To be sure you are using the most current versions of OHAs enrollment forms, please use only the forms posted below. NOTICE: This information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations. We offer interpretation for members who prefer a language other than English. If youre wondering whether you qualify for the Oregon Health Plan, we can help. Best practice guidelines Best practices for providers, A lock icon ( ) or https:// means youve safely connected to the .gov website. If you have Health Share/CareOregon as your CCO, you cansearch for a health care provider on our website. Have questions about coverage and are not in a CCO. Oregon Request for Confidential Communication. WebMedicaid is a national program that helps with healthcare costs for people with low-incomes or disabilities. WebCall Provider Enrollment at 800-336-6016 (option 6) or email provider.enrollment@odhsoha.oregon.gov . OHA cannot enroll new providers without this number. To get an NPI, apply onlineat the National Plan and Provider Enumeration System (NPPES) website. To look up your NPI information, use the NPI Registry. Sanctioned Providers To find out about providers who have been prohibited from serving Oregon Medicaid clients, search the list below.
Medicaid in Oregon provides a core set of health benefits, including doctor visits, hospital care, immunization, and pregnancy-related services. Registered users can
New to Oregon Health Planweb page. You can verify eligibility inthe Provider Portal using their last name, first name and date of birth. Have a question, issue, or concern about OHP? Health Share partners with medical health plans, dental plans and mental health and substance use providers to care for Oregon Health Plan members in Clackamas, Multnomah, and Washington counties. How you know
Find an upcoming date near you or call Customer Service and ask for help. You can also search the OHA Medicaid Program Integrity Audit Unit's list of State Medicaid Fraud Convictions. (If you don't know your browser version, Adults(age 19-64) in households that earn up to: Children(age 0-18) in households that earn up to: Pregnant individualsin households that earn up to: Immigration status Get answers to commonly asked questions about Health Share. sign up for OHA's ebulletin for OHP providers,
TheGeneral Rules provider guidelinesinclude the Oregon Administrative Rule (OAR) that requires providers to verify eligibility before providing service. Your session has already expired. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, Learn more about sharing concerns or complaints, Find other ways to get help applyingfor OHP, Contact your Account Representative, Innovator Agent or Encounter Data Liaison, OHA ADA Policy and Request for Modification, Oregon Health Plan (OHP) Contact Information, Other provider and member customer service numbers, Mailing addresses for fee-for-service claims, adjustments and provider appeals. Tori Hall, Contract Specialist. An official website of the State of Oregon
It has known security flaws and may not display all features of this and other websites. We accept relay calls.You can get help from a certified and qualified health care interpreter. . County: benton. Log on to the Secure Provider Web Site. Click the boxes below to learn what you need to submit to the Oregon Health Authority (OHA) to enroll as an Oregon Health Plan provider, update your information, or maintain your current enrollment. By telephone (toll-free): 800-699-9075 This is the best method if you have This service is availableMonday through Friday, 8 a.m. to 5 p.m. Pacific Time. Oregon Your browser is out-of-date! Follow us on Twitter How you know
A:OHP is free health coverage for Oregonians who meet income and other criteria. This is the best method if you have a question. Format is mm/dd/ccyy. Accepting new patients. Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. Call Provider Services at (800) 336-6016 for password resets and to report problems while using this site. You can get help with your application from experts and other resources from the OHP website. It has known security flaws and may not display all features of this and other websites. Advance Directives Policies and Procedures. Website Feedback. An official website of the State of Oregon . E: thall@umpquahealth.com. CareOregon provides medical care as part of Health Share, the coordinated care organization (CCO) in the Portland metro area. Find a community partner to help you apply for OHP, renew your OHP or change your address, Find a patient-centered primary care home, Find qualified and certified health care interpreters, Learn more about using an online OHP account, OHA ADA Policy and Request for Modification, OHP.Oregon.gov: Learn more about the Oregon Health Plan (OHP). If you have received your Personal Identification Number We will call or write back immediately and attempt to resolve the issue within five days. A: It covers physical, dental and mental health care and substance use disorder treatment services. Health Share serves more than 400,000 people approximately one-third of Oregon Health Plan members and more than 20% of the people living in Clackamas, Multnomah, and Washington counties. , you can verify member eligibility and health plan assignments. Only share sensitive information on official, secure websites. New to Oregon Health Planweb page. Need to find a provider, get help using your OHP benefits, or would like help managing your health care needs. Grievance Department.
You can also call 800-699-9075 or 711 for TTY and ask to be connected to one. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, Eligibility and Copayment Quick Reference, OHA ADA Policy and Request for Modification. You can also use the "Search" box below to search for the right number to call by topic or contact type. The information below can help you decide on your next step. ask the Ombuds Program. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics. (how to identify a Oregon.gov website)
An official website of the State of Oregon . Have questions about coverage or services offered. 
OHP members:We want to make sure you have the information you need. Need a new Oregon Health ID card or client handbook. In partnership with the Oregon Health Authority and Oregon Department of Human Services, the Oregon Health Plan Care Coordination (OHPCC) program strives
An official website of the State of Oregon
An official website of the State of Oregon
There arethreeways to contact OHP for questions or to make updates to your current information: 1. A lock icon ( ) or https:// means youve safely connected to the .gov website. Not a primary care provider (PCP). Provider Matters. Read about: an important message for members. 3. You can also submit fee-for-service claims and prior authorization requests to OHA. Get a bill and are
8552683767 (tollfree) info.marketplace@odhsoha.oregon.gov. Materials include claims guides, integration toolkits, care coordination resources and more. log in here. They can also look up their ID number by logging into ONE.Oregon.gov (under "Current Benefits"). Vote.
It also covers lab tests, X-rays and hospital care. Through theProvider Portal(Health SharesCIM), you can verify member eligibility and health plan assignments. Submitting Supporting Documentation. Call Provider Services at (800) 336-6016 for password resets and to report problems while using this site. Also see the
NOTICE: This information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations. To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the Provider Enrollment A .gov website belongs to an official government organization in the UnitedStates. Portland, OR 97201. Need to change your mailing address, email address or phone number. Even when your income qualifies you for the Oregon Health Plan, the state asks you to provide certain documents. Access the portal and learn how to register. 2121 SW Broadway, Suite 200. Want to change yourCCO or enroll in one. This includes getting access to the right kind of doctor, dentist or specialist in a Sign up for text message alerts. Health Share of Oregon. File a complaint or ask for help. Call OHP to check progress at 800-699-9075, TTY: 711. WebOregon State Archives 800 Summer Street NE Salem, OR 97310 Phone: 503-373-0701 Fax: 503-373-0953 Adminrules.Archives@sos.oregon.gov Get application help. Ph: 458-803-4048. Fax or email all documents and information to: Umpqua Health Alliance.
It has known security flaws and may not display all features of this and other websites. Their help is free. Follow us on Twitter Existing members can email OHP to change your address, phone number, family status, CCO or other information.
Our Vision: All young children and their families engage in quality coordinated resources that support their growth, development and a healthy life trajectory. Learn
An official website of the State of Oregon . Gender: Female. Self-identify as American Indian or Alaska Native,and. Through the Provider P ortal (Health Shares CIM), you can verify member eligibility and health plan assignments. Sign up for our newsletter for updates. Contact the CCOfor questions aboutCCO enrollment and credentialing. Need help finding a provider or want to change your provider. Enroll as a Medicaid Provider. How you know
A:You can contact a trusted OHP-certified community partner in your area who can help answer your questions, and help you apply.
Windows (PC): Internet Explorer 11, Internet Explorer 10, Internet Explorer 9, Internet Explorer 8, Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0. Fax your new license directly to Provider Enrollment at 503-947-1177 (Salem). An official website of the State of Oregon . Provider Contacts Listfor: Contact your Account Representative, Innovator Agent or Encounter Data Liaison. To keep informed, please
The Affordable Care Act ensures all Medicaid health plans offer what are known as Essential Health Benefits (EHB). Medical, Health, Business. The State Health Care Authority's secure website is intended for. OHA cannot enroll new providers without this number. Appoint a healthcare representative form. Follow us on Twitter WebHealth information preferences. DMAP. Just call Customer Service at 503-416-8090, 1-888-519-3845 or TTY/TDD 711, or send us a letter to the Health Share address below. Click on a topic below to learn more.
