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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.

  
  
6/4/2021
  
Behavioral health personal care attendant (PCA) reimbursement for trips to COVID-19 vaccination appointments; Value-based payment (VBP) webinar series for providers (no-cost CME available); State and federal requirements for offering language access services; Reminder: Bill OHA for interpreter services arranged for fee-for-service health care visits

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
6/3/2021PCA reimbursement for transportation to COVID-19 vaccination sitesPersonal care attendants, Community Mental Health Programs
6/2/2021Fee-for-service reprocessing of inpatient claims planned for June 14, 2021Oregon DRG hospitals
5/18/2021Add-on fee for interpreter services extended for fee-for-service paymentAll 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.
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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