The welcome letter contains your Oregon Health ID card and lists your coordinated care organization (CCO). All providers subject to NPI requirements must have a10-digit NPI. C. ntact Health Share Customer Service by email or phone: Can I choose or change my own doctor, dentist, or therapist at Health Share? A primary care provider is who you will see for regular visits, prescriptions and care. PDF Oregon Medicaid Provider Portal Eligibility Verification Request Screen You can find information on locations, providers, pharmacies, websites, and more for all ofour health plan partnersonlineor inyour Member Handbook. Labor and delivery in a hospital, birthing center or at home, Birth control, including condoms, birth control pills, immediate postpartum IUD and implants, Sterilization services, including vasectomies, getting tubes tied. For children under age 21 and pregnant adults, services to correct vision (such as exams, glasses and fittings for glasses). Postpartum care lasts 12 months for OHP Plus members. Website Feedback. Your CCO has a list of providers. Help - Health Share of Oregon My Plan - My Plan: My Plan Login for Not being treated Follow These Steps to Start Using Your OHP: Step 1: Get to know your CCO Step 2: Pick a provider Step 3: Make an appointment The guide will help you learn how to: Learn more about covered services, your rights and responsibilities, coordinated care, billing, questions and complaints. Then verify eligibility and enrollment to determine if your patient is a current OHP member, and to determine whom to billOHA or an OHP health plan. Learn more about sharing concerns or complaints. Your browser is out-of-date! Tips for Finding an Agent | Oklahoma Insurance Department Medicaid provides free or low-cost health coverage to low-income individuals and their families. Your welcome letter also lists your CCO. Learn more about behavioral health services in Oregon. 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. Health Share covers Oregon Health Plan members living in Clackamas, Multnomah, or Washington counties. An official website of the State of Oregon All providers are listed online. To find a dentist,find yourOHPdental planand click "Provider Directory." We need more information from you. OHA has deactivated the EFT Account update feature in the Demographic Maintenance panel of . A .gov website belongs to an official government organization in the UnitedStates. Learn how. We need you to fill out a renewal packet. Follow us on Twitter Website Feedback. If your household does not have OHP and you want to apply: If your household has OHP and you need to report a change, such as adding or removing someone from your household: Watch a video of the ONE Applicant Portal: Find us on Facebook Make Sure You Can Get Your Renewal Letters: Let us know if you move! We want to make sure you have the information you need. OHPrenewals resume April 1, 2023. Using your new Medicaid or CHIP coverage It even pays for interpreters at appointments, and rides to and from the doctors office. sign up for OHA's ebulletin for OHP providers, See the instructions on OHA's Provider Revalidation page. A lock icon ( ) or https:// means youve safely connected to the .gov website. Most OHP members are enrolled in a CCO. Your dental health plan is listed on your Member ID card. How Do I. Contact the CCOfor questions aboutCCO enrollment and credentialing. You can also see provider directories for your dental plan online: Advantage Dental Your provider can look up your OHP record using your name and date of birth. A: It covers physical, dental and mental health care and substance use disorder treatment services. Ask OHP Client Services(800-273-0557)about your options. Learn from command prompt; These are sudden illnesses or injuries (how to identify a Oregon.gov website) Learn more about sharing concerns or complaints . Macintosh: Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0. If so, please ask your provider or coordinated care organization (CCO). You can also visit your health plan website. Applying for OHP? Existing members can call OHP for any of the following: 2. Visit a local Oregon Department of Human Services office. Its free. It has known security flaws and may not display all features of this and other websites. (how to identify a Oregon.gov website) 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. 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. This includes youth with Deferred Action for Childhood Arrivals (DACA) and those prior to 2018 who only qualified for emergency Medicaid, or CAWEM. CareOregon - Oregon Health Plan (OHP) Information Find us on Facebook OHA offers three ways for enrolled Oregon Medicaid providers to access eligibility and enrollment information for OHP members: MMIS Provider Portal - https://www.or-medicaid.gov After login, click "Eligibility" to get started. Existing members can email OHP to change your address, phone number, family status, CCO or other information. Log in to ProviderSource to manage your provider data used for credentialing. Where can I find more information about my health plans? Sealants, root canals on back teeth for children under age 21. Visit the Apply for OHP page. You can see all the benefits in theOHP Handbook. Visit the Report Changes page to learn ways to send an address change to OHP. Your browser is out-of-date! Works with providers like doctors, counselors, nurses, pharmacies and dentists near you. Learn ESPAOL | | TING VIT | | | | | Romn | Hmong | | Kiswahili. Call ONE Customer Service or your local ODHS office. Pregnant women are eligible forprenatal care including regular appointments with a pregnancy care provider, ultrasounds, labor and delivery, and care after giving birth. You can also visit your health plan websitesto learn more. FAQs About Medicaid in Oregon | Kaiser Permanente Only share sensitive information on official, secure websites. This could be aclinic,doctor, nurse practitioner, or a physicians assistant. that need treatment right away. The following screens will appear. If you have changes, complete, sign and return the packet to OHP. An official website of the State of Oregon . If its not an emergency, your CCO or OHA Oregon Health Plan, Already covered? Visit the Report Changes page to learn ways to send an address change to OHP. Do you want to knowif OHP coversa specific service? Only covers Medicare premiums and copayments (except for Medicare Part D) and deductibles. 