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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
None at this time.
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.
COVID-19 Vaccine Learning Series
The Oregon Health Authority (OHA) is hosting a new learning series in support of the COVID-19 vaccine rollout for the 6-month through 5-year old populations. Click the links below to register:
- Vaccine Status Update: Information and guidance on the 6-month through 5 year-old vaccine rollout (hosted June 16). View recording.
- Immunizing Young Children: Vaccine administration techniques and considerations for the 6-months through 5 year-old age groups. June 23, Noon to 1 p.m. Register here.
- Continuation of topics to support pediatric COVID-19 vaccination efforts. Specific content to be announced shortly:
If you require an accommodation to fully participate in any learning session, please contact Tom Cogswell (971-304-9642).
If you have questions about specific session content, please contact Lexi Konja or Irma Murauskas.
Doing Well, Being Well Series: Yoga as Self Care
Join this free webinar, offered by Lines for Line as part of the Oregon Helpers Wellness Initiative. The physical practice of yoga (asana) was intended to prepare the body for deep relaxation. Learning to be aware of the physical sensations of the mind and the body and to witness the quality of the breath throughout the day can support us in realizing our full human potential.
- Date and time: Thursday, June 30, 9 a.m. Pacific Time
Topics include:
- Gain a foundational understanding of the multifaceted practice of yoga.
- Experience several yoga asana and pranayama techniques.
- Engage in an interactive dialogue to explore how these yoga concepts apply to yourself.
- Explore multiple resources for future reference/exploration.
Healthier Oregon: More people may be eligible for OHP Plus benefits starting July 1, 2022
Starting July 1, 2022, people who are ages 19-25 or 55 and older may be eligible for full OHP regardless of their immigration status.
As part of this change, approximately 12,000 CWM and CWM Plus members will transition to medical, dental, prescription, vision and behavioral health coverage through the OHP Plus (BMH) benefit plan on July 1.
- This transition will happen automatically, and most members won’t have to do anything to receive coverage.
- Most members will also enroll in a coordinated care organization (CCO) on or around July 11.
- Between July 1 and July 11 they will be on fee-for-service (“open card”) OHP.
 Fee-for-service rate increase for newborn bloodspot screening kits used by community birth providers and freestanding birth centers, effective 9/1/2021
OHA has increased the fee-for-service reimbursement rates for the newborn bloodspot screening kit (supply code S3620). For services provided on or after 9/1/2021:
- The rate for the two-part kit is $80.00.
- The rate for a replacement kit containing one part only is $59.00 (add modifier TC to code S3620).
- Community birth providers and freestanding birth centers may bill separately for these kits (outside of the bundled rate for newborn delivery).
The next publication of the Oregon Health Plan (OHP) fee-for-service fee schedule will reflect the increase.
 Updated OHP Pregnancy Notification form
OHA has updated the OHP Pregnancy Notification form (OHP 3360). This form is for providers to report new pregnancies for OHP and CWM patients.
It is important to update pregnancy information for people who have OHP/Medicaid coverage as soon as possible so they can continue to receive the appropriate benefits, such as:
- For OHP members, additional dental and vision benefits during pregnancy and for 12 months after the pregnancy ends.
- For CWM members, OHP Plus benefits during pregnancy and for 60 days after the pregnancy ends.
 Supported browsers for the MMIS Provider Web Portal
On June 15, 2022, Microsoft retired the Internet Explorer browser. OHA is now preparing the MMIS Provider Portal at https://www.or-medicaid.gov for use in Microsoft Edge. Until this work is complete, providers using Microsoft Edge can do the following if they encounter any issues using the web portal in Microsoft Edge:
- In Edge, go to Settings and select "Reload in Internet Explorer mode."
- If reloading the web portal page in Internet Explorer mode doesn't help, you can also use Mozilla Firefox (the web portal's other supported browser).
Recent rule revisions
OAR 410-141-3830 - Retroactively Incorporate the January 1, 2022 Prioritized List Of Health Services
OAR 410-120-0001 - New Healthcare Interpreter Services Rule in Division 120 General Rules
OAR 410-130-0246 - Change The Capillary Blood Level Screening Rate To Match The CDC Recommendation
OAR 410-136-3371 - Provider Requirements And Payment Processing for the CCO GEMT Supplemental Payments
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