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
Clarification for non-emergent transportation providers about use of private commercial transportation options during the COVID-19 public health emergency: In September, the Oregon Health Authority (OHA) explained how brokerages may choose to offer private commercial transportation options during the COVID-19 public health emergency.
OHA would like to clarify brokerages may offer this option only after:
- Screening the member for all other NEMT options compliant with 410-136 Oregon Administrative Rules (OARs); and
- Determining private commercial transportation is the least costly, most appropriate mode of transportation available.
To learn more, please read the announcement from OHA.
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.
Updates for all health care providers
OHA has released a request for grant applications from community-based organizations that will create partnerships with communities of color, Tribal communities, disability communities, immigrant and refugee communities, undocumented communities, migrant and seasonal farmworkers, LGBTQ2SIA+ communities, faith communities, older adults, houseless communities and others.
The funding will support community-based organizations as an important part of Oregon’s public health system working toward equity. OHA’s strategic goal is to eliminate health inequities by 2030.
OHA has available more than $31 million in funding provided by eight Public Health Division programs, including:
- Adolescent and School Health, $2 million.
- Commercial Tobacco Prevention, $20 million.
- Public Health Modernization (Environmental Public Health and Climate Change, Climate Change Health Impacts, Communicable Disease Prevention and Emergency Preparedness), $8.6 million.
- HIV, STD, TB Prevention and Treatment, $225,000.
- Overdose Prevention, $140,000.
- ScreenWise (breast and cervical cancer detection and services), Patient Navigation and Barrier Reduction, $100,000.
OHA has established a goal of eliminating health inequities by 2030, and it is important to OHA and coordinated care organizations (CCOs) that health information technology (health IT) support this goal.
OHA has launched the 2021 Oregon Health IT Survey in collaboration with CCOs and dental care organizations (DCOs) to collect health IT information from all contracted organizations, whether or not they use an electronic health record (EHR). Information collected from the survey will inform:
- CCOs’ efforts to support health IT adoption and use across their provider networks.
- OHA's decisions related to health IT policy, strategy, and funding.
OHA sent the survey invitation to known email contacts at physical, oral, and behavioral health organizations. If your organization did not receive an invitation, please contact OHAhealthIT.Survey@dhsoha.state.or.us to request one.
Thank you to the many organizations that already submitted a survey! For those who have not yet had a chance, please submit your response by Dec. 31, 2021.
The survey will include questions about the following topics:
- Your organization’s EHR,
- The health IT tools your organization uses,
- The benefits and barriers to exchanging electronic health information, and
- Patient engagement in health IT.
Your organization’s participation in the survey is very important. Your CCOs and OHA need to know whether your organization uses health IT, as well as any barriers your organization faces with health IT implementation and use. We thank you in advance for taking the time to complete the survey!
Questions? For questions about the 2021 Oregon Health IT Survey, please contact OHAhealthIT.Survey@dhsoha.state.or.us.
Jan. 1, 2022 Prioritized List of Health Services
The Health Evidence Review Commission has posted the Jan. 1, 2022 Prioritized List of Health Services. The commission has also posted a change log that lists administrative corrections made since publishing the list on Dec. 2.
Now open for public comment: Oregon's draft OHP 1115 Demonstration application
Oregon's initial 1115 Medicaid Demonstration waiver established the Oregon Health Plan (OHP) in 1994. Since then, the OHP 1115 Demonstration has given Oregon numerous opportunities to expand and improve health care throughout the state.
The first draft of OHA's OHP 1115 Demonstration application for 2022-2027 is now posted for public comment. The public is invited to give input on the draft application Dec. 7, 2021, through Jan. 7, 2022.
OHA will use feedback received to revise the draft application for final submission to the Centers for Medicare & Medicaid Services in February 2022. Visit the 2022-2027 waiver renewal page for:
- The draft application
- Request for public comment in multiple languages
- Issue briefs that describe how the 2022-2027 waiver, if approved, will impact behavioral health, children's health and oral health.
Oregon DRG hospitals: Claim reprocessing planned for Dec. 11, 2021
The weekend of Dec. 11, 2021, OHA will reprocess all outpatient claims paid from Jan. 1, 2021 through July 25, 2021, to apply current Ambulatory Payment Classification pricing to these claims.
To learn more, please read the announcement from OHA.
Recent rule revisions
OAR 410-136-3371 - Provider Requirements And Payment Processing For Ground Emergency Medical Transportation Supplemental Payments
|