Provider Matters - October 26, 2018

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Updates about claim processing, policy and resources for Oregon Health Plan providers

October 26, 2018

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In this issue ...

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Important reminders

New survey asks for provider feedback about health care interpretation

The Oregon Health Authority (OHA) invites all Oregon Medicaid health care providers to provide feedback about their experience using health care interpretation services.

If your location uses interpretation services, please have the person most knowledgeable about these services complete the survey. If your location does not use these services, please complete the survey to tell us why.

Your response will help OHA identify opportunities to improve the quality, availability and use of health care interpreters across the state.

The survey closes on November 16, 2018.

The survey link will also be available on the OHA Office of Equity and Inclusion website.

Please contact Kweku Wilson, Health Care Interpretation program coordinator at or 971-673-3328.


The Chronic Pain Task Force and OHA staff listen to public input about treatment recommendations

At the Sept. 20 meeting, the task force received public comment and advised OHA staff on the additional information they’d like to consider in this process.

While the initial focus of the task force was to propose Oregon Health Plan coverage of evidence-based, non-pharmacological alternatives for chronic pain treatment, public input has focused on opioid coverage. In response, OHA made the following changes so that the task force could fully consider public input in informed manner:

  • Added experts in chronic pain care, opioid prescribing, substance use disorder and pharmacy coverage as task force members;
  • Solicited expert testimony;
  • Requested an updated evidence review on opioid tapering by OHSU; and
  • Requested input from CCOs.

In December, the task force will have the opportunity to consider these new pieces of information and how they may impact their recommendation to the HERC.

To keep informed:
Visit the HERC website for meeting schedules, agendas and materials.

To comment on proposed changes:
Send written comments to HERC will receive verbal comments in person at the meetings.

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Training and technical assistance

New links for Health Evidence Review Commission website

Effective 10/15/2018, the Health Evidence Review Commission (HERC) website address is You may wish to update your bookmarks with these commonly used web pages:

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No updates at this time.

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Rules and program changes


Recent rule revisions

  • 410-121-0030 - Amending Preferred Drug List (July 26, 2018 DUR/P&T Actions)

Sign up to get rule updates via text or email

You can also sign up to get text or email updates about:

To learn more, read about how to sign up for rulemaking notices.

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Need help?

  • Claim-specific questions and issuesContact Provider Services at 800-336-6016 (option 5).
  • EDI and the 835 ERAContact EDI Support Services or visit the EDI page.
  • Provider enrollment updates - Contact Provider Enrollment at 800-336-6016 (option 6).
  • Pharmacy and prescriber questions (for technical help and fee-for-service prescription PAs)Contact the Oregon Pharmacy Call Center at 888-202-2126. You can also fax PA requests to 888-346-0178.
  • Prior authorization status – Call the PA Line at 800-336-6016 (option 3).
  • Web portal help and resetsContact Provider Services at 800-336-6016 (option 5). 

Find more phone numbers, email addresses and other resources in OHA's Provider Contacts List.