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 Updates about fee-for-service claim processing, policy and resources for
Oregon Health Plan providers
Nov. 15, 2024
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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 OHA for a webinar and learn more about EPSDT.
Title: EPSDT Provider Education Webinar
Date: Tuesday, November 19
Time: 9 to 10 a.m. Pacific Time
Location: Virtual/Zoom
Topics to be covered:
- EPSDT rules and coverage
- Prior authorization
- Claims and billing
- Appeals
Provider resources
File specifications for the fee-for-service medical-dental fee schedule (11/14/2024)
EPIV Codes and Fee Schedule, 8/1/2024 (11/14/2024)
Recent rule revisions
None at this time.
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Provider Services no longer performs basic claim status and member eligibility checks for providers. For such checks, please use one of OHA's free self-service options.
Click Web Resources to learn how to use the MMIS Provider Portal to check claim status, member eligibility and more.
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