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COVID-19 Guidance for CCOs and Oregon Health Plan providers

Webinar Series: Preparing for the end of the COVID-19 Public Health Emergency

Learn more about how Oregon Health Authority (OHA) and the Oregon Department of Human Services (ODHS) are working together to prepare for the end of the national COVID-19 Public Health Emergency (PHE) with the goal of preserving benefits for individuals and families. All sessions are from 10 to 11 a.m. Pacific Time.

 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 COVID-19 for health care partners page 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.

  
  
9/23/2022
  
Pfizer and Moderna COVID-19 bivalent booster vaccine administration for ages 12 and older, effective 9/1/2022; Fact sheet updates: Bivalent boosters; Masking requirements in health care settings FAQ update;  Webinar series: Preparing for the end of the federal COVID-19 Public Health Emergency continues Oct. 18 and Nov. 15, 2022; Complete Agreement to Pay forms before providing non-covered services to CWM members on or after July 1, 2022; Provider resource updates; Recent rule revisions

Memos

  
  
Applies To
  
7/26/2022Fee-for-service reimbursement for self-administered COVID-19 test kits supplied by non-pharmacy providers, effective April 4, 2022 All Providers, CCOs
2/17/2022Hazard Pay and Cost of Living AdjustmentAdult foster homes
8/30/2021COVID Relief Temporary Rate Increase for State Fiscal Year 2021 - Reimbursement for T1020 and T2033AMH-licensed residential treatment providers
8/18/2021Final technical specifications for the COVID-19 vaccination Emergency Outcome Tracking (EOT) measureCCOs
4/22/2021Status of fee-for-service claims for COVID-19-related services delivered to CAWEM membersAll Providers
10/28/2020Updates to COVID-19 testing requirements in long-term care facilitiesHome health providers, Hospice providers

Questions and answers

For Providers and CCOs

View Medicaid flexibilities during COVID-19 >>

  
Topic
  
Oregon Medicaid COVID-19 Provider Guide - Updated 9/23/2022, see bookmarks for changesReference
Oregon Medicaid Coverage of COVID-19 Vaccine Administration - Updated 9/23/2022, see bookmarks for changesBilling
Novel Coronavirus Coding - Updated 9/21/2022Codes
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 >>

  
COVID-19 - OHP member fact sheet - Spanish
COVID-19 Home Tests for OHP and CWM 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
OHP and CWM Coverage of COVID-19 and Flu Vaccines
Preparing for Changes to OHP Coverage After the COVID-19 Emergency
(More Documents...)