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COVID-19 Guidance for CCOs and Oregon Health Plan providers

New COVID-19 provider funding opportunities open for applications this month

On September 29, 2021, health care providers will be able to apply for $25.5 billion in relief funds, including $8.5 billion in American Rescue Plan resources for providers who serve rural patients and $17 billion for Provider Relief Fund Phase 4 for a broad range of providers who can document revenue loss and expenses associated with the pandemic.

Learn who is eligible to apply and how to prepare for the upcoming applications on the Provider Relief Fund website.

 Get OHA's Coronavirus Updates by text or email

 Get OHP provider updates by text or email

Resources for all Oregon providers

Visit OHA's COVID-19 for health care partners page for crisis care resources, testing guidance and data, clinical and infection control guidance for health care providers, labs, pharmacies and other health care partners.

Visit OHA's main COVID-19 page for updates about the current situation in Oregon and community resources.

Resources for Oregon Health Plan providers and CCOs

Operational and billing information for Oregon Health Plan (Medicaid) providers and coordinated care organizations. 

Please refer to the Oregon Medicaid COVID-19 Provider Guide for:

  • Current guidance regarding covered services, telemedicine, eligibiliity, prior authorization and billing instructions during the COVID-19 emergency
  • Links to previously-issued memos, related resources, pertinent Oregon Administrative Rules and federal guidance  

Provider Matters

This twice-monthly ebulletin contains a round-up of recent COVID-19 updates and resources. For older issues, visit the Provider Matters page.

10/22/2021COVID-19 vaccine requirement, booster dose and monoclonal antibody treatment resource updates


Applies To
9/27/2021Prior authorization required for fee-for-service coverage of oral ivermectinPrescribing providers
9/22/2021“No Wrong Door” for Oregon Health Plan providers billing for covered monoclonal antibody (mAb) servicesAll Providers
9/22/2021Ensuring member access to monoclonal antibody (mAb) treatment CCOs
9/3/2021Oregon Health Plan coverage of pharmacist-administered monoclonal antibody treatment effective September 1, 2021CCOs
9/3/2021OHP coverage of pharmacist-administered monoclonal antibody treatment effective September 1, 2021Pharmacies
9/2/2021NEMT brokerage flexibility to use private commercial transportation optionsNon-emergent medical transportation brokerages
9/2/2021Oregon Health Plan coverage for third dose of COVID-19 vaccineAll Providers
8/30/2021COVID Relief Temporary Rate Increase for State Fiscal Year 2021 - Reimbursement for T1020 and T2033AMH-licensed residential treatment providers
8/27/2021Changes to hospital transfer policy and prior authorization requirements for long-term acute care (LTAC) hospitals and inpatient rehabilitation services, effective immediatelyHospitals
8/26/2021Oregon Health Plan monoclonal antibody coverage for COVID-19 treatmentAll Providers
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Questions and answers

For Providers and CCOs

View Medicaid flexibilities during COVID-19 >>

Novel Coronavirus Coding - Updated 10/8/2021Codes
Oregon Medicaid COVID-19 Provider Guide - Updated 10/8/2021, see bookmarks for changesReference
Oregon Medicaid Coverage of COVID-19 Vaccine Administration - Updated 9/2/2021, see bookmarks for changesBilling
Reimbursement for COVID-19 Vaccine Administration under the Alternative Payment and Advanced Payment Care Model ProgramAlternate Payment Methodology, Billing
Reimbursement for COVID-19 Vaccine Administration for FQHC, RHC and IHCP ProvidersBilling
Fee-for-Service Provider Stability Payment ApplicationCOVID-19
Fee-for-Service Provider Stability Payment InstructionsCOVID-19
Provider Relief Fund Medicaid Distribution Tip SheetCOVID-19
Telemedicine-Telehealth Guidance for School-Based Health Services Providers.pdfReference

For Members

View COVID-19 information for OHP members >>

Getting care from home - OHP member fact sheet - Spanish.pdf
Getting care without leaving your home - OHP member fact sheet.pdf
Novel coronavirus COVID-19 - OHP member fact sheet
Novel coronavirus COVID-19 - OHP member fact sheet - Spanish.pdf
(More Documents...)

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