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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.

  
  
3/8/2024
  

​New fee-for-service Trading Partner Agreement and instructions now available

Provider resource updates:

  • Climate support forms, fee schedule and resources
  • School-Based Health Services Information Session material and recording
  • Medical Necessity/Appropriateness Review: Frequently Asked Questions for Secure Residential Treatment Facilities
  • Approved culturally and linguistically specific services providers
  • March 2024 Behavioral Health Fee Schedule  - This includes the 3.4% rate increase for services effective Oct. 1, 2023
Recent rule revisions
  • OAR 410-141-3510: Addition of Health-Related Social Needs (HRSN) Service Provider Qualifications

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
3/14/2024Request for Calendar Year (CY) 2022 and 2023 financial dataAdult mental health residential providers
3/11/2024Submitting fee-for-service claims to receive the 3.4% rate increase for Medicaid behavioral health services effective October 1, 2023Behavioral health providers, Substance use disorder treatment providers, Community Mental Health Programs
3/11/2024ASAM Foundational Trainings for OSubstance use disorder treatment 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
FFS TPAOHA Trading Partner Agreement - Fee-for-ServiceEnglish
LinkElectronic Visit Verification Reporting TemplateEnglish
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Questions and Answers for OHP providers

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



Find OHP Provider Contacts by Topic





Sign Up for Updates

Get OHP Provider Updates by text or email.

Also sign up for OHP rule updates:

  • Notices of proposed rulemaking
  • Temporary rules

Important Links

Need Help?

For services to CCO members, call the member's CCO.

For services tp other OHP members, call Provider Services at 800-336-6016.

To find other contacts: