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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.

Fee-for-service reimbursement of COVID-19 self-collected, self-administered test kits provided by non-pharmacy providers; Novavax fact sheets; Vaccine Learning Series: Join OHA's Aug. 18 webinar; Provider billing and member reimbursement for retroactive OHP Supplemental benefits; Reminder: Hospital inpatient reporting process; Provider resource updates

Read recent OHP announcements

To view older announcements, visit our Announcements page:

Applies To
8/3/2022Fee-for-service billing for community birth services and newborn bloodspot screening kitsBirthing centers, Community birth providers
7/28/2022Provider billing and member reimbursement for retroactive OHP Supplemental benefitsDental providers, Vision services providers
7/26/2022Fee-for-service reimbursement for self-administered COVID-19 test kits supplied by non-pharmacy providers, effective April 4, 2022 All Providers, CCOs
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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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