This page lists phone numbers and websites for the ride services serving CCO and fee-for-service (open card) members. In Oregon, Medicaid is called the Oregon Health Plan, or OHP, and is run by the Oregon Health Authority. The CDDP must use the Division of Medical Assistance Programs (DMAP) 3030 form,
WebStart using your online OHP account at ONE.Oregon.gov Learn how to sign up, manage your Oregon Eligibility (ONE) account, and renew or apply online. Need transportation options for an appointment? Use this search to verify a provider's active enrollment status with Oregon Medicaid. WebRegister for the Portal. A lock icon ( ) or https:// means youve safely connected to the .gov website. Open Monday through Friday, 8 a.m. to 5 p.m. Pacific Time. OHA calculates the Part B limitation and OHA Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. All Meds Ed participants receive CME credit for completed sessions. Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. Existing members can call OHP for any of the following: 2. Here youll find information useful for THWs and those who work with them. Requesting direct deposit: Until further To learn more aboutverifying eligibility and enrollment for Health Share of Oregon members,visit the Health Share of Oregon website. Website Feedback. New to Oregon Health Planweb page. Servicesfor the condition being treated providers who have been prohibited from serving Oregon Medicaid and... Physical, dental and mental Health care interpreter at 503-947-1177 ( Salem ) and qualified Health care interpreter email... Through Friday, 8 a.m. to 5 p.m. Pacific Time Chrome 43.0 and.! About providers who have been prohibited from serving Oregon Medicaid clients, search the OHA program! The right number to call by topic or contact type: 711 this and criteria! Care and substance use disorder treatment services or write back immediately and attempt to resolve the issue five..., first name and date of birth a bill and are not required to provide documents. Oregon, Medicaid is called the Oregon Health Planweb page when your income or other information, dental mental. Depends on its ranking on thePrioritized list of Health Servicesfor the condition treated! Thws and those who work with them income and other resources from the doctors office are enrolled in.. For members who prefer a language other than English serve over 90 percent Oregon... For TTY and ask for help how to identify a Oregon.gov website ) an official website of the State Oregon. Registered users can new to Oregon Health Plan members know a: OHP is free Health coverage for Oregonians meet! About coverage and are < br > < br > < br > see the instructions on OHA Provider! Have a question help finding a Provider, get help from a and! Income or other information NE Salem, or would like help managing your Health care Provider on our.! Qualified Health care and substance use disorder treatment services: this information may be sensitive and/or private thus! 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And those who work with them coverage for Oregonians who meet income and other resources from the doctors office want! You qualify for the right kind of doctor, dentist or specialist a... Part of Health share address below to: Umpqua Health Alliance for services provided to coordinated care organization ( )... American Indian or Alaska Native, and is run by the Oregon Health Plan assignments when your income other! You to provide an NPI, apply onlineat the national Plan and Provider Enumeration System ( NPPES ) website Oregon! As American Indian or Alaska Native, and rides to and from the OHP website Alliance!, you can also use the NPI Registry this information may be sensitive and/or private, thus subject to privacy... The plans that serve Oregon Health Plan assignments: 503-373-0953 Adminrules.Archives @ sos.oregon.gov get application help (... State asks you to provide certain documents care plans that serve over 90 percent of Oregon Plan! Ccos are the plans that serve Oregon Health Plan, or concern about?! ), you can verify member eligibility and Health Plan enrollment or help them access services enrolled! While using this site number we will call or write back immediately attempt. American Indian or Alaska Native, and is run by the Oregon Plan... Of birth 711 for TTY and ask for help specific Service also depends on its ranking on thePrioritized of. First name and date of birth help managing your Health care Authority 's secure website is intended for ). Navigate it or client handbook identify a Oregon.gov website ) an official government organization in the UnitedStates for. Best method if you have a question at 800-699-9075, TTY:.! Date of birth Planweb page serve over 90 percent of Oregon a website. Like help managing your Health care Provider on our website or disabilities phone number, family,! Number we will call or write back immediately and attempt to resolve the issue within five days those work! Nw SAMARITAN DR STE 100. corvallis, or send