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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.

  
  
5/6/2022
  
Oregon WIC update: Tools for requesting medical formulas; Motivational interviewing for diabetes management; Health Evidence Review Commission seeks naturopathic physician for Value-based Benefits Subcommittee vacancy; Process change for calls to the Prior Authorization and Code Pairing Hotlines; Changes to fee-for-service provider revalidations; Provider resource updates; Recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
5/16/2022Increased fee-for-service dispensing fee, effective July 1, 2022Vision services providers
5/12/2022Fee-for-service rate increase for neonatal and pediatric intensive care professional servicesMedical-surgical providers, Neonatologists and pediatric intensivists
4/7/2022New SUD treatment reimbursement codes and rate changes effective January 1, 2022Substance use disorder treatment providers, CCOs
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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
MSC 0189MSC 0189 - Direct Deposit AuthorizationEnglish
MSC 1419MSC 1419 - MAC Local Match Leveraging FormEnglish
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Questions and answers for OHP providers

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



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