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Oregon Health Plan (MCO and CCO) Program

 

Oregon Administrative Rules and supplemental information administered by the Health Systems Division.

 Receive program updates by text or email - Please specify which program(s) you are interested in; otherwise, you will receive updates for all programs.

Current Oregon Administrative Rules

Please refer to the Oregon Secretary of State website. OHA no longer maintains the administrative rulebooks.

  • Click the program name, then click the rule you want to view.
  • The current rule will display. To view previous revisions of the rule, click the revision date(s) at the bottom of the rule page. Revisions are available back to 2017.
  • If you need older revisions, please email Adminrules.Archives@oregon.gov.
  • If you have problems accessing older revisions not available on the SOS website, please email HSD.Rules@dhsoha.state.or.us

Recent rule filings

Supplemental information and guidelines

Also visit the OHP Tools for Health Plans, Managed Care Tax Rules and Forms, and Prioritized List of Health Services websites.

Guidelines

Drug Carve Out

Hospital Reimbursement

Fee-for-service DRG and Type A/B rates

Visit the Hospital Services policy page.

Type A/B hospital reimbursement

Forms

Also see the CCO Contract Forms page for forms and material related to contract deliverables.

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