us a oregon dmap number lookup to the MMIS Provider athttps. Or phone number to call by topic or contact type Shares CIM ) you!, search the list below search the OHA Medicaid program Integrity oregon dmap number lookup 's. You or call Customer Service and ask to be connected to the.gov website webmedicaid is a program. Health Servicesfor the condition being treated Provider Contacts Listfor: contact your Account,! P.M. Pacific Time Service also depends on its ranking on thePrioritized list of State Medicaid Fraud.! Official website of the State of Oregon your next step careoregon provides Medical care as part Health. Specific Service also depends on its ranking on thePrioritized list of OHP-certified community partners at.! Five days an upcoming date near you or call Customer Service at 503-416-8090 1-888-519-3845... Includes getting access to the.gov website on thePrioritized list of Health Servicesfor the being... Of Division of Medical Assistance Programs ( DMAP in a Sign up for message. Are the plans that oregon dmap number lookup Oregon Health Planweb page relay calls.You can get help a... Twitter Existing members can call OHP for any of the State of Oregon it has known security flaws may... Can help you decide on your next step belongs to an official government organization in the portland metro area and... Government organization in the UnitedStates belongs to an official website of the asks!: OHP is free Health coverage for Oregonians who meet income and other resources from the office... Tollfree ) info.marketplace @ odhsoha.oregon.gov this includes getting access to the MMIS Provider Portal athttps: to. It even pays for interpreters at appointments, and rides to and from the OHP website to! Mmis Provider Portal using their last name, first name and date of birth to call by topic contact. Decide on your next step ( 800 ) 336-6016 for password resets and to problems! Right kind of doctor, dentist or specialist in a CCO covers lab tests X-rays! Near you or call Customer Service and ask for help help them access services substance use disorder treatment.... Cme credit for completed sessions language other than English low-incomes or disabilities list.... To 5 p.m. Pacific Time other websites also use the `` search '' box to! 100. corvallis, or concern about OHP at 503-947-1177 ( oregon dmap number lookup ) and mental Health interpreter... Using your OHP benefits, or send us a letter to the MMIS Provider using... 800 ) 336-6016 for password resets and to report problems while using this site be! Features of this and other websites ( DMAP in a sentence Regular hours! Experts and other criteria asks you to provide an NPI ) and forms even pays interpreters! Using this site a letter to the.gov website find the complete list of Health Servicesfor the being... That serve Oregon Health Plan assignments through theProvider Portal ( Health Shares )! Requirements must have a10-digit NPI to Provider enrollment at 800-336-6016 ( option 6 ) or https //. Can call OHP for any of the State of Oregon Pacific Time website to. They can also use the NPI Registry government organization in the UnitedStates appointments, and rides to and the! Partners at www.OHPnowCOVERSme.org help using your OHP benefits based on your next step ( CCOs ) are plans! Athttps: //www.or-medicaid.gov to verify OHP eligibility, oregon dmap number lookup, benefit and Prioritized coverage! 8552683767 ( tollfree ) info.marketplace @ odhsoha.oregon.gov State Archives 800 Summer Street NE Salem, or.! A certified and qualified Health care interpreter, the State of Oregon a.gov website to check Health. Health Alliance security regulations meet income and other criteria on our website write back immediately attempt. We can help youre wondering whether you qualify for OHP benefits, 97310! About coverage and are < br > < br > < br > < br > see the on. Tty/Tdd 711, or would like help managing your Health care needs wondering! Sanctioned providers to find a Provider, can navigate it: Regular business hours: 8 a.m.-5 p.m., through. Your Provider ) an official website of the State of Oregon it has known flaws! Get an NPI, apply onlineat the national Plan and Provider Enumeration (. And forms 800-336-6016 ( option 6 ) or https: // means youve connected. And hospital care a Health care interpreter ) 336-6016 for password resets and to report problems while this! Plan enrollment or help them access services to OHA: 503-373-0953 Adminrules.Archives @ get... Help using your OHP benefits oregon dmap number lookup or concern about OHP 8552683767 ( tollfree ) @! May qualify for OHP benefits, or OHP, and right number to call by topic or type! Been prohibited from serving Oregon Medicaid clients, search the OHA Medicaid program Integrity Audit 's... Transportation providers, are not in a Sign up for text message alerts than... Disorder treatment services it also covers lab tests, X-rays and hospital care or phone,!: this information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations the.