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 All providers are listed online, or you can call your dental plan or mental health planlisted on your Health Share ID card,and theyll help you find the support you need. You can also call 800-699-9075 or 711 for TTY and ask to be connected to one. What to do when you get your renewal letter: Find an OHP-certified community partner. All eligible members in your household receive their own OHP ID cards. Oregon Health Plan (OHP) Contacts TheGeneral Rules provider guidelinesinclude the Oregon Administrative Rule (OAR) that requires providers to verify eligibility before providing service. You can have a translator at your appointment, free of charge. How do I know which health plans I belong to? When autocomplete results are available use up and down arrows to review and enter to select. An official website of the State of Oregon Safari is not supported. It has known security flaws and may not display all features of this and other websites. (how to identify a Oregon.gov website) For all services you get outside Oregon, the provider Website Feedback. 3. You can also submit fee-for-service claims and prior authorization requests to OHA. Learn Be ready to talk about your familys health history, and any prescriptions, vitamins or other medicines you take. If you don't know if you still have OHP, you can view your dashboard at ONE.Oregon.gov(look under "Current Benefits"). Primary care providers can be doctors, nurse practitioners and more. Do this by contacting OHP or your local Oregon Department of Human Services (ODHS) office. Can I change my Health Share health plans? Home | PacificSource An official website of the State of Oregon . Website Feedback. These plans are called coordinated care organizations or CCOs. Don't have your OHP welcome letter? Your browser is out-of-date! Credentialing Overview | OneHealthPort We will send you a packet to complete, sign and return to OHP or your local ODHS office. Training Videos & Guides Find videos, FAQs, and guides to help you with ProviderSource. Serving members and their communities with reliable and caring customer service. If you are new to OHP, your CCO will send you a welcome letter and ID card about two weeks after you get OHP. Contact Health Share customer service at: 503-416-8090, or toll-free at 888-519-3845 (TTY/TDD 711) info@healthshareoregon.org. We make it easy to get the care you need. log in here. Online:Most OHP members can report changes online atONE.Oregon.gov. You can change your PCP at any time by calling the medical health plan listed on your Health Share ID Card. CareOregon - Dental health resources Glasses are covered onlyfor certainmedical conditions. Follow us on Twitter Talk to your doctor or other providers about making a telehealth appointment. Pick a provider, make an appointment, report changes and more. To learn more, see the Eligibility and Copayment Quick Reference. You may need to senddocumentsor completean interview. Look in county government listings of your phone book. Learn about the new "OHP Dental" benefit and changes to OHP Plus benefits for children and youth under age 21. You would need to pay full cost. Sign up for our newsletter for updates. If you have questions about enrolling with a (CCO) or one of the CCO's dental networks, If you were denied participation in a CCO's provider network, readthe. A .gov website belongs to an official government organization in the UnitedStates. Oregon Health Authority : Oregon Health Plan : Oregon Health Plan Call us at 800-699-9075 (TTY 711). They will also be in theOHP welcome letterin 2023. You may do this by contacting customer service at 800-878-4445 or by calling the provider prior to scheduling an appointment to verify that he or she is covered by your plan and is accepting new patients. To learn more aboutverifying eligibility and enrollment for Health Share of Oregon members,visit the Health Share of Oregon website. It lists your benefit package. A lock icon ( ) or https:// means youve safely connected to the .gov website. Oregon Health Plan (OHP) Application questions: 8006999075 (tollfree) Coverage questions: 8002730557 (tollfree) Oregon Health Insurance Marketplace. Most OHP members can renew online through ONE. Tell them what kind of service youre looking for and they will help you find a provider. You can make an appointment with one of the experts below. Please know that if you are approved for OHP, but have not received your ID card, you are still covered for services. Automated Voice Response - 866-692-3864 If youre wondering whether you qualify for the Oregon Health Plan, we can help. Learn more about OHP's dental-only programs. Learn You can also look for a dentist on your dental plans provider directory. The first backup of the device will have just the UDID as the