Provider Information

The Oregon Health Authority - Oregon Health Plan Providers page has information and updates for those who serve members on the Oregon Health Plan. 
COVID-19 Guidance for CCOs and Oregon Health Plan providers page.
- Get OHP provider updates by text or email by signing up here

Coordinated Care Organizations - Lane County

Lane County Coordinated Care Organizations (CCOs):
Trillium Community Health Plan Provider Log in Page

Pacific Source Community Solutions- Lane Provider Page 
- Sign up for PacificSource Health Plans news and updates.

Culturally & Linguistically Appropriate Service standards for Healthcare Professionals

Oral Health Providers Telehealth Guidance

April 8, 2020 - American Dental Association COVID-19 Coding & Billing *
*This document is being updated. You can click here to ensure you have the most current version.

April 7, 2020 OHA: Audio-only tele dentistry services are also covered during the COVID-19 emergency

Secure Email Options for OHP Providers

 

New secure email options for OHP providers

You can now send the following documents via secure email to the Department of Human Services (DHS) or Oregon Health Authority (OHA):

  • Newborn notifications: Send to [email protected]. (This mailbox will only be available for the duration of the COVID-19 emergency.)
  • License/certification renewals: Send to [email protected].
Paper claims that require special handling, administrative review requests, consent forms, OHP 405T forms, OHP 1036 forms and provider appeals for claim reconsideration: Send to [email protected].

When sending documents via secure email to these addresses:
  • Scan and attach documents to the email.
  • Please send only one transaction per email.
  • For special claims and claim documentation, please follow the instructions in OHA's fact sheet.

Read the OHA Secure Email Instructions here.

The following processes remain the same:

  • Submitting initial provider enrollment applications and provider enrollment updates to OHA's central fax numbers. These are not accepted by email.
  • Submitting claims and supporting documentation for services provided within the past 12 months (to OHP PO Boxes or OHA's central fax number for claim documentation).

You can also submit fee-for-service claims, adjustments and prior authorization requests electronically using the Provider Web Portal at https://www.or-medicaid.gov.


Telehealth Resources (from OHA and CMS)

Information for Oregon Health Plan providers (May 11, 2020)

Available on the Oregon Health Plan COVID-19 page for CCOs and providers:

April 6, 2020 - OHA Fee-for-service Telehealth Guidance

Released March 24, 2020: OHA Telehealth Guidance document to CCOs. Read the document here.

As a companion piece to the earlier released Medicare Telehealth Guidance, the Centers for Medicare and Medicaid services today (3.19.2020) released Medicaid Telehealth Guidance to states. You can find a copy of the guidance here. Additionally, you can find the homepage for general Medicaid Telehealth Guidance here.

Office of Civil Rights Announces Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency. Read the release here from 3.17.2020

The Oregon Health Authority (OHA) is expanding coverage of telehealth and telephone services in light of the COVID-19 outbreak. A document summarizing the existing and new coverage can be viewed here.

Bill Correctly for Medicare Telehealth Services - CMS site information

CMS Sends More Detailed Guidance to Providers about COVID-19

Highlighted telehealth benefits in the Medicare program for use by patients and providers. Expanded use of virtual care are important tools for keeping beneficiaries healthy, while helping to contain the community spread; see the fact sheet (PDF) on coverage and payment related to COVID-19.

OHP Prioritized List
- Ancillary Guideline A5, Teleconsultations and Non-face-t0-face Telehealth Services (page AD-2)
- Updated 3.13.2020 in response to COVID-19

A revised Guideline Note A5, March 13, 2020

OAR 410-130-0610 Telemedicine

OHP January 2020 BH Fee Schedule

Tobacco Cessation Resources & Trainings

Tobacco Treatment Specialists List

Veterans Affairs - Tobacco and Health

Tobacco Treatment 1-Day Virtual Training: April 19, 2021
Introduction to Motivational Interviewing

- This is a one day course that covers an overview of the thinking and spirit behind Motivational Interviewing (MI), along with an introduction to the basic skills. In this training, you will explore how MI can help you engage client motivation for change while decreasing frustration for both the client and provider.
The training includes a review of common barriers to engaging motivation, discussion around how to use the Readiness for Change framework, and application of the skills. There will be demonstrations and opportunities to practice and apply MI skills and concepts.

Payment Information

OHA releases 2021 CCO capitation rates: October 23, 2020

May 2020:
Corrections to behavioral health fee schedule

The Oregon Health Authority (OHA) has found that the April 2020 Oregon Health Plan behavioral health fee schedule contained inaccurate information and removed it from the OHP Fee Schedule page.

Please refer to the May 2020 fee schedule for the rates and codes to use for services provided on or after April 28, 2020.