As we work together to stop the spread of COVID-19 at home, work and in the community, we want to make sure you have the resources you need to keep informed, healthy and safe. If you have any questions about OHP and COVID-19, please let us know.
Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction
On November 9, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the investigational monoclonal antibody therapy, bamlanivimab, for the treatment of mild-to-moderate COVID-19 in adults and pediatric patients with positive COVID-19 test results who are at high risk for progressing to severe COVID-19 and/or hospitalization.
During the COVID-19 public health emergency, Medicare will cover and pay for these infusions the same way it covers and pays for COVID-19 vaccines (when furnished consistent with the EUA).
Updates for Oregon Health Plan providers
None at this time.
Please continue to refer to the Oregon Medicaid COVID-19 Provider Guide for information related to Oregon Health Plan (OHP) coverage of testing, screening, treatment and telemedicine services; OHP eligibility; and other information and resources related to providing and billing for covered services during COVID-19.
Updates for all health care providers
October 1, 2020 fee-for-service hospice rates
OHA has updated the fee-for-service payment rates for the Hospice Services program. These rates:
- Are for care and services provided from October 1, 2020, through September 30, 2021.
- Include a separate revenue code (650) for billing routine home care (RHC) on and after day 61.
- Indicate the Medicaid rates for hospice providers who have complied with federal quality reporting program requirements. Providers that do not comply with these requirements will be paid at a lower rate.
To learn more and view the updated rates, please read the memo from OHA.
Medicaid EHR Incentive Program is now open
The Oregon Health Authority is now accepting Program Year 2020 attestations until March 31, 2021. Program Year 2019 participants must have their 2019 attestation fully processed and paid before submitting an attestation to Program Year 2020.
For questions related to the Medicaid EHR Incentive Program (aka Promoting Interoperability Program), please contact OHA at 503-945-5898 or email Medicaid.EHRIncentives@dhsoha.state.or.us.
Reminder: Use MSC 189 form to request Electronic Fund Transfer (EFT) account updates
Until further notice, please use the MSC 189 (EFT Enrollment Form for Providers, Vendors, and Contractors) to update your EFT account information.
OHA has deactivated the EFT Account update feature in the Demographic Maintenance panel of the MMIS Provider Portal in order to determine additional security features needed for EFT updates in the Portal.
Recent rule revisions
410-200-0120 - Amending Notice Requirement Policy Related to Termination for Voluntary Request to Close Benefits
|