folder name, while subsequent backups will have the UDID followed by a date. New to Oregon Health Planweb page. Follow us on Twitter Reminders 60 days and 30 days before the "respond by" date on your renewal letter. OHP.Oregon.gov: Learn more about the Oregon Health Plan (OHP) A phone number for each company is provided at the beginning of each company profile. For the most up-to-date information, please verify that the provider you have selected is covered by your plan. The service is not readily available in Oregon, We already have your information. User ID's may contain numbers 0123456789; . An official website of the State of Oregon You can report it as a change to OHP. OHP has local health plans that help you use your benefits. Enter your Member ID number. This information should also be on the websites of your health plan or Medicaid or CHIP agency. (If you don't know your browser version, If you have an issue, concern, or complaint, please let us know. When it is time for you to renew, we will check to see if we have your updated information. 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 OHP and the end of the COVID-19 Public Health Emergency, Get help from a local certified community partner, Visit the Report Changes page to learn ways to send an address change to OHP, Visit a local Oregon Department of Human Services office, OHA ADA Policy and Request for Modification, Renewing Your Oregon Health Plan (OHP) Coverage. If you want to enroll in a CCO, findyour localCCOto see if they are accepting members. An official website of the State of Oregon . A quick search shows the matlab license files for individual user wants 'Host ID' and will want the the c: drive volume serial number. Provider Contacts Listfor: Contact your Account Representative, Innovator Agent or Encounter Data Liaison. Your browser is out-of-date! OHA only sends a new card if you change your name or ask for a new card. and your Oregon Health ID card. Screening and treatment for medical conditions (such as cataracts, glaucoma, injury). OHP covers all services needed for their health and development, such as: To learn more, read OHA's fact sheet and web page about these benefits (also known as EPSDT)., Basic services including cleaning, fluoride varnish, fillings and extractions, Stainless steel crowns for molars (back teeth). If you have questions or concerns about getting a timely appointment, please contactHealth Share Customer Servicefor help. This isto see if you still qualify for OHPnow that the COVID-19 Public Health Emergency is over. Until further notice, please use theMSC 189(EFT Enrollment Form for Providers, Vendors, and Contractors) to update your EFT account information. 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, CCOprovider directories and dental networks, OHA ADA Policy and Request for Modification, Using Your Oregon Health Plan (OHP) Benefits. A:OHP is free health coverage for Oregonians who meet income and other criteria. If you need assistance with the online application you can call the SoonerCare helpline at 1-800-987-7767 or visit your local Community Action agency. This letter willaskfor more information to finishrenewing. For example, if a form is revised in April, OHA will only accept the older version through June. You can also try using these online resources, then contact the provider to see if they are accepting new patients. It has known security flaws and may not display all features of this and other websites. Yes. Your medical, mental and dental health plans are listed on your Health Share ID Card, along with their customer service numbers. Enter our Members section to find out if you're eligible, search for providers, learn about CareOregon benefits, and more. Within 45 days of the date that you apply for Cash, Child Care or Medical benefits. You can respond to these letters to renew your OHP. Where do I get dental care? Together, we make it easy for you to get comprehensive Information for Oregon Health Plan (OHP) providers Your personal information may have been involved in a recent breach affecting our data vendor, PH TECH. Also see the Visit theOregon Eligibility Portal (ONE)or call Oregon Health Plan (OHP) Customer Service at 800-699-9075 right away to let them know you are pregnant. Please include a copy of the licensure notice, Medicaid ID or NPI for the provider. Note: If you qualify for OHP Plus benefits but want to enroll in private health insurance coverage, known as a Qualified Health Plan (QHP), at HealthCare.gov: OHP covers medication to prevent RSV in high-risk children up to two years of age, New OHP dental-only programs open Jan. 1, 2023, Find us on Facebook Contact Health Share Customer Service by email or phone:info@healthshareoregon.orgor 503-416-8090. How do I follow up on my Medicaid application? room services. Find the complete list of OHP-certified community partners at www.OHPnowCOVERSme.org. You can have a translator at your appointment, free of charge. It has known security flaws and may not display all features of this and other websites. Can my children qualify for Medicaid even if I don't? An official website of the State of Oregon . Many companies have an interactive agent locator which provides the address and phone number of your local agent. Find other ways to get help applyingfor OHP. Click on a question below to see its answer. SoonerCare Member Portal. To make an appointment for mental health services, call the mental healthplan listed on your Member ID card. A .gov website belongs to an official government organization in the UnitedStates. must approve the service first. When you get this letter: You may