility (SRTF) denial processes; 
  • Provider resource updates, including Healthier Oregon desk manual; 
  • Recent rule revisions, including multiple DMPEOS rule changes effective 1/1/2024

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
2/14/2024Prior authorization required for Secure Residential Treatment Facility placement starting March 1, 2024Community Mental Health Programs, Oregon State Hospital; acute care psychiatric settings
2/13/2024Birth doula procedure code change effective July 1, 2024Medical-surgical providers, Birth doula providers
2/8/2024Medical necessity reviews for SRTF level of careCommunity Mental Health Programs, Secure residential treatment facilities
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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
FFS TPAOHA Trading Partner Agreement - Fee-for-ServiceEnglish
LinkElectronic Visit Verification Reporting TemplateEnglish
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Questions and Answers for OHP providers

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



Find OHP Provider Contacts by Topic





Sign Up for Updates

Get OHP Provider Updates by text or email.

Also sign up for OHP rule updates:

  • Notices of proposed rulemaking
  • Temporary rules

Important Links

Need Help?

For services to CCO members, call the member's CCO.

For services tp other OHP members, call Provider Services at 800-336-6016.

To find other contacts: