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COVID-19 Guidance for CCOs and Oregon Health Plan providers

 Get OHA's Coronavirus Updates by text or email

 Get OHP provider updates by text or email

Resources for all Oregon providers

Visit OHA's Public Health Division website for crisis care resources, testing guidance and data, clinical and infection control guidance for health care providers, labs, pharmacies and other health care partners.

Visit OHA's main COVID-19 page for updates about the current situation in Oregon and community resources.

Resources for Oregon Health Plan providers and CCOs

Operational and billing information for Oregon Health Plan (Medicaid) providers and coordinated care organizations. 

Please refer to the Oregon Medicaid COVID-19 Provider Guide for:

  • Current guidance regarding covered services, telemedicine, eligibiliity, prior authorization and billing instructions during the COVID-19 emergency
  • Links to previously-issued memos, related resources, pertinent Oregon Administrative Rules and federal guidance  

Provider Matters

This twice-monthly ebulletin contains a round-up of recent COVID-19 updates and resources. For older issues, visit the Provider Matters page.

  
  
7/23/2021COVID-19 resource updates; Provider obligations related to interpreter services; Administrative Exam program updates; recent rule revisions

Memos

  
  
Applies To
  
7/30/2021FFS NEMT reimbursement at drive-through COVID-19 vaccination sitesNon-emergent medical transportation brokerages, CCOs
7/30/2021Reminder: Ambulance transport and reimbursement policies during the COVID-19 emergencyAmbulance providers, Non-emergent medical transportation brokerages, CCOs
7/8/2021COVID Relief Temporary Rate Increase for State Fiscal Year 2021AMH-licensed residential treatment providers
7/6/2021Additional payment for in-home COVID-19 vaccine administration, effective June 8, 2021All Providers, CCOs
6/3/2021PCA reimbursement for transportation to COVID-19 vaccination sitesPersonal care attendants, Community Mental Health Programs
5/18/2021Add-on fee for interpreter services extended for fee-for-service paymentAll Providers
4/22/2021Status of fee-for-service claims for COVID-19-related services delivered to CAWEM membersAll Providers
3/12/2021Suspension of credentialing requirements for COVID-19 vaccination administration providers & requirements for encounter submissions for COVID-19 vaccinationsCCOs
1/25/2021Help Oregon complete Phase 1a of the COVID-19 Vaccine Sequencing Plan All Providers, CCOs
10/28/2020Updates to COVID-19 testing requirements in long-term care facilitiesHome health providers, Hospice providers
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Questions and answers

For Providers and CCOs

View Medicaid flexibilities during COVID-19 >>

  
Topic
  
Novel Coronavirus Coding - Updated 7/29/2021Codes
Oregon Medicaid COVID-19 Provider Guide - Updated 7/23/2021, see bookmarks for changesReference
Oregon Medicaid Coverage of COVID-19 Vaccine Administration - Updated 7/23/2021, see bookmarks for changesBilling
Reimbursement for COVID-19 Vaccine Administration under the Alternative Payment and Advanced Payment Care Model ProgramAlternate Payment Methodology, Billing
Reimbursement for COVID-19 Vaccine Administration for FQHC, RHC and IHCP ProvidersBilling
Fee-for-Service Provider Stability Payment ApplicationCOVID-19
Fee-for-Service Provider Stability Payment InstructionsCOVID-19
Provider Relief Fund Medicaid Distribution Tip SheetCOVID-19
Telemedicine-Telehealth Guidance for School-Based Health Services Providers.pdfReference

For Members

View COVID-19 information for OHP members >>

  
Getting care from home - OHP member fact sheet - Spanish.pdf
Getting care without leaving your home - OHP member fact sheet.pdf
Novel coronavirus COVID-19 - OHP member fact sheet
Novel coronavirus COVID-19 - OHP member fact sheet - Spanish.pdf
(More Documents...)

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