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).
Oregon’s Medicaid Advisory Committee (MAC) is recruiting candidates to fill position for one physician living or practicing outside of the Willamette Valley.
See OHA's recruitment announcements for more details and how to apply.
OHA seeking OHP open card (fee-for-service) members to join April 2024 listening sessions about care coordination
OHA wants to hear from people with lived experience with OHP open card (fee-for-service) coverage. This feedback will help OHA draft rules that reflect the needs of OHP members and guide how health care partners coordinate member care.
These sessions are for:
- Current or past OHP open card members,
- Family members of OHP members,
- People who help OHP members. This could include ombudspersons, Court Appointed Special Advocates (CASA), other court appointed guardians, community partners and other advocates,
- Providers who offer services to OHP open card members, and
- Contractors who provide care coordination support for OHP open card members.
Learn about doula billing and current procedure code at OHA's April 10 webinar, 9 a.m. Pacific Time
Starting July 1, 2024, OHA will only accept fee-for-service claims for birth doula services billed using procedure code T1033. To learn more about this change, please attend OHA's webinar.
Other provider updates
Fee-for-service claim adjustment pause and reprocessing to apply the October 1, 2023, behavioral health 3.4% rate increase (3/25/2024)
Adult Foster Home (AFH) Documentation Standards Training (4/3/2024)
Provider resource updates
Approved culturally and linguistically specific services (CLSS) providers (3/28/2024)
Secure Residential Treatment Facility Medical Necessity Process (4/4/2024)
Recent rule revisions
OAR 410-141-3920: Transportation Network Company Pilot Program
Reminders
Only send confidential claims as follows:
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