Portland, OR 97201. You can also ask for an interpreter.This help is free. Your browser is out-of-date! Call Provider Enrollment at 800-336-6016(option6)or email provider.enrollment@odhsoha.oregon.gov. This page lists phone numbers and websites for the ride services serving CCO and fee-for-service (open card) members. If you have asked your CCO or the Oregon Health Authority for help but still cannot get the care you need, To be sure you are using the most current versions of OHAs enrollment forms, please use only the forms posted below. Note:This email address isfor changes only. An official website of the State of Oregon . Allproviders who writeprescriptions forOregon Health Plan members must be enrolled withOregon Medicaid in order for their prescriptions to be covered by Oregon Medicaid. For example, if a form is revised in April, OHA will only accept the older version through June. Learn how your health care practice can contract with Health Shares health plan partners. Oregon Request for Confidential Communication. This includes getting access to the right kind of doctor, dentist or specialist in a Contact your CCO if you: Need help getting to a health care visit? Web3113 Form. In specific regions in Oregon, PacificSource Community Solutions coordinates your care and manages your OHP benefits. Requesting direct deposit: Until further Are not enrolled in a CCO and need help finding a provider that accepts OHP open card. New to Oregon Health Planweb page. Here youll find information useful for THWs and those who work with them. Have questions about coverage and are not in a CCO. Call 503-416-4100 or 800-224-4840 or TTY 711. Click the boxes below to learn what you need to submit to the Oregon Health Authority (OHA) to enroll as an Oregon Health Plan provider, update your information, or maintain your current enrollment. TheGeneral Rules provider guidelinesinclude the Oregon Administrative Rule (OAR) that requires providers to verify eligibility before providing service. Find out how you can report fraud, waste, and abuse. They can also look up their ID number by logging into ONE.Oregon.gov (under "Current Benefits"). The State Health Care Authority's secure website is intended for. WebProvider Portal (CIM) Check Member Eligibility. An official website of the State of Oregon Sign up for text message alerts. Until further notice, please use theMSC 189(EFT Enrollment Form for Providers, Vendors, and Contractors) to update your EFT account information. How you know For billing questions, call DMAP Provider Services OHA only accepts previous versions of posted forms for three months after the revision date. Our Vision: All young children and their families engage in quality coordinated resources that support their growth, development and a healthy life trajectory. Vote. Your browser is out-of-date! WebThe Oregon Medicaid Management Information System (MMIS) Provider Portal gives you free, real-time information about Oregon Health Plan (OHP) eligibility, claim status, If you need a PIN:Email your provider name and Oregon Medicaid provider number toProvider Services(800-336-6016). If your office already uses the Provider Portal: By email:oregonhealthplan.changes@state.or.us.

Website Feedback. Through the Provider P ortal (Health Shares CIM), you can verify member eligibility and health plan assignments. Go to the Oregon Health Plan's Office Closures page to learn more about the resources available on state office closure days. Are not enrolled in a CCO and neednurse advice. Follow us on social media! WebCall OHP Client Services at 800-273-0557 (TTY 711) if you: Want to change your CCO or enroll in one. This information is not to be shared or distributed to persons without a right or business need to know. Materials include claims guides, integration toolkits, care coordination resources and more. Contact information: Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays. E: thall@umpquahealth.com. If you have an issue, concern, or complaint, please let us know. Safari is not supported. Learn Enroll as a Medicaid Provider. Need a new Oregon Health ID card or client handbook. Call 503-416-4100 or 800-224-4840 or TTY 711. To learn more about this requirement, read OHA's. 3. How you know To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the Your browser is out-of-date! The Nurse Advice Line is open 24 hours a day, every day. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, Learn more about sharing concerns or complaints, Find other ways to get help applyingfor OHP, Contact your Account Representative, Innovator Agent or Encounter Data Liaison, OHA ADA Policy and Request for Modification, Oregon Health Plan (OHP) Contact Information, Other provider and member customer service numbers, Mailing addresses for fee-for-service claims, adjustments and provider appeals. You can verify eligibility inthe Provider Portal using their last name, first name and date of birth. Only share sensitive information on official, secure websites. On March 5, 2018, impacted members began receiving their health care through a coordinated care organization (CCO) in their area. New to Oregon Health Planweb page. click your browser's Help menu, then click About.). Fax your new license directly to Provider Enrollment at 503-947-1177 (Salem). For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. Need transportation options for an appointment? Registered users can There arethreeways to contact OHP for questions or to make updates to your current information: 1. Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. WebBy telephone (toll-free): 800-699-9075 Existing members can call OHP for any of the following: Change your address, phone number, family status, CCO or other information. Please log in again. How you know Your browser is out-of-date! Health Share of Oregon. Contact the CCOfor questions aboutCCO enrollment and credentialing. A lock icon ( ) or https:// means youve safely connected to the .gov website. A lock icon ( ) or https:// means youve safely connected to the .gov website. Access the Need help making an appointment and are not in a CCO. We will call or write back immediately and attempt to resolve the issue within five days. providers, clerks and billing agents. OHA Provider Discrimination Review form and process, search the OHA Medicaid Program Integrity Audit Unit's list of State Medicaid Fraud Convictions, OHA ADA Policy and Request for Modification. Only share sensitive information on official, secure websites. New to Oregon Health Planweb page. 1. The Health Share P rovider P ortal (also called the CIM or Clinical Integration Manager) is where providers can go to look up Health Share members Then click "search" to view results. Only share sensitive information on official, secure websites. Need information in another language or another format, such as (but not limited to) large print, Braille, audio recordings, web-based communications and other electronic formats. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. Customer service numbers, forms, contracting, health-related services, care coordination, language services and more. Their help is free. When you send your email to OHP, you must include your full name, date of birth, medical ID number and phone number. A:The OHP that is now available to undocumented immigrant children and teens in Oregon is paid for using state funds only. Web3517 NW SAMARITAN DR STE 100. corvallis, OR 97330. You may qualify for OHP benefits based on your income or other factors. This is the best method if you have a question. Use this search to verify a provider's active enrollment status with Oregon Medicaid. A:The CCO your child is assigned to can help you find a doctor, dentist or specialist who is accepting new patients, and who meets your needs. Call Provider Services at (800) 336-6016 for password resets and to report problems while using this site. Learn Go to the MMIS Provider Portal athttps://www.or-medicaid.gov to verify OHP eligibility, enrollment,benefit and Prioritized List coverage. New to Oregon Health Planweb page. Online:Most OHP members can report changes online atONE.Oregon.gov. Baker Benton Clackamas Clatsop Columbia Coos Crook Curry Deschutes Douglas Gilliam Grant Harney Hood River Jackson Jefferson Josephine Klamath Lake Self-identify as American Indian or Alaska Native,and. A .gov website belongs to an official government organization in the UnitedStates.

