|
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 Oregon Health Plan (OHP) and Citizenship Waived Medical (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.
 From the Centers for Disease Control and Prevention: Strategies, resources and data to encourage catch up on routine vaccinations
Dear Partners,
During the COVID-19 pandemic, we saw a concerning drop in routine immunizations for adults and children. Routine vaccination is rebounding but unevenly and has not yet recovered among all groups. While we continue to investigate the impact of the pandemic on routine immunizations, it is crucial that we take steps to help get everyone back on schedule with their routine immunizations.
That’s why the Centers for Disease Control and Prevention (CDC) has developed the Let’s Rise initiative.
The purpose of the Let’s Rise initiative is to use evidence-based strategies and available resources and data to encourage catch up on routine vaccinations and communicate why being up to date on routine vaccinations is critical for staying healthy so that families and adults can make informed decisions.
As trusted community leaders, health care professionals, and partners, you can:
- Prioritize ensuring everyone catches up on routine vaccination.
- Identify individuals behind on their vaccinations.
- Encourage vaccination catch-up through reminders, recall, and outreach.
- Make strong vaccine recommendations.
- Make vaccines easy for everyone to find and afford.
Please stay tuned for the first comprehensive summary of CDC data on the impact of COVID-19 on routine immunization coverage and priority groups for catch-up in the coming weeks.
Together, Let’s Rise and get routine vaccinations back on track!
Join OHA's Rules Advisory Committee to discuss proposed changes to OHP telehealth rules
The Oregon Health Authority (OHA) is seeking Rules Advisory Committee (RAC) members to discuss proposed rule changes related to telehealth requirements for fee-for-service ("open card") providers and coordinated care organizations (CCOs):
- Oregon Administrative Rule (OAR) 410-120-1990: Add requirement for providers who do not offer in-person services to refer clients to other providers when clinically indicated or
preferred by client.
- OAR 410-141-3566: Clarify requirement to add appropriate modifiers 93 or 95 and place of service codes 02 or 10 on claims.
Organizations may have only one (1) individual be seated as a RAC member. Organizations interested in attending this RAC must sign up their single representative with OHA no later than Jan. 18, 2023.
 Join OHA's no-cost provider education sessions about EPSDT
OHA invites clinicians and practice managers serving children and youth who are Oregon Health Plan members to join these sessions. Presenters will include the following OHA clinician leaders:
- Dana Hargunani, MD, MPH, OHA Chief Medical Officer;
- Dawn Mautner, MD, MS, Medicaid Medical Director;
- Margaret Cary, MD, MPH, OHP Fee-for-Service (FFS) Medical Director.
Both sessions are from noon to 1 p.m. OHA will also record both sessions and have webinar materials will be made available in Spanish.
Meeting accessibility: Please contact Tom Cogswell (971-304-9642) if you need an accommodation to fully participate in these webinars. Examples of accommodations include American Sign Language (ASL) or language interpretation, and closed captioning.
Learn more about EPSDT
Visit Oregon.gov/EPSDT to find resources such as the EPSDT Provider Guide and EPSDT Fact Sheet for OHP members (now available in additional languages):
 Behavioral health rate increase updates
The Behavioral Health Rate Increase page now includes the following updates:
Other updates
Behavioral Health Fee Schedule (1/3/2023)
Billing for Citizenship Waived Medical services (1/4/2023)
Novel Coronavirus Coding (1/4/2023)
Opening procedure code H2011 for crisis services (1/6/2023)
Health Licensing Office issuing provisional authorizations to practice respiratory therapy to individuals whose license is inactive or expired (1/11/2023)
|
