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Oregon Health Plan Resources for Providers: Check claim status, member eligibility and more

 Ensuring Oregon Health Plan coverage of medical grade formula and oral nutritional supplements

Oregon Health Authority (OHA) would like to remind providers serving children with high needs that:

  • Children who qualify and meet the eligibility criteria can receive medical grade formula and oral nutritional supplements through Oregon Health Plan (OHP) as the primary payer. 
  • For covered formula and supplements, OHP pays before the Women’s, Infant and Children (WIC) program. This includes formula and supplements administered orally and/or via tube feeding.

Please read the memo from OHA to learn more and how to help children keep these critical nutrition supports >>

Find the Resources You Need to Serve Oregon Health Plan Members

Thank you for serving Oregon Health Plan (OHP) members! If you are new to OHP, Keys to Success gives an overview of how to work with OHP:

  • Verifying OHP eligibility and benefits
  • Prior authorization
  • What to do before providing services to OHP members
  • How OHP works with other insurance
  • Billing OHP 
  • Member billing prohibitions
  • Quick links and resources

To keep informed, please sign up for OHA's ebulletin for OHP providers, Provider Matters.

 Read Keys to Success - Partnering with OHP >>    Read the latest Provider Matters >>    Find OHP Forms >>
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