Oregon Health Plan Prior Authorization

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Oregon Health Authority : How to Submit Prior …

(8 days ago) OHA no longer calls providers with prior authorization status. To find out the status of a prior authorization request submitted to OHA: 1. Use the Provider Web Portal “PA Inquiry” function. To learn more about checking status on the web, view our self-study guide. Don’t have a Provider Web Portal account? Learn how to … See more

https://www.oregon.gov/oha/HSD/OHP/pages/pa.aspx

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Information for Oregon Health Plan (OHP) providers

(1 days ago) WEBVerify OHP (Medicaid) eligibility, enrollment and benefit coverage. Go to the MMIS Provider Portal at https://www.or-medicaid.gov to verify OHP claim status, eligibility, enrollment, …

https://www.oregon.gov/oha/HSD/OHP/Pages/Provider-Splash.aspx

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Prior authorization handbook - Oregon.gov

(7 days ago) WEBThe Prior Authorization Handbook is designed to help those who bill the Oregon Health Authority (OHA) for Oregon Health Plan services submit prior authorization requests …

https://www.oregon.gov/OHA/HSD/OHP/Tools/Prior%20Authorization%20Handbook.pdf

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Oregon Health Plan Members OHSU

(3 days ago) WEBCall the Oregon Health Authority’s Customer Service Center at 800-699-9075 weekdays between 7 a.m. and 6 p.m. Interpreters are available. If you are an OHSU patient: Call OHSU Health Services Customer Service at …

https://www.ohsu.edu/health-services/oregon-health-plan-members

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Oregon Health Plan (OHP) Contact Information

(6 days ago) WEBPress 2 for medication prior authorizations or pharmacy claims Press 3 for other prior authorization questions Go to the Oregon Health Plan's Office Closures page to …

https://www.oregon.gov/oha/HSD/OHP/Pages/Contact-Us.aspx

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Prior Authorization Oregon Health Plan Care …

(3 days ago) WEBFee-for-service American Indian and Alaska Native members can ask for more care coordination through CareOregon. Metro: 503-488-2815. Elsewhere: 844-847-9320. …

https://ohpcc.kepro.com/providers/prior-authorization

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Community Birth Prior Authorization and Billing …

(4 days ago) WEBOregon Health Plan Community Birth Guide September 2021 2 . Provider enrollment. Community birth provider types . The following provider types enrolled with OHA may …

https://www.oregon.gov/oha/HSD/OHP/Tools/Planned-Community-Birth-Guide.pdf

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OHP.Oregon.gov: Learn more about the Oregon Health …

(6 days ago) WEBMental Health Services; Oregon State Hospital; Oregon Educators Benefit Board (OEBB) Public Employees' Benefit Board (PEBB) WIC Program; Other Program and Service …

http://www.ohp.oregon.gov/

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Oregon Medicaid Pharmaceutical Services Prior …

(9 days ago) WEBDMAP 3978 - Pharmacy Prior Authorization Request This form is the paper option for submitting pharmacy PA requests. Prescribers should submit their PA requests for fee …

https://www.oregon.gov/oha/HSD/OHP/Tools/Oregon%20Medicaid%20PA%20Criteria%20January%201%202024.pdf

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Prior Approval - InterCommunity Health Network CCO

(3 days ago) WEBTo find out if your medication requires prior authorization, please search our drug list. Call us at 541-768-4550 or 800-832-4580 (TTY 800-735-2900) Customer Service is …

https://ihntogether.org/your-benefits/prior-approval/

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Oregon Medicaid Pharmaceutical Services Prior …

(1 days ago) WEBOregon Medicaid PA Criteria 7 May 1, 2023 Introduction About this guide The Oregon Medicaid Pharmaceutical Services PA Criteria is designed to assist the following …

https://www.oregon.gov/oha/HSD/OHP/Tools/Oregon%20Medicaid%20PA%20Criteria%2C%20May%201%2C%202023.pdf

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Prior Authorization and Referrals Trillium

(5 days ago) WEBPrior Authorization/Prior Approval. Some medical services need approval from Trillium Community Health Plan. This is called a prior authorization. Your healthcare provider …

https://www.trilliumohp.com/members/oregon-health-plan/for-members/Prior_Authorization_and_Referrals.html

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OHA 3113 OHA 3975

(7 days ago) WEBEmail: [email protected]. Non-Payable Provider Enrollment Form. 200-435509 OHP 3113 (02/2024) If this request is for a provider who is providing …

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/he3113.pdf

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How an Oregon health system is making prior authorization 'a …

