OHP website. 503-416-8090 888-519-3845 TTY/TDD 711. CareOregon Regional Care Teams (RCTs) offer providers a community of resources with a single point of contact for you and your patients. 005010X223A2 837I. To check your NPI information, contact, To look up the NPI of the ordering, referring, or rendering provider for a claim, use the, 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, OHA ADA Policy and Request for Modification, If you have other billing questions not answered on this page, contact. Eligibility and enrollment Getting started as a new member You can also ask for an interpreter.This help is free. 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 OHSU Health Share members can get a free SmartExam. A CCO is a network of all types of health care providers (physical health care, addictions and mental How you know of health on behalf of Oregon Health Plan (OHP) members in Washington, Multnomah, Clackamas, Lane and Western Douglas counties. You can also ask for an interpreter.This help is free. After the first two months of membership, an annual preventative wellness visit and related lab work for which there are no medical symptoms or diagnosis in advance are eligible for sharing, up to a maximum of $400 of the fair and reasonable charges as . Our Vision Champion the pursuit of human progress by improving the health of our community. Contact us. Here youll find information useful for THWs and those who work with them. Continuing education for health care professionals. Follow us on Twitter A lock icon ( ) or https:// means youve safely connected to the .gov website. You're the heart of our members' health care. Keeping your health coverage can help you stay healthy and live your life to the fullest. All Meds Ed participants receive CME credit for completed sessions. For forms and guides in several languages, including appointment verification forms, visit this page. Liberty HealthShare encourages our members to see their Primary Care Physician or provider yearly to maintain their health and well-being. With care coordination through RCTs, we will deliverthe right care, at the right time, in the right place, with the right team. When submitting claims to CareOregon, you have several options: Send electronic claims to payer ID (93975). To contact Health Share for more information call503-416-8090or visitwww.healthshareoregon.org. If you have an urgent medical , https://www.healthnetoregon.com/contact-us.html, Best healthcare system in the world rankings, Alabama department of mental health montgomery al, 2021 health-improve.org. OHP Client Services by calling 800-273-0557 The Oregon Health Authority Ombudsman at 503-947-2346 or toll-free at 877-642-0450 . You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. Call: Check the list below to see where your clinic is assigned, and call that number. CareOregon provides plan services to three Coordinated Care Organizations (CCO) and offers a Medicare Advantage plan supporting and enhancing sensible, localized, coordinated care. Your physical health plan is listed on the back or inside of your Health Share ID card. Provider Resources. For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite . Youve got options with your Health Share Providence (OHP) health plan. OHSU Health Services members can get at-home COVID-19 test kits at no cost. Yes; enrolled providers can do individual claim submissions using the Oregon MedicaidProvider Portal. If you suspect that benefits aren't being used correctly or want to report a case of waste, abuse or fraud, please contact Ethics Point at 888-331-6524. For questions regarding single claim inquiry, adjustment request, billing policies, our provider search tool (Find Care). To learn more about HRS, visit our health-related services web page. 315 SW Fifth Ave Portland, OR 97204 Customer Service: CareOregon and Health Share/CareOregon: Call: 503-416-4100, toll-free 800-224-4840 or TTY 711 Email: [email protected] Hours : 8 a.m. to 5 p.m. Monday-Friday Click here to access our member portal to send us a secure message. Learn more about sharing concerns or complaints. See if you qualify for Medicaid/OHP Learn how to check eligibility or renew your Oregon Health Plan. Call 800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). . Search tools, news and notices . Enter "portal"forresourcesaboutsubmitting webportalclaims. The personal information of 654,362 patients could have been affected by the Healthshare of Oregon data breach. get signed up for it through the Oregon Health Plan. Your physical health plan is listed on the back or inside of your Health Share ID card. Contact us by telephone: (541) 485-2155 | (877) 600-5472 | TTY 711, 555 International Way Building B If you are one of these people, your member ID card will come from Health Share of Oregon and will have "Legacy Health PacificSource" listed under "Physical Health Plan.". Our team of local customer service experts is available to help you Monday through Friday from 7:30 a.m. to 5:30 p.m. Pacific Time. 503-765-3521 888-788-9821 . If you have any questions, please call OHSU Health Services Customer Service at 1-844-827-6572. All rights reserved | Email: [emailprotected], Health share care oregon prior authorization, Monarch healthcare claims mailing address, Best healthcare system in the world rankings, Alabama department of mental health montgomery al. OHP members:We want to make sure you have the information you need. You can also call the Health Share Customer Service team at 503-416-8090, or care coordinators at OHSU Health at 844-827-6572. Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. Send changes or updates to [email protected]. Yamhill Community Care Organization. We make it easy to maximize your membership in minutes. We're here to supply you with the support you need to provide for our members. 503-416-8090, or toll free at888-519-3845(TTY/TDD 711). . You might have seen or heard of Connect to Care before, when it was called goMobile. OHSU Health Services works with Health Share to deliver the medical care you deserve and give you information about healthy living. And if they already have health insurance through OHP, we can help them manage their health care. 