Oregon Health Authority Contract Form

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Oregon Health Authority : CCO Contract Forms : Oregon …

(4 days ago) WebThe coordinated care organization (CCO) contracts require CCOs to submit various reports. Templates, related forms and documents for these reports are listed here. All …

https://www.oregon.gov/oha/HSD/OHP/Pages/CCO-Contract-Forms.aspx

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Oregon Health Authority : DCO Contract Forms : Oregon …

(4 days ago) WebThe dental care organization (DCO) contracts with the Oregon Health Authority (OHA) require DCOs to submit various reports. Templates, related forms and documents for …

https://www.oregon.gov/OHA/HSD/OHP/Pages/DCO-Contract-Forms.aspx

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Oregon Health Authority : CCO Contract Forms Archive : …

(2 days ago) WebGrievance and Appeal System member notice templates attestation, 12-27-2023. Deliverable, Other Reports. 12/27/2023. Grievance and Appeal System P&Ps …

https://www.oregon.gov/oha/HSD/OHP/Pages/CCO-Contract-Forms-Archive.aspx

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Oregon Health Authority : Grants and Contracts : State of …

(4 days ago) WebOregon Health Authority Helping people and communities achieve optimum physical, mental and social well-being CCO Contracts and Compliance; CCO Contract Forms; …

https://www.oregon.gov/OHA/Pages/Grants-Contracts.aspx

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Oregon Health Authority : Reporting Templates and …

(8 days ago) WebFor reports with a specific frequency, the Contract Reporting Frequency fact sheet lists specific due dates by subject month, quarter, and year. Report Link provides a link to the …

https://www.oregon.gov/oha/HSD/AMH/Pages/Reporting-Requirements.aspx

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Provider Enrollment Agreement

(4 days ago) WebScope of Agreement. This Provider Enrollment Agreement sets forth the rights, responsibilities, terms and conditions governing provider participation in the Oregon …

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le3975.pdf?CFGRIDKEY=OHA%203975%2c3975%2cOHA/DMAP%20-%20Provider%20Enrollment%20Agreement%20%20%2cle3975.pdf%2c%2c%2c%2c%2c%2c%2c%2c%2c%2c../FORMS/-%2c%2c../FORMS/-%2c

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OHP Client Agreement to Pay for Health Services

(7 days ago) WebOHP Client Agreement to Pay for Health Services This is an agreement between a Client and a Provider, as defined in OAR 410-120-0000. The client agrees to pay for service(s) …

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/he3165.pdf

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Oregon Health Authority : Oregon Health Plan Provider …

(1 days ago) WebOHA enrollment and updates: Call Provider Enrollment at 800-336-6016 (option 6) or email [email protected] .. Requesting direct deposit: Until further …

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

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Qualified Health Plan Carrier Contract OHA Oregon …

(4 days ago) WebThis Qualified Health Plan Carrier Contract (“Contract”) is by and between the State of Oregon, by and through the Oregon Health Authority, Division of Health Policy and …

https://healthcare.oregon.gov/Documents/2023%20QHP%20Final%20Contract%20-%20BLANK%20072022.pdf

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OHP Client Agreement to Pay for Pharmacy Services

(8 days ago) WebCall the OHP Client Services Unit at 800-699-9075, TTY 711. Call the Public Benefits Hotline at 800-520-5292 if you would like legal advice about OHP and paying for …

https://apps.state.or.us/Forms/Served/he3166.pdf

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OHP Provider Enrollment Agreement Notice

(3 days ago) WebJan 28, 2021, 08:00 AM. Beginning January 1, 2021, the Oregon Health Authority has added a new required element for providers seeing CCO members. In addition to the …

https://www.careoregon.org/providers/support/provider-updates/2021/01/28/ohp-provider-enrollment-agreement-notice

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OREGON HEALTH PLAN Amended and Restated HEALTH …

(4 days ago) Webbetween the State of Oregon, acting by and through its Oregon Health Authority, hereinafter referred to as “OHA”, and Health Share of Oregon 2121 SW Broadway, …

https://multco-web7-psh-files-usw2.s3-us-west-2.amazonaws.com/s3fs-public/OHA%20CCO%20Contract%20January%202016_executed.pdf

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ORS 279A.050 – Procurement authority - OregonLaws

(7 days ago) WebThe Oregon Health Authority to procure or supervise the procurement of goods, services and personal services under ORS 179.040 (General powers and duties) and construction …

https://oregon.public.law/statutes/ors_279A.050

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FORMS - sharedsystems.dhsoha.state.or.us

(7 days ago) WebFind a publication or form. How to order printed forms (pdf) Tips on working with MS Word / Excel documents (pdf) If you have a disability and need a document on this Web site to …

https://sharedsystems.dhsoha.state.or.us/forms/

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Instructions for Obtaining an OHP Single Case Agreement

(7 days ago) Webthe Oregon Health Authority. Step 1: Get a Medicaid (DMAP) Number: SINGLE CASE AGREEMENT FORM: Mental Health Treatment Authorization Form Use the instructions …

https://storage.googleapis.com/wzukusers/user-30850196/documents/5e863c3f8a964fT4WIaF/Health%20Share%20Single%20Case%20Agreements%202.pdf

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This communication is notice of the Oregon Health …

(3 days ago) WebThis communication is notice of the Oregon Health Authority’s (OHA) decision to waive the following requirement in the Contract Year (CY) 2023 coordinated care organization …

https://www.oregon.gov/oha/HSD/OHP/Announcements/Partner-Agreement-Postings0524.pdf

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HEALTH SYSTEMS DIVISION Provider Services

(8 days ago) WebUse this form to request review of Oregon Health Authority (OHA) or coordinated care organization (CCO) coverage 1570 and 410- 120-1580 apply. • For review of OHA …

https://apps.state.or.us/Forms/Served/he3085.pdf

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Provider Enrollment Agreement - OHCC Workforce

(1 days ago) WebThis Enrollment Agreement sets forth the conditions for being enrolled as a Provider with the Oregon Health Authority (“Authority”) and to receive a Provider Number in order to …

https://www.ohccworkforce.org/wp-content/uploads/2017/10/Enrollment-Agreement.pdf

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Oregon Medicaid - sharedsystems.dhsoha.state.or.us

(7 days ago) WebInstructions for submitting forms. The OHA 3972 is to enroll, re-enroll, update, or revalidate providers seeking direct reimbursement from the Oregon Health Authority (OHA). …

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le3972.pdf

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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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Oregon Heath Authority Trading Partner Agreement for …

(7 days ago) WebEmail the completed form as a PDF document and any questions to: [email protected] . Fax forms to (503) 945-6898. If you …

https://cms.officeally.com/OfficeAlly/Forms/EDI/Medicaid-OR-EDI-ERA-ENR-Instructions-20240516.pdf

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Communications Manager at Oregon Health Authority Human …

(3 days ago) WebFri, 2024-05-10 06:46 -- Jen Jones. Employer: Oregon Health Authority Human Resources. Expires: 05/13/2024. The Oregon Health Authority (OHA), Public Health …

https://economics.virginia.edu/communications-manager-oregon-health-authority-human-resources

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