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.
Updates for Oregon Health Plan providers
Please continue to refer to the Oregon Medicaid COVID-19 Provider Guide for information related to OHP and CAWEM coverage of vaccine, testing, screening, treatment and telemedicine services; OHP and CAWEM eligibility; and other information and resources related to providing and billing for covered services during COVID-19.
The guide now includes the following information:
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Coverage of home care through the Acute Hospital Care at Home waiver: For hospitals that receive federal approval to provide acute hospital care at home, hospital care provided at home will be considered an extension of the hospital.
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COVID-19 lab testing code (U0005) effective 1/1/2021: This code allows for an extra $25 payment for certain lab tests (U0003, U0004) which have results reported within 48 hours of the test.
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Effective dates and minimum eligible ages for the Pfizer, Moderna and Janssen vaccines
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For COVID-19 vaccination sites: Non-Discrimination Guidance and Operational Guidance
Updates for all health care providers
Updated:
New:
- COVID-19 vaccination tracking and reporting in long-term care facilities: Webinar slides and FAQs (4/1/2021)
The Oregon Health Authority (OHA) is now accepting member nominations for the Health Information Technology Oversight Council (HITOC). We are also seeking prospective members for workgroups that may be formed later in the year.
- HITOC meets virtually for three hours (12:30 to 3:30 p.m.) on the first Thursday of each even-numbered month. In-person meetings would typically be held in Portland, but members may still participate virtually when in-person attendance resumes.
- Membership terms are for three years.
What is HITOC?
HITOC is responsible for establishing the strategic plan for health information technology (health IT) for Oregon, making policy recommendations, assessing the health IT landscape, and programmatic oversight. HITOC members participate in health system transformation by working towards a vision of health IT-optimized care, in which robust health IT tools support providers, patients and their families, health systems, communities, CCOs, health plans, and policymakers. HITOC reports to the Oregon Health Policy Board, and membership is set by the Board.
Who we’re looking for:
The Oregon Health Policy Board is committed to ensuring all committees reflect the racial, ethnic, gender, geographic, and disability diversity of Oregonians. We’re looking for motivated members with health IT experience and are especially interested in nominees who can represent:
- Oral health
- Social determinants of health, including community advocates
- Health equity
- Racial, ethnic, and geographic diversity (especially Coastal communities)
- Consumer/patient advocacy
- Behavioral health (both mental health and substance use disorder treatment)
- Informatics, quality improvement, and/or privacy and security
- Provider organizations and providers of different types
- Local public health agencies
- CCOs and health plans
Technology vendors are not eligible to serve on HITOC but may be considered for workgroups or subcommittees.
Primary care, behavioral health, and maternity care providers are invited to a five-part webinar series focused on increasing readiness for value-based payments (VBP) and taking advantage of the additional flexibility VBPs offer for innovatively redesigning care models.
All sessions are from noon to 1 p.m.
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April 21: What do you need to know to negotiate VBP agreements?
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May 19: Learnings from COVID-19 and how they may impact the adoption of VBPs
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June 1: VBP for behavioral health providers: How do we keep from being left out?
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June 16: VBP and maternity care: What have we learned so far?
Speakers: Art Jones, Jeanene Smith and Janet Meyer (Health Management Associates)
Questions?
Email OHA.VBP@dhsoha.state.or.us.
Medicaid EHR Incentive Program Year 2021 opens Saturday, May 1, 2021
OHA will be accepting Program Year 2021 attestations for the Medicaid Electronic Health Record Incentive Program (or Promoting Interoperability Program) starting on May 1, 2021 through August 31, 2021.
Questions? Please call 503-945-5898 or email Medicaid.EHRIncentives@dhsoha.state.or.us.
Clarification about opioid tapering for long-term back pain therapy
Effective Oct. 1, 2019, an opioid tapering plan is no longer required for long-term opioid therapy for back pain. In August 2020, the Health Evidence Review Commission (HERC) revised Guideline Note 60, Opioids for Conditions of the Back and Spine to clarify this change and reference the following guidelines:
- Oregon Acute Opioid Prescribing Guideline (October 2018)
- Oregon Chronic Opioid Prescribing Guideline (2017-2018)
As specified in the guideline note, continued coverage of opioid therapy after 90 days does require an individualized treatment plan for chronic pain.
Recent rule revisions
OAR 410-050-0861 - Type A/B Hospital Assessment Rate Increase
OAR 410-121-0030 - Amending Preferred Drug List
OAR 410-141-3830 - Updates to the Prioritized List of Covered Health Services
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