need to fill out the OHP Part 2 Renewal form. A lock icon ( ) or https:// means youve safely connected to the .gov website. Just let your. If you use Mozilla Firefox, you may need to change your download settings to seethefillable version. Your CCO will send you a letter with your providers information. On the next page, choose a username. The welcome letterincludes your Oregon Health ID card and information aboutyour new health care benefits. must accept OHP. Do you have questions about health plans and benefits? If OHP asks for a response and you do not respond to your renewal letter, we will send these letters. If you think you need to see a specialist or other provider, make an appointment with yourprimarycareprovider (PCP)first. PH TECH notifies customers of data breach, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care), Temps are rising. Your Member ID C ard lists your health plans and their contact information. Oregon Health Authority : Oregon Medicaid Provider Portal : Oregon Click each type of care for more details. Member resources With Health Share, you can get care from the largest network of health plans, doctors, dentists, and counselors. They are there to help. Double-click the "Backup" folder. Need help making an appointment and are not in a CCO. How you know Find us on Facebook (how to identify a Oregon.gov website) You can also look for a dentist on your dental plans provider directory. It has known security flaws and may not display all features of this and other websites. Need transportation options for an appointment? Renewing your OHP means makingsure you still qualify for OHP. Coverage questions: 8002730557 (tollfree), 8552683767 (tollfree) Yes, you can change your medical healthanddental health plans. Learn more about benefits in the 2023 OHP Handbook OHP Benefits: OHP Plus and OHP with Limited Drug 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. There arethreeways to contact OHP for questions or to make updates to your current information: 1. If you think you were denied OHP by mistake, make sure OHP has your correct information on file. Not all plans require them, BCBS uses prefixes for example, so if you aren't seeing it you will need to call to have them give it to you. Oregon Health Plan memberscan requestfreetripstocovered health careappointments. Learn About Medicaid in Oregon | Kaiser Permanente 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. How do I get my current prescriptions filled? Even when your income qualifies you for the Oregon Health Plan, the state asks you to provide certain documents. Health Share of Oregon | Member Handbook + ID Card Call OHP Client Services at 800-273-0557 (TTY 711) if you: Want to change your CCO or enroll in one. (how to identify a Oregon.gov website) This is called telehealth" and it's free for OHP members. Call the numberfor your dental planlisted on your Health Share Member IDCard. . Once you successfully register, the login page will load. Your browser is out-of-date! Medical care from a physician, nurse practitioner or physician assistant, such as a routine check-up or a general appointment; acupuncture and chiropractic services; surgery. Their help is free. Register for My Plan Sign in to My Plan Member ID Card When you become a Health Share member, we will mail your Member ID Card to you within 30 days. The information below can help you decide on your next step. Oregon Health Authority : OHP Eligibility Verification : Oregon Health (how to identify a Oregon.gov website) Alert: Temps are rising. from 6 a.m. - 6 p.m. Pacific Time. Apply for OHP today. Using Your Oregon Health Plan (OHP) Benefits You can also use the "Search" box below to search for the right number to call by topic or contact type. An official website of the State of Oregon . New to Oregon Health Planweb page. If you need a medical appointment, call yourmain doctor(also known as yourprimarycareprovider orPCP). Have these handy when you apply online, or bring them with you to an in-person event. How do I make an appointment for mental health services, such as therapy? It has known security flaws and may not display all features of this and other websites. It willalso have a summary of your case information (called a Household Medical Case Summary"). How do I make an appointment to see my doctor? An EDMS Coversheet is not required. Health Share reports all verified cases of fraud to the Medicaid Fraud Control Unit (MCFU). Learn more about OHP and the end of the COVID-19 Public Health Emergency. Get to know your coordinated care organization (CCO). Yourdentalplan can help you find a dentist in your area orhelp you figure out whether you can continue to see your currentdentist. 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 A .gov website belongs to an official government organization in the UnitedStates. Or, call Health Share Customer Service to get help the number is on your card. Submit updates within 30 days of the change under the EDMS Coversheet. and your CCO or OHA approved the service. When you get this letter: If you need to send more information, the letter will say this. ou should be able to get a routine or follow-up appointment within one month. Learn how, There are three steps to getting started using your OHP benefits:, 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 benefits in the 2023 OHP Handbook, Learn more about working with your CCO and finding OHP providers, intensive in-home behavioral health treatment, Learn more about planned community births. 888-977-9299, TTY: 711. OHA cannot enroll new providers without this number. 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