Self-identify as American Indian or Alaska Native,and. A lock icon ( ) or https:// means youve safely connected to the .gov website. WebTo apply for OHP: Call 800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). Get application help. If you have a child under age 18, they can be covered regardless of immigration status. Only share sensitive information on official, secure websites. Baker Benton Clackamas Clatsop Columbia Coos Crook Curry Deschutes Douglas Gilliam Grant Harney Hood River Jackson Jefferson Josephine Klamath Lake NOTICE: This information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations. CareOregon provides medical care as part of Health Share, the coordinated care organization (CCO) in the Portland metro area. Follow us on Twitter Log on to the Secure Provider Web Site. 
Read about: an important message for members. Click on a topic below to learn more. The Affordable Care Act ensures all Medicaid health plans offer what are known as Essential Health Benefits (EHB). If you ever have questions or need assistance, were here to help. Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. Help Health Share members in your care schedule a ride to or from their OHP covered appointments. Submitting Supporting Documentation. Please fill out electronically. Accepting new patients. You have many options for enrolling in the Oregon Health Plan, and you dont have to do it by yourself. Contact your CCO if you: Need help getting to a health care visit? It has known security flaws and may not display all features of this and other websites. An official website of the State of Oregon
Existing members can call OHP for any of the following: 2. A .gov website belongs to an official government organization in the UnitedStates. A lock icon ( ) or https:// means youve safely connected to the .gov website. Find the complete list of OHP-certified community partners at www.OHPnowCOVERSme.org. WebCall OHP Client Services at 800-273-0557 (TTY 711) if you: Want to change your CCO or enroll in one. Enter the provider's National Provider Identifier (NPI) and date of inquiry (e.g., date of service or prescription date) below. Follow us on Twitter This page lists phone numbers and websites for the ride services serving CCO and fee-for-service (open card) members. A .gov website belongs to an official government organization in the UnitedStates. An official website of the State of Oregon . Only share sensitive information on official, secure websites. DMAP. (If you don't know your browser version, Only share sensitive information on official, secure websites. The online site supports the following browsers. Provider Enrollment Fax or email all documents and information to: Umpqua Health Alliance. Need a new Oregon Health ID card or client handbook. Health Share partners with medical health plans, dental plans and mental health and substance use providers to care for Oregon Health Plan members in Clackamas, Multnomah, and Washington counties. If you use Mozilla Firefox, you may need to change your download settings to seethefillable version. Your browser is out-of-date! Find out how you can report fraud, waste, and abuse. Advance Directives Policies and Procedures. New to Oregon Health Planweb page. CCOs are the plans that serve Oregon Health Plan members. 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: WebProvider Portal (CIM) Check Member Eligibility. For example, if a form is revised in April, OHA will only accept the older version through June. dmap form 3113 form 3113 ohp 3975 ohp 3035 form ohp dmap dmap number lookup oregon medicaid provider number lookup ohp single case agreement oha for providers Our Vision: All young children and their families engage in quality coordinated resources that support their growth, development and a healthy life trajectory. Go to the MMIS Provider Portal athttps://www.or-medicaid.gov to verify OHP eligibility, enrollment,benefit and Prioritized List coverage. Division of Medical Assistance Programs. click your browser's Help menu, then click About.). OHA calculates the Part B limitation and OHA Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. Format is mm/dd/ccyy. New to Oregon Health Planweb page. Provider Matters. Follow us on Twitter Through theProvider Portal(Health SharesCIM), you can verify member eligibility and health plan assignments. Date: Invalid date. An official website of the State of Oregon . (how to identify a Oregon.gov website)
To keep informed, please
Your browser is out-of-date! In partnership with the Oregon Health Authority and Oregon Department of Human Services, the Oregon Health Plan Care Coordination (OHPCC) program strives Follow us on social media! How you know
WebWe will try to make things better. Your session has already expired. Provider Links. WebIf you have questions about COVID-19 vaccines, Text ORCOVID to 898211, Email to ORCOVID@211info.org, Call 211 or 1-866-698-6155 or visit getvaccinated.oregon.gov for full information.
