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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.

Update to fee-for-service coverage of COVID-19 home testing; Pediatric Pfizer COVID-19 vaccine for ages 5-11; Booster and third dose updates; Updated videos on COVID-19 Resources in American Sign Language; New value-based payment resource library for CCOs, other payers, and providers; OHP 1115 Waiver Renewal policy concepts now published

Read recent OHP announcements

To view older announcements, visit our Announcements page:

Applies To
12/1/2021Fee-for-service reprocessing of outpatient claims planned for December 11, 2021Oregon DRG hospitals
11/24/2021Clarification regarding flexibility to use private commercial transportation optionsNon-emergent medical transportation brokerages
11/22/2021Fee-for-service NEMT call center closure requests and operational guidanceNon-emergent medical transportation brokerages
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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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