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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.

  
  
12/2/2022
  
Respiratory Syncytial Virus (RSV) updates and resources; Preparing for the COVID-19 Public Health Emergency (PHE) to end: Join OHA and ODHS’s Dec. 13 webinar; Motivational interviewing trainings – Level 2 and Group Trainings Now Available (no-cost CME available);  EPSDT update: Coverage for OHP members under age 21 is changing Jan. 1, 2023; Oregon DRG hospitals: Fee-for-service reprocessing of outpatient claims planned for Dec. 10, 2022; Provider resource updates; Recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
12/1/2022Provider guide regarding services to OHP Children and Youth: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)All Providers
12/1/2022Oregon Health Plan coverage of palivizumab for Respiratory Syncytial Virus (RSV) prophylaxis expanded to high-risk children from 12 to 24 months of age, effective immediatelyMedical practitioners, Primary care providers, CCOs, Pediatric providers
11/29/2022Electronic Visit Verification requirements for home health agencies postponed to Jan. 1, 2024Home health providers
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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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