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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.

Model immunization protocols (updated 6/29/2022); resource updates; July webinars; Starting today, more people may be eligible for OHP Plus benefits; Use the MMIS Provider Portal to submit fee-for-service prior authorization requests online; Fee-for-service nursing facility room and board rates effective July 1, 2022; Recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

Applies To
6/30/2022Fee-for-service nursing facility room and board rates effective July 1, 2022Hospice providers
6/27/2022Fee-for-service rates for OHA/ODHS private during nursing services effective July 1, 2022Private duty nursing providers
6/22/2022Mobile Opioid Treatment Programs, effective May 1, 2022Oregon Opioid Treatment Programs
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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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