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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.

  
  
4/9/2021
  
Oregon Medicaid COVID-19 Provider Guide updates, including coverage of home care through the Acute Hospital Care at Home waiver, COVID-19 lab testing code (U0005) effective 1/1/2021, effective dates and minimum eligible ages for COVID-19 vaccines, and resources for COVID-19 vaccination sites; COVID-19 vaccine updates and resources for all health care providers, including PREP Act Authorization information and resources; HITOC member applications due April 16, 2021; Value-based payment series (no-cost CME available); Medicaid EHR Incentive Program Year 2021 opens Saturday May 1, 2021; Clarification about opioid tapering; Recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
4/8/2021FFS NEMT brokerage responsibility for travel to administrative medical examinationsNon-emergent medical transportation brokerages
3/23/2021MS-DRG, LTC-DRG and Oregon Unique DRG updatesOregon DRG hospitals, CCOs
3/12/2021FQHC/RHC Reimbursement for COVID-19 Vaccine AdministrationFederally Qualified Health Centers, Rural health clinics
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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.
OHA 6625OHA 6625 - Order Form for ApplicationsEnglish
OHP 2410OHP 2410 - Newborn NotificationEnglish
OHP 1074OHP 1074 - Prior Authorization for Out-of-State ServicesEnglish
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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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