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Tools for OHP Health Plans

Technical assistance for the coordinated care organizations that coordinate care for Oregon Health Plan (OHP) members.

View Plan Tools

Need help? If you can't find what you need on this page or in the "Important Links," contact your OHA team.

Recent Updates

To view all recent updates, visit our Announcements page. You can also view staff transmittals for other updates.
  
  
3/14/2024Oregon Health Plan (OHP) is primary payer for formulas and nutritional supplements covered by OHP and WIC, effective January 12, 2024.
12/28/2023Transportation network company pilot postponed to February 1, 2024
12/28/2023Changes in coordinated care organization (CCO) enrollment timeframes
12/18/2023OHP coverage of gender-affirming treatment, effective January 1, 2024
12/6/2023Billing OHP for refugee health screenings, effective January 1, 2024
11/9/2023Billing for covered fall prevention programs with updated telehealth billing requirements
8/15/2023Oregon Health Plan covers travel and nonroutine adult vaccines starting Oct. 1, 2023
6/30/2023New system for submitting and tracking CCO Contract deliverables
6/15/2023CCOs may not use the presence of a caregiver as a reason to deny power wheelchair coverage
6/14/2023Inappropriate fee-for-service payments for some E&M codes and Medicare crossover claims
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Forms and Templates

To view all OHP forms and publications, visit our Forms page. To view forms and templates for CCO contract deliverables, visit the CCO contract forms page.

MSC 2099MSC 2099 - Authorization for Use and Disclosure of Information
MSC 2099MSC 2099 - Authorization for Use and Disclosure of Information
MSC 2099MSC 2099 - Authorization for Use and Disclosure of Information
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Weekly Provider Files

OHA posts these files by noon each Tuesday. To get the password for these files, contact your Encounter Data Liaison.

  
Provider File revised February 2024 03.18.2024.zip
Provider File without Tax Id revised February 2024 03.18.2024.zip
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Questions and Answers for Health Plans

Use the search field to search by all fields. For example, enter "OHP meeting" to look for information about OHP-related meetings.