(9 days ago) WEBIn January, Bend, Ore.-based St. Charles Health System launched a pilot program alongside the insurer PacificSource to streamline automatic coverage approval …

https://www.beckershospitalreview.com/finance/how-an-oregon-health-system-is-making-prior-authorization-a-thing-of-the-past-for-cancer-treatment.html

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Oregon Health Plan Prior Authorization Request for …

(8 days ago) WEBTo: Oregon Pharmacy Call Center. 888-346-0178 (fax); 888-202-2126 (phone) Confidentiality Notice: The information contained in this Prior Authorization Request is …

https://d2l2jhoszs7d12.cloudfront.net/state/Oregon/Health/oe3978.pdf

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Oregon Medicaid FFS Drug Class List

(8 days ago) WEBThis is the Oregon Health Plan fee-for-service Preferred Drug List and drug prior authorization (PA) searchable database. All active and available drugs reported by First …

https://www.orpdl.org/drugs/

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New authorization procedures for certain advanced imaging studies

(8 days ago) WEBNew authorization procedures for certain advanced imaging studies. Apr 22, 2020, 07:00 AM. Beginning May 19, 2020, CareOregon/Health Share, Jackson Care …

https://www.careoregon.org/providers/support/provider-updates/2020/04/22/new-authorization-procedures-for-certain-advanced-imaging-studies

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836-053-1200 Prior Authorization Requirements for Health …

(9 days ago) WEBThe provisions of this rule implement the requirements of ORS 743B.420 and the amendments to ORS 743B.422 and ORS 743B.423, as well amendments to ORS 743B.420 and ORS 743B.423 by Oregon Laws 20211921, chapter 154 284 154 relating to prior authorization determinations. "Prior authorization" means a form of utilization …

https://dfr.oregon.gov/help/committees-workgroups/Documents/RAC/prior-authorization/20210914-prior-auth-rac-hb2517-rule-draft.pdf

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Medical prior authorization PacificSource

(3 days ago) WEBMedicaid Behavioral Health Directed Payments; Prior Authorization. Prior Authorization: Medical; Prior Authorization: Dental; Submit Advanced Diagnostic Imaging and Genetic Testing prior authorization requests to Carelon Medical Benefits Management by phone at 877-291-0510, Oregon: 541-225-3625 Idaho: 208-333-1597 Montana: 406-441-3378

https://pacificsource.com/providers/medical-prior-authorization

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Forms - InterCommunity Health Network CCO

(4 days ago) WEBRecord Request Form. Use this form if you are a member or someone other than the member (or their legal representative) and need to request a copy of the member’s …

https://ihntogether.org/your-benefits/forms/

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ORS 743B.420 – Prior authorization requirements - OregonLaws

(7 days ago) WEBIssuance of group health benefit plan to affiliated group of employers 743B.011 Group health benefit plans subject to provisions of specified laws 743B.012 Requirement to offer all health benefit plans to small employers 743B.013 Requirements for small employer health benefit plans 743B.020 Eligible employees and small employers 743B.100

https://oregon.public.law/statutes/ors_743b.420

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Prior Authorization Request - Providence Health Plan

(3 days ago) WEBPrior Authorization Request **Chart Notes Required** Please fax to: 503-574-6464 or 800-989-7479 Questions please call: 503-574-6400 or 800-638-0449 Expedite- …

https://www.providencehealthplan.com/-/media/providence/website/pdfs/providers/providers-landing/prior-authorization-request-form.pdf

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Prior Authorization Request for Medications and Oral …

(7 days ago) WEBPrior Authorization Request for Medications and Oral Nutritional Supplements. Oregon Pharmacy Call Center Fax to: 888-346-0178 (fax); 888-202-2126 (phone) Confidentiality …

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/he3978.pdf

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Oregon Health Plan Provider Web Portal

(4 days ago) WEBOregon Health Plan Provider Web Portal Prior Authorization Submit and check status on prior authorizations for Oregon Health Plan fee-for-service (open card) clients Prior Authorization Search 10 You can either: 1. Choose a PA from the recent prior authorizations list, or 2. Search using

https://www.oregon.gov/oha/HSD/OHP/Tools/Submit%20and%20check%20status%20of%20prior%20authorization%20requests.pdf

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Prior Authorizations ATRIO Health Plans

(2 days ago) WEBOregon - Douglas County. 2270 NW Aviation Drive. Suite 3. Roseburg, OR 97470. 877-672-8620. More Information

https://www.atriohp.com/oregon/providers/prior-authorizations/

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