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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.

Add-on fee for interpreter services now open for fee-for-service payment; Reminder about temporary expansion of CAWEM-only (CWM) coverage for COVID-19-related services; Oregon Medicaid COVID-19 provider guide updates; Supporting dental visits for children during COVID-19 and beyond; REALD, provider webinar updates; Jan. 1 Prioritized List change log; Recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

Applies To
1/15/2021Current NEMT requirements for expired licenses and vehicle registrations during COVID-19Transportation providers, CCOs, Non-emergent medical transportation brokerages
1/15/2021OHP coverage of NEMT to alternate sites for COVID-19 vaccine administrationTransportation providers, CCOs, Non-emergent medical transportation brokerages
1/4/2021Brand Invega®, Sabril®, Lamictal®, and Strattera® required starting January 11, 2021Pharmacies
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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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