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. Trillium Resource Exchange Download the Provider Guide to Billing Out-of-Network CareOregon System Integration (BHSI) Utilization management handbook and forms Claims and Billing Resources An official website of the State of Oregon . The blog can answer many of your more basic questions about Zion HealthShare and sharing with the community. Visit the OHP fee schedule page to learn more about maximum allowed rates.. We believe that the health of a community rests in the hearts, hands, and minds of its people. Pressoption 3for provider. Call: 503-416-4100 or 800-224-4840. A lock icon ( ) or https:// means youve safely connected to the .gov website. If you are looking for specific forms , Health (3 days ago) WebTo contact Health Share for more information call 503-416-8090 or visit www.healthshareoregon.org. Customer Service is available to help you from 7 a.m. to 8 p.m., seven days a week. Email: Send us a completed form to [email protected]. With partners OHSU Health Hillsboro Medical Center and Adventist Health in East Portland, OHSU Health Services is ensuring every Portland area neighborhood has access to OHSUs innovations and treatments. Send CareOregon Advantage and OHP electronic claims to the same payor ID (93975). If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. Visit our OHP billing tips page for more information., The Oregon MedicaidProvider Portal will tell you whether OHA will pay or deny your claim as soon as you submit it; however, you will need to wait for your paper remittance advice (mailed the week after OHA processes your claim) to find out the exact amount paid.. Members have access to healthcare professionals by phone or video 24/7. Before the state forced it, providers (from hospitals to independent contractors) were refusing to work with them because they were unprepared for this market, paid poorly, and did not meet state standards. For all other matters, contact CareOregon Customer Service at the numbers above. Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. OHSU Health will cover up to four units per month without a primary care providers (PCP) order or prior authorization. Click here to view our Regional Care Team overview in PDF format. Each RCT is made up of care coordinators with a variety of backgrounds and experience, including: Online: Submit a completed Care Coordination Referral formand well route it to your assigned RCT. An official website of the State of Oregon . Call our 24-Hour NurseLine: 855-834-6150, TTY: 711. With this form, you can change your plan, add or remove dependents, or terminate your coverage. Collective (PreManage): If your clinic uses this online platform, check the RCT tag after searching for your patient. Keep your member ID card close You ll need your ID card to receive services, , https://www.providencehealthplan.com/health-share-providence-ohp, Health (1 days ago) WebTo learn more, please contact your Primary Care Provider or call the Health Share Customer Service team at 503-416-8090. When autocomplete results are available use up and down arrows to review and enter to select. Call Health Share Customer Service 503-416-8090, or toll free at 888-519-3845 (TTY/TDD 711) If you need more than four tests per month, contact your PCP. Youll need your ID card to receive services, so keep it with you at all times. CareOregon Advantage (Medicare):Call: 503-416-4279, toll-free 888-712-3258 or TTY 711Hours: 8 a.m. to 8 p.m. every day, CareOregon Dental:Call: 503-416-1444, toll-free 888-440-9912 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Columbia Pacific CCO:Call: 503-488-2822, toll-free 855-722-8206 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Jackson Care Connect:Call:Toll-free 855-722-8208 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Housecall Providers:Call: 971-202-5500 or TTY 711. Current members that experience a qualifying event during the Special Enrollment Period, Jan. 1 - Dec. 31, 2023, can make changes to their plan using the forms below.. 2023 Oregon Plans. OHA is working with Health Share of Oregon, Willamette Valley Community Health and Yamhill Community Care to transition FamilyCare members. (how to identify a Oregon.gov website) , https://www.healthshareoregon.org/members, Health (Just Now) WebHealth Share of Oregon Provider Directory We've got you covered Find the best provider or clinic for you. New to Oregon Health Planweb page. For all other questions, visit Health Share of Oregon or call: 503-416-8090 . PO Box 5490 Salem, OR 97304. 800-699-9075, TTY: 711. Give your employees health care that cares for their mind, body, and spirit. Please click herefor resources, including forms to request interpreting services, a language ID tool for your facility, I speak cards, and more. Oregon Medicaid Electronic Data Interchange Trading Partner Agreement OHA 2080 (Rev 7/17) Page 1 of 2 . They are intended to help improve care delivery and overall member/community health and well-being. Do you have questions about health plans and benefits? Your browser is out-of-date! It is your legal right to submit a complaint, and you wont face any negative consequences if you do. To schedule a ride, call Ride to Care at 503-416-3955 or visit Ride to Care online. Find other ways to get help applying for OHP. Understand when and where to receive different types of care. Search by name, specialty, or location. To contact Health Share for more information call 503-416-8090 or visit www.healthshareoregon.org. Our Customer Service representatives are uniquely trained and qualified to answer any questions you may have about your EOCCO plan. If you have an issue, concern, or complaint, please let us know. You can also give us a phone call at (888) 920-9466. Call 503-416-4100 or 800-224-4840 or TTY 711. Below, youll find contact and procedural information for providers. OHA does not cover all valid codes, and OHA may not allow covered codes in all settings. No matter your health care need, we can help. CareOregon helps you coordinate interpreters for patients who prefer or need a language other than English. For more information, visit theOregon Health Planwebsite. Please note that we cannot accept any personal information via email, such as your social security number, Oregon Health Plan or Health Share member numbers or any personal health information.