An official website of the State of Oregon
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Also check the
Prioritized List of Health Services to see if OHP will cover the requested service for the condition being treated.
Also see whether the service(s) require authorization. Refer to the provider guidelines for your program, or use the HSC List Inquiry in the Oregon Medicaid Provider Portal at https://www.or-medicaid.gov.
Use the Provider Portal or MSC 3971 (updated March 2018).
Please attach only the clinical documentation required for review. Do not attach unrelated documents.
OHA no longer calls providers with prior authorization status. To find out the status of a prior authorization request submitted to OHA:
Request for Claim or Service Authorization Review (formerly Request for Administrative Review)
How to use the Provider Web Portal Benefits and Prioritized List Inquiry screen
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