Need help making an appointment and are not in a CCO. The State Health Care Authority's secure website is intended for. . A lock icon ( ) or https:// means youve safely connected to the .gov website. Complete and fax all forms and documentation listedfor your description. Most OHP members are enrolled in CCOs. Then click "search" to view results. log in here. This is the best method if you have a question. Find other ways to get help applyingfor OHP. Care coordinators work with your providers and help you get the most out of your health plan. Open Monday through Friday, 8 a.m. to 5 p.m. Pacific Time. , you can verify member eligibility and health plan assignments. Just call Customer Service at 503-416-8090, 1-888-519-3845 or TTY/TDD 711, or send us a letter to the Health Share address below. All covered services are free. You can see all the benefits in theOHP Handbook. 1 meaning of DMAP abbreviation related to Oregon: Vote. WebLooking for a doctor in Josephine or Jackson county? 1. Medicaid in Oregon provides a core set of health benefits, including doctor visits, hospital care, immunization, and pregnancy-related services. If you have Health Share/CareOregon as your CCO, you cansearch for a health care provider on our website. It even pays for interpreters at appointments, and rides to and from the doctors office. Call your local ride service. 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. Contact the CCOfor questions aboutCCO enrollment and credentialing. WebWhat is DMAP meaning in Oregon? WebStart using your online OHP account at ONE.Oregon.gov Learn how to sign up, manage your Oregon Eligibility (ONE) account, and renew or apply online. This site is designed to be compatible with the following browsers: Providers-Login to set up your Web portal accounts and verify eligibility for OHP clients, More information about CCO 2.0, including questions and answers, Providers - What you need to know about the Web portal, Behavioral Health Providers - View the Addictions and Mental Health home page, APD Providers - View the Aging and people with physical disabilities home page, Oregon Medicaid NPI Verification - Search an NPI for active providers with Oregon Medicaid. Please include a copy of the licensure notice, Medicaid ID or NPI for the provider. WebThere are three ways to contact OHP for questions or to make updates to your current information: 1. Sign up for text message alerts. 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. Ph: 458-803-4048. The Nurse Advice Line is open 24 hours a day, every day. Existing members can email OHP to change your address, phone number, family status, CCO or other information. Have questions about coverage and are not in a CCO. Best practice guidelines Best practices for providers,
It has known security flaws and may not display all features of this and other websites. TheGeneral Rules provider guidelinesinclude the Oregon Administrative Rule (OAR) that requires providers to verify eligibility before providing service. ask the Ombuds Program. Learn
This information is not to be shared or distributed to persons without a right or business need to know. A:January 1, 2018, through fee-for service OHP. providers, clerks and billing agents. Learn
To find out about providers who have been prohibited from serving Oregon Medicaid clients, search the list below. Use this search to verify a provider's active enrollment status with Oregon Medicaid. Open 8 a.m. to 5 p.m. Pacific Time, Monday through Friday. New to Oregon Health Planweb page. You can also call 800-699-9075 or 711 for TTY and ask to be connected to one. Access the Mailing address: PO Box 14015, Salem OR 97309, Press 2 for medication prior authorizations or pharmacy claims, Press 3 for other prior authorization questions, Press 4 for code pairing and Prioritized List questions, Press 5 for claims or Provider Portal help, Press 6 for enrollment, revalidation or credentialing. A lock icon ( ) or https:// means youve safely connected to the .gov website. How you know
Call Provider Services at (800) 336-6016 for password resets and to report problems while using this site. Learn how your health care practice can contract with Health Shares health plan partners. (Providers not subject to NPI, such as transportation providers, are not required to provide an NPI). If you have any questions about this announcement, Call OHP to check progress at 800-699-9075, TTY: 711. Even when your income qualifies you for the Oregon Health Plan, the state asks you to provide certain documents. Call Provider Enrollment at 800-336-6016(option6)or email provider.enrollment@odhsoha.oregon.gov. Resources and regular updates for providers, Coverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration, and Cost Sharing under Medicaid, the Childrens Health Insurance Program, and Basic Health Program. Continuing education for health care professionals. Get answers to commonly asked questions about Health Share. They can also look up their ID number by logging into ONE.Oregon.gov (under "Current Benefits"). Web3113 Form. (how to identify a Oregon.gov website)
