|
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
Oregon Health Plan (OHP) coverage of post-COVID (sometimes called “long COVID”) treatment: Effective Oct. 22, 2021, the Oregon Health Authority (OHA) and coordinated care organizations (CCOs) must cover all medically appropriate treatments for post-COVID conditions, including:
For services not already covered by OHP, OHA and CCOs will determine coverage based on case-by-case review for medical appropriateness.
To learn more, please read the announcement from OHA.
COVID-19 hazard pay and Cost of Living Adjustment (COLA) for Mental Health Adult Foster Homes: OHA is processing COVID-19 hazard payments for adult foster homes (AFHs) as described in the Sept. 19, 2021 Letter of Agreement between OHA and SEIU 503.
OHA is also updating the Medicaid Management Information System to process COLAs for the 2021-2023 biennium:
- A 5% increase effective July 1, 2021, and
- A 2.3% increase effective April 1, 2022.
All AFHs that are part of the Collective Bargaining Agreement (CBA) will receive the
COLAs. 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 CWM coverage of vaccine, testing, screening, treatment and telemedicine services; OHP and CWM eligibility; and other information and resources related to providing and billing for covered services during COVID-19.
The guide now contains information about coverage, billing and authorization for post-COVID treatment not already covered by OHP (pages 15, 40 and 49).
 Updates for all health care providers
New:
Updated:
OHA’s Health Information Technology Oversight Council is seeking members for a newly chartered Health Information Exchange (HIE) Workgroup.
The HIE Workgroup is a great opportunity for individuals who want to help advance health equity in Oregon through health information technology (health IT).
- It will bring together individuals representing Oregon’s diverse landscape of community, health care and social services partners.
- Workgroup recommendations will inform Oregon's Health IT Strategic Plan and OHA’s efforts to accelerate, support, and improve HIE across the state.
How to apply:
Learn more about the HIE workgroup:
The draft workgroup charter describes the workgroup's full scope and goals.
Recent rule revisions
OAR 410-120-1210 - CWM Program Name Change
Updated guide for hospital presumptive eligibility determinations
On March 1, 2022, OHA will update the income limits listed in the Quick Guide to Income Eligibility. Please use the updated limits when determining eligibility on and after March 1.
You can find the guide and other resources in the "Tools for hospitals" section of OHA's Hospital Presumptive Eligibility page.
Provider resource updates
Novel Coronavirus Coding (HERC Recommendations)
|
