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) coverage of COVID-19 vaccine, testing, screening, treatment and telemedicine services and other information and resources related to providing and billing for covered services related to COVID-19.
Review what is ending and continuing with the May 2023 end of the COVID-19 Public Health Emergency (PHE): View the May 2023 memo from Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS).
Join us Tuesday, February 13 from 10 to 11 a.m. Pacific Time
Community partners, coordinated care organizations, providers, insurers, and more are invited to learn more about how OHA and ODHS are working together to support people in Oregon as the federal COVID-19 PHE phases out.
Agenda:
- Medical renewals updates: Current status and national ranking; requests for information and ways members can respond
- Marketplace special enrollment period
- OHP Bridge: What to expect
- Questions and answers
- Resources for partners
Language and disability access: American Sign Language and live captioning will be available for this meeting. A separate Spanish webinar will be held Tuesday, February 27 at 10 a.m. Pacific Time.
Everyone has a right to know about and use ODHS and OHA programs and services. ODHS and OHA provide free help. For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Feedback team at (503) 945-5488 or feedback@odhsoha.oregon.gov at least two business days in advance of the webinar if you would like assistance to participate. All relay calls accepted.
Oregon’s Medicaid Advisory Committee (MAC) is recruiting candidates to fill multiple open positions including:
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One oral health professional;
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One physician living or practicing outside of the Willamette Valley; and
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One person with professional or lived experience with Oregon’s long term services and supports (LTSS) program.
The MAC is a federally mandated body that advises the Oregon Health Policy Board (OHPB), OHA and ODHS about the operation of Oregon’s Medicaid program through a consumer and community lens.
Questions? Contact Sarah Wetherson at mac.info@odhsoha.oregon.gov or 503-793-1920.
Rules Advisory Committee to update doula procedure codes
OHA is holding a Rules Advisory Committee to update the procedure codes in Oregon Administrative Rule 410-130-0015:
- Date: Feb. 7, 2024
- Time: 10 a.m. Pacific Time
 OHA to perform Cost to Dispense survey
OHA has contracted with Myers and Stauffer LC to conduct a survey of enrolled OHP pharmacies. The survey will help OHA assess the cost of dispensing prescriptions to OHP fee-for-service (“open card”) members.
- On January 30, 2024, Myers and Stauffer will send cost of dispensing survey packets to all enrolled pharmacies.
- It is crucial that all pharmacies participate in the survey process. Pharmacies should return completed surveys directly to Myers and Stauffer no later than March 7, 2024.
Questions? Pharmacies with questions about the survey can contact the Myers and Stauffer help desk at 1-800-374-6858 or disp_survey@mslc.com.
Change to sending confidential claims
Providers can submit confidential claims when the client does not want others in their household to know about the services being billed.
When sending confidential claims, please do not send confidential claims by email or mail to Judy Brazier. Instead, send confidential claims as follows:
By secure email to OHA.FFSOHPClaims@odhsoha.oregon.gov or
By regular mail to:
ATTN: Confidential Claims
500 Summer St NE E44
Salem OR 97301
Provider resources
Code Group 1118 - Excluded Procedure Codes (1/18/2024)
Community Health Worker Billing Guide (1/18/2024)
Doula Billing Guide (1/18/2024)
Approved Culturally and Linguistically Specific Services Providers (1/19/2024)
2024 Non-Contract Rates for DRG Hospitals (1/22/2024)
Prioritized List change log (1/24/2024)
Administrative examinations fee schedule (1/24/2024)
2024 fee-for-service rates for handicapping malocclusion services (1/25/2024)
Recent rule revisions
OAR 410-120-0000, 410-120-1160, 410-120-1210, 410-120-2000, 410-141-3515, 410-141-3525, 410-141-3530, 410- 141-3585, 410-141-3820, 410-141-3835. Establishes health-related social needs as a covered service in the Oregon Health Plan.
Other updates
Dr. Sejal Hathi begins as Oregon Health Authority’s interim director (1/16/2024)
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