WebCall Provider Enrollment at 800-336-6016 (option 6) or email provider.enrollment@odhsoha.oregon.gov . Tori Hall, Contract Specialist. Not a primary care provider (PCP). WebExamples of Division of Medical Assistance Programs (DMAP in a sentence. We offer interpretation for members who prefer a language other than English.

Need to change your mailing address, email address or phone number. Help Health Share members in your care schedule a ride to or from their OHP covered appointments. Best practice guidelines Best practices for providers, Provider Contacts Listfor: Contact your Account Representative, Innovator Agent or Encounter Data Liaison. OHA offers three ways for enrolled Oregon Medicaid providers to access eligibility and enrollment information for OHP Also see the OHA has deactivated the EFT Account update feature in the Demographic Maintenance panel of theMMIS Provider Portalin order to determine additional security features needed for EFT updates in the Portal. 410-120-1460 - Type and Condition of Sanctions, Find us on Facebook (how to identify a Oregon.gov website) An EDMS Coversheet is not required. Learn We accept relay calls.You can get help from a certified and qualified health care interpreter. WebOregon Health Insurance Marketplace HealthCare.gov service center: 800-318-2596 (toll-free) (TTY: 855-889-4325), open 24 hours a day seven days a week General information: Grievance Department.

Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care), five-minute overview of the Applicant Portal, http://www.oregon.gov/oha/HSD/OHP/Pages/Benefits.aspx, search for a health care provider on our website, Help getting the care you need - Coordinated care, Language services: Interpretation and translation, OHP covers undocumented children and teens, $2,730 a month for a single pregnant person(plus unborn baby), $4,858 for a family of four (plus unborn baby), Birthdate (birth certificate, if available), Social Security number (for those who have one), Income and deduction information (for example, pay stubs), Immigration documentation (if applicable), Information about health insurance available to you through an employer (if any), Introduction to the ONEOregon.gov applicant portal (, Change your address, phone number, family status, CCO or other information, See if you or your children are still covered by OHP. Learn more about sharing concerns or complaints. This includes youth with Deferred Action for Childhood Arrivals (DACA) and those prior to 2018 who only qualified for emergency Medicaid, or CAWEM.

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WebRegister for the Portal. WebThere are three ways to contact OHP for questions or to make updates to your current information: 1. Learn more about CareOregon Tribal Care Coordination. Have questions about coverage or services offered. Contact us. Website Feedback. Follow us on Twitter Health Share serves more than 400,000 people approximately one-third of Oregon Health Plan members and more than 20% of the people living in Clackamas, Multnomah, and Washington counties. Please log in again. When autocomplete results are available use up and down arrows to review and enter to select. Find us on Facebook Your session has already expired. An official website of the State of Oregon . Call or email our customer service team at info@healthshareoregon.org or 503-416-8090 (toll free at 1-888-519-3845, TTY/TDD 711), For Providers: OHP Eligibility, Oregon Medicaid Eligibility + Other Provider Resources. Call your local ride service. Read about: an important message for members. 1 meaning of DMAP abbreviation related to Oregon: Vote. Find information about working with ourmedicalanddentalhealthplans to provide care to Health Share members. If youre wondering whether you qualify for the Oregon Health Plan, we can help. An official website of the State of Oregon . OHA cannot enroll new providers without this number. To get an NPI, apply onlineat the National Plan and Provider Enumeration System (NPPES) website. To look up your NPI information, use the NPI Registry. Sanctioned Providers To find out about providers who have been prohibited from serving Oregon Medicaid clients, search the list below. Fax or email all documents and information to: Umpqua Health Alliance. An official website of the State of Oregon WebFirst you need to see if you qualify for the Oregon Health Plan (OHP) by starting the application process. (how to identify a Oregon.gov website) Get application help. Website Feedback. (how to identify a Oregon.gov website) The Oregon Health Authority on Saturday began to winnow the ranks of the 1.5 million people covered by the Oregon Health Plan, the states version of federal low-income Medicaid. The Affordable Care Act ensures all Medicaid health plans offer what are known as Essential Health Benefits (EHB).

Need to check their health plan enrollment or help them access services? A lock icon ( ) or https:// means youve safely connected to the .gov website. The information below can help you decide on your next step. Care coordinators work with your providers and help you get the most out of your health plan.

Your browser is out-of-date! CareOregon's Connect to Careoutreach program brings our services out to the community.