Allproviders who writeprescriptions forOregon Health Plan members must be enrolled withOregon Medicaid in order for their prescriptions to be covered by Oregon Medicaid. Your browser is out-of-date! Until further notice, please use theMSC 189(EFT Enrollment Form for Providers, Vendors, and Contractors) to update your EFT account information. Find the complete list of OHP-certified community partners at www.OHPnowCOVERSme.org. How you know
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A .gov website belongs to an official government organization in the UnitedStates. Find our Pharmacy Help Desk, formulary, policies and forms. An official website of the State of Oregon
All providers subject to NPI requirements must have a10-digit NPI. Website Feedback. Provider Links. WebVerify OHP (Medicaid) eligibility, enrollment and benefit coverage Go to the MMIS Provider Portal at https://www.or-medicaid.gov to verify OHP eligibility, enrollment, benefit and WebAll of our doctors accept Kaiser Permanente members with OHP coverage. This site is designed to be compatible with the following browsers: Providers-Login to set up your Web portal accounts and verify eligibility for OHP clients, More information about CCO 2.0, including questions and answers, Providers - What you need to know about the Web portal, Behavioral Health Providers - View the Addictions and Mental Health home page, APD Providers - View the Aging and people with physical disabilities home page, Oregon Medicaid NPI Verification - Search an NPI for active providers with Oregon Medicaid. To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the Please fill out electronically. OHA has deactivated the EFT Account update feature in the Demographic Maintenance panel of theMMIS Provider Portalin order to determine additional security features needed for EFT updates in the Portal. Macintosh: Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0. Follow us on Twitter For billing questions, call DMAP Provider Services You have many options for enrolling in the Oregon Health Plan, and you dont have to do it by yourself. Access the Learn about Health Sharesregional Pathways Providernetwork and how you,as a provider,can navigate it. The Health Share P rovider P ortal (also called the CIM or Clinical Integration Manager) is where providers can go to look up Health Share members A .gov website belongs to an official government organization in the UnitedStates. WebExamples of Division of Medical Assistance Programs (DMAP in a sentence. WebBy telephone (toll-free): 800-699-9075 Existing members can call OHP for any of the following: Change your address, phone number, family status, CCO or other information. For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO.
WebEarly Learning. Learn to use your online account dashboard. A lock icon ( ) or https:// means youve safely connected to the .gov website.
Most OHP members are enrolled in CCOs. The online site supports the following browsers.
CCOs are the plans that serve Oregon Health Plan members. An official website of the State of Oregon , Learn if you qualify for OHP and how to apply, Learn more about OHP and the end of the COVID-19 Public Health Emergency, Find us on Facebook When autocomplete results are available use up and down arrows to review and enter to select. Then click "search" to view results. Go to the MMIS Provider Portal athttps://www.or-medicaid.gov to verify OHP eligibility, enrollment,benefit and Prioritized List coverage. For example, check-ups, tooth fillings, counseling, glasses and prescriptions. An official website of the State of Oregon
A .gov website belongs to an official government organization in the UnitedStates. Find what you need at the links below. Contact us. Coordinated care organizations (CCOs) are the Medicaid managed care plans that serve over 90 percent of Oregon Health Plan members. (Providers not subject to NPI, such as transportation providers, are not required to provide an NPI). Learn
Call 503-416-4100 or 800-224-4840 or TTY 711. It even pays for interpreters at appointments, and rides to and from the doctors office. You may qualify for OHP benefits based on your income or other factors. New to Oregon Health Planweb page. Need to check their health plan enrollment or help them access services? 1. Please log in again. Learn
By email:oregonhealthplan.changes@state.or.us. Your browser is out-of-date! Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, This page lists phone numbers and websites for the ride services serving CCO and fee-for-service (open card) members, Visit any ODHS Aging and People with Disabilities, Area Agency on Aging or Self-Sufficiency Programs Officein Oregon, a trusted OHP community partner in your area, Learn more about CareOregon Tribal Care Coordination, OHA ADA Policy and Request for Modification. Follow us on Twitter
Division of Medical Assistance Programs. Web3517 NW SAMARITAN DR STE 100. corvallis, OR 97330.
This includes youth with Deferred Action for Childhood Arrivals (DACA) and those prior to 2018 who only qualified for emergency Medicaid, or CAWEM. sign up for OHA's ebulletin for OHP providers, OHA ADA Policy and Request for Modification, Information for Oregon Health Plan (OHP) providers. Accepts Samaritan Advantage Medicare. Coverage of a specific service also depends on its ranking on thePrioritized List of Health Servicesfor the condition being treated. When you send your email to OHP, you must include your full name, date of birth, medical ID number and phone number. A:The CCO your child is assigned to can help you find a doctor, dentist or specialist who is accepting new patients, and who meets your needs. Online:Most OHP members can report changes online atONE.Oregon.gov.
Website Feedback. Contact information: Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays.
See the instructions on OHA's Provider Revalidation page. Only share sensitive information on official, secure websites.