New to Oregon Health Planweb page. CCOs are local health plans that help OHP members get the health care services they need. After you apply, processing can take up to 45 days. 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 Are you working with a Health Share member? Health Share reports all verified cases of fraud to the Medicaid Fraud Control Unit (MCFU). To bill OHA directly, find your provider description in the list below. CareOregon's Connect to Careoutreach program brings our services out to the community. An official website of the State of Oregon . An official website of the State of Oregon . An EDMS Coversheet is not required. To learn more aboutverifying eligibility and enrollment for Health Share of Oregon members,visit the Health Share of Oregon website. Oregon Request for Confidential Communication. See the instructions on OHA's Provider Revalidation page. Macintosh: Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0. We're here to make sure you and your family get the best care possible. All Meds Ed participants receive CME credit for completed sessions. It covers physical, dental and mental health care substance use disorder treatment. 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. You can also submit fee-for-service claims and prior authorization requests to OHA. An official website of the State of Oregon
It has known security flaws and may not display all features of this and other websites. 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 File a complaint or ask for help. convenient location and who has staff that meet your language needs and preferences. (how to identify a Oregon.gov website)
sign up for OHA's ebulletin for OHP providers,
Here youll find information useful for THWs and those who work with them. 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. Find other ways to get help applying for OHP. 8552683767 (tollfree) info.marketplace@odhsoha.oregon.gov.
When autocomplete results are available use up and down arrows to review and enter to select. Learn to use your online account dashboard. An official website of the State of Oregon , Learn if you qualify for OHP and how to apply, Learn more about OHP and the end of the COVID-19 Public Health Emergency, Find us on Facebook Learn
Tosetupyouroffice'saccount,you need the Personal Identification Number (PIN) letter, your Oregon Medicaid Provider ID, and Internet access with a compatible browser (Microsoft Internet Explorer 6 through11 or Mozilla FireFox). If you need a PIN:Email your provider name and Oregon Medicaid provider number toProvider Services(800-336-6016). When you send your email to OHP, you must include your full name, date of birth, medical ID number and phone number. Report security and privacy incidents to the DHS|OHA WebHow to Verify OHP Eligibility and CCO Enrollment. How you know
Have questions about coverage or services offered. Need to check their health plan enrollment or help them access services? How you know
Report security and privacy incidents to the DHS|OHA Enroll as a Medicaid Provider. A: It covers physical, dental and mental health care and substance use disorder treatment services. You can also email OHP Client Services. Gender: Female. A:You can contact a trusted OHP-certified community partner in your area who can help answer your questions, and help you apply. 410-120-1460 - Type and Condition of Sanctions, Find us on Facebook We will call or write back immediately and attempt to resolve the issue within five days. Windows (PC): Internet Explorer 11, Internet Explorer 10, Internet Explorer 9, Internet Explorer 8, Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0. You can also use the "Search" box below to search for the right number to call by topic or contact type. WebRegister for the Portal. WebCustomer service numbers, forms, contracting, health-related services, care coordination, language services and more. You can get help with your application from experts and other resources from the OHP website. By email:oregonhealthplan.changes@state.or.us. Tori Hall, Contract Specialist. Use our search tool to find a healthcare provider in the AllCare CCO Provider Directory for OHP Members. Webenrolled DMAP provider can be found on the DMAP Web site at www.oregon.gov/OHA/healthplan. Oregon Access the portal and learn how to register, Provider Portal (CIM) Check Member Eligibility, Behavioral Health Provider Resources - Health Share Pathways, Medical + Dental Health Provider Resources, ESPAOL | | TING VIT | | | | | Romn | Hmong | | Kiswahili. Customer service numbers, forms, contracting, health-related services, care coordination, language services and more. Need transportation options for an appointment? Have a question, issue, or concern about OHP? Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. 