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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.

  
  
9/23/2022
  
Pfizer and Moderna COVID-19 bivalent booster vaccine administration for ages 12 and older, effective 9/1/2022; Fact sheet updates: Bivalent boosters; Masking requirements in health care settings FAQ update;  Webinar series: Preparing for the end of the federal COVID-19 Public Health Emergency continues Oct. 18 and Nov. 15, 2022; Complete Agreement to Pay forms before providing non-covered services to CWM members on or after July 1, 2022; Provider resource updates; Recent rule revisions

Read recent OHP announcements

To view older announcements, visit our Announcements page:

  
  
Applies To
  
9/15/2022Changes to daily limits for fee-for-service SUD treatment codes, effective January 1, 2019Substance use disorder treatment providers
9/15/2022FFS member transition from DCOs to CCOs for dental services and NEMT servicesNon-emergent medical transportation brokerages
9/8/2022Fee-for-service reprocessing of neonatal and pediatric intensive care service professional claims planned for week of September 12, 2022Neonatologists and pediatric intensivists
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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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