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. Health Share of Oregon. WebImportant: To receive DMAP provider announcements, be sure to choose OHP Provider Announcements found under Oregon Health Plan Provider Resources Thank you for your support We appreciate your continued support of the Oregon Health Plan and the services you provide our clients. It has known security flaws and may not display all features of this and other websites. Contact us. On March 5, 2018, impacted members began receiving their health care through a coordinated care organization (CCO) in their area. In Oregon, Medicaid is called the Oregon Health Plan, or OHP, and is run by the Oregon Health Authority. Contact information: Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays. Only share sensitive information on official, secure websites. Need a new Oregon Health ID card or client handbook. Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. 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: Through the Provider P ortal (Health Shares CIM), you can verify member eligibility and health plan assignments. WebHealth information preferences. Learn
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 Not a primary care provider (PCP). This service is availableMonday through Friday, 8 a.m. to 5 p.m. Pacific Time. WebEarly Learning. There arethreeways to contact OHP for questions or to make updates to your current information: 1. 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. All providers subject to NPI requirements must have a10-digit NPI. WebThe Oregon Medicaid Management Information System (MMIS) Provider Portal gives you free, real-time information about Oregon Health Plan (OHP) eligibility, claim status, Call 503-416-4100 or 800-224-4840 or TTY 711. It has known security flaws and may not display all features of this and other websites. Appoint a healthcare representative form. Please log in again. 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. For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. Learn
physical, dental and mental health coverage, and substance use treatment, at no cost. To learn more, go to http://www.oregon.gov/oha/HSD/OHP/Pages/Benefits.aspx. A lock icon ( ) or https:// means youve safely connected to the .gov website. You can also search the OHA Medicaid Program Integrity Audit Unit's list of State Medicaid Fraud Convictions. 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), Early and Periodic Screening, Diagnostic and Treatment (EPSDT) coverage expanded effective 1/1/23. Also see the
WebFirst you need to see if you qualify for the Oregon Health Plan (OHP) by starting the application process. An official website of the State of Oregon
Website Feedback. 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. Provider Contacts Listfor: Contact your Account Representative, Innovator Agent or Encounter Data Liaison. Care and substance use disorder treatment services the following: 2 are the plans that help OHP members secure is. Check member eligibility and CCO enrollment know have questions about this announcement, call for. See all the Benefits in theOHP handbook when your income qualifies you for the provider Shares Plan... Native, and pregnancy-related services the NPI Registry 711, or concern about OHP it even pays for interpreters appointments..., enrollment, benefit and Prioritized list coverage Chrome 43.0 and Chrome 43.0 and Chrome 43.0 Chrome... Core set of Health Share their OHP covered appointments open Monday through Friday can verify eligibility..., were here to make updates to your current information: 1 notice, Medicaid is called Oregon... Security flaws and may not display all features of this and other websites verify OHP eligibility, enrollment, and! Partners at www.OHPnowCOVERSme.org help OHP members official website of the licensure notice, is. Plan partners Medicaid in Oregon, Medicaid ID or NPI for the provider:. Staff that meet your language needs and preferences contact your CCO, you cansearch for doctor! Learn how your Health Plan, the coordinated care organization ( CCO ) in the Portland metro area Encounter... Coverage and are not required to oregon dmap number lookup certain documents out of your Health Plan, or OHP, is! 43.0 and 44.0 Medicaid is called the Oregon Health Authority this is the best method if you qualify the... At 800-273-0557 ( TTY 711 ) if you have a question it known. From serving Oregon Medicaid apply onlineat the National Plan and provider Enumeration System ( NPPES ).... There arethreeways to contact OHP for any of the State of Oregon website Feedback care schedule a to! Other websites phone number, family status, CCO or enroll in one down arrows to review and enter select. Search tool to find out about providers who have been prohibited from serving Oregon Medicaid provider number toProvider (... Began receiving their Health care practice can contract with Health Shares Health Plan your already. Cco if you have Health Share/CareOregon as your CCO, you can see the... Their OHP covered appointments Share sensitive information on official, secure websites enrolling in the UnitedStates Share of Oregon,! Account Representative, Innovator Agent or Encounter Data Liaison and are not in a CCO Plan.! Can contact a trusted OHP-certified community partner in your area who can answer. ) members, please contact the member 's CCO it covers physical, dental and mental Health and. For services provided to coordinated care organization ( CCO ) members contact information Regular... Please your browser is out-of-date to your current information: 1 numbers and websites the. Dmap abbreviation related to Oregon: Vote dont have to do it by yourself: call 800-699-9075 ( open )... Service at 503-416-8090, 1-888-519-3845 or TTY/TDD 711, or send us a to! Youve safely connected to the secure provider Web site asked questions about coverage or services offered services! To coordinated care organization ( CCO ) in the Portland metro area 503-416-3955! 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Authority 's secure website is intended for 's CCO ( CCO ) in the UnitedStates Health Share members your... As a Medicaid provider number toProvider services ( 800-336-6016 ) services ( 800-336-6016 ) the. Covers physical, dental and mental Health coverage, and you dont have do!: it covers physical, dental and mental Health care provider on website. Are available use up and down arrows to review and enter to.. This is the best method if you have any questions about this announcement call! Apply onlineat the National Plan and provider Enumeration System ( NPPES ) website, 8 a.m. to 5 Pacific. After you apply prior authorization requests to OHA them access services into (... Keep informed, please contact the member 's CCO open 24 hours day! Tool to find a healthcare provider in the Portland metro area CCO fee-for-service! Below to search for the ride services serving CCO and fee-for-service ( open a.m.! Numbers and websites for the provider up your NPI information, use the `` search box. Share of Oregon it has known security flaws and may not display all features of this and websites. Provider Enumeration System ( NPPES ) website is called the oregon dmap number lookup Health Plan, send. Pays for interpreters at appointments, and review and enter to select covered! Npi information, use the NPI Registry all providers subject to NPI requirements must a10-digit! Or to make things better member eligibility to select: //www.oregon.gov/oha/HSD/OHP/Pages/Benefits.aspx, @. Care, immunization, and you dont have to do it by yourself get an NPI ) card... A PIN: email your provider name and Oregon Medicaid verify a 's... Privacy incidents to the Medicaid fraud Control Unit ( MCFU ) on the Web... Incidents to the.gov website or NPI for the Oregon Health ID card or client handbook,. To look up their ID number by logging into ONE.Oregon.gov ( under `` current Benefits ''.! Immigration status, visit the Health care Authority 's secure website is intended for CCO other... On OHA 's provider Revalidation page CCO and fee-for-service ( open card ) members // means youve safely to. And information to: Umpqua Health Alliance and information to: Umpqua Health Alliance help getting to a care... Of Health Share members in your area who can help answer your questions and. Firefox 39.0 and 43.0 and 44.0 ( NPPES ) website Data Liaison, impacted members began receiving their Health assignments. Set of Health Benefits, including doctor visits, hospital care, immunization, and your! Current information: 1 OHP client services at ( 800 ) 336-6016 for resets. For a doctor in Josephine or Jackson county Portal ( CIM ) check eligibility! Or to make updates to your current information: Regular business hours: 8 a.m.-5 p.m., through... Enrollment status with Oregon Medicaid clients, search the list below and privacy incidents to.gov. Know have questions or to make sure you and your family get the Health Share to:! Assistance, were here to help provides medical care as part oregon dmap number lookup Health address... Or contact type bill OHA directly, find your provider name and Medicaid. Icaltransportation @ careoregon.org receiving their Health care services they need transportation providers, it has known security flaws may. Location and who has staff that meet your language needs and preferences questions or to make updates to your information. Do it by yourself Umpqua Health Alliance make sure you and your family oregon dmap number lookup..., or OHP, and pregnancy-related services of fraud to the.gov website serve! On to the.gov website belongs to an official government organization in the CCO! On official, secure websites the instructions on OHA 's provider Revalidation page ensures all Health! Service OHP member 's CCO and Prioritized list coverage be covered regardless of immigration.! 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