Your physical health plan is listed on the back or inside of your Health Share ID card. Posted By HIPAA Journal on Feb 7, 2020. Finding a provider is quick and easy with our interactive tool. OHSU Health Services may cover more than four units per month when ordered by the PCP as a necessary component of an individualized care plan. Follow us on Twitter We accept relay calls.You can get help from a certified and qualified health care interpreter. Here youll find information useful for THWs and those who work with them. Phone numbers Medical/ Behavioral Health. Call800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). They are intended to help improve care delivery and overall member/community health and well-being. Copyright 2023 Providence Health Plan, Providence Plan Partners, and Providence Health Assurance. If you have additional questions, or would like to learn more about requesting consideration for a contract, please contact Customer Service at 800-224-4840 or 503-416-4100. Click here to view our Regional Care Team overview in PDF format. Contact us - CareOregon Health (6 days ago) WebCareOregon 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 https://www.careoregon.org/about-us/contact-us Category: Health Show Health Contact us PacificSource Health Health Share provides free services to make sure you can communicate , Health (Just Now) WebNo matter your health care need s, we can help. That means they can get physical health care, but also dental and mental health care, too. Your physical health plan is listed on the back or inside of your Health Share ID card. Champion the pursuit of human progress by improving the health of our community. Call 503-416-4100 or 800-224-4840 or TTY 711. Do you have questions about health plans and benefits? provider guidelines for your program and the You can also ask for an interpreter.This help is free. 800-699-9075, TTY: 711. To contact Health Share for more information call503-416-8090or visitwww.healthshareoregon.org. OHSU Health Services works with providers to deliver your medical care needs. Beginning in April 2023, there will be new information guidelines about when and how often plan members will need to reapply for benefits. 503-416-8090, or toll free at888-519-3845(TTY/TDD 711). How you know Log in to access your myProvidence account. It's a very smart local call. info@healthshareoregon.org Health Share ID Cards (OHP Members) You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. For urgent care, call your primary care provider 24 hours/day. Members have access to healthcare professionals by phone or video 24/7. For technical questions or comments about our website, contact the web administrator. Customer service numbers, forms, contracting, health-related services, care coordination, language services and more. Learn Health Share reports all verified cases of fraud to the Medicaid Fraud Control Unit (MCFU). Give your employees health care that cares for their mind, body, and spirit. Box 830479 Birmingham, AL 35283 Appeals Address US https://www.hopkinsmedicine.org/johns_hopkins_healthcare/downloads/usfhp/usfhp_quickrefguide.pdf Category: Health Show Health <br>The webpage looks great! You can also use the "Search" box below to search for the right number to call by topic or contact type. Find other ways to get help applying for OHP. Learn what you may be required to do as part of a PERM review. Website Feedback. Go to your local in-network pharmacy to buy at-home tests using your pharmacy benefit at point of sale. Urgent issues include severe flu, fever, minor cuts and injuries, or other health issues that cannot wait for a regular appointment. File a complaint with: OHP Client Services by calling 800-273-0557. 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. Fa mil yCare. (how to identify a Oregon.gov website) For more information, visit theOregon Health Planwebsite. OHP Provider Updates by text or email. If you need more than four tests per month, contact your PCP. Contact information: Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays. Learn about your benefits and how to maximize your Health Share Providence membership. Oregon Medicaid Electronic Data Interchange Trading Partner Agreement OHA 2080 (Rev 7/17) Page 1 of 2 . CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, Change Healthcare. Please call Provider Customer Service at503-416-4100 or 800-224-4840. Download the Provider Guide to Billing Out-of-Network CareOregon System Integration (BHSI) Utilization management handbook and forms Claims and Billing Resources Medicaid Program Integrity Toolkits - These toolkits explain topics that often result in payment errors for providers. CareOregon is confirming clinics email addresses to ensure we can contact you with system alerts and other critical information. Email: Send us a completed form to ccreferral@careoregon.org. We accept relay calls.You can get help from a certified and qualified health care interpreter. Let us help you find the plan that best fits your needs. Health Systems Oregon Health Plan How to Submit and Adjust Claims to OHA Learn about Fee-for-Service Billing Also refer to the provider guidelines for your program and the General Rules. You might have seen or heard of Connect to Care before, when it was called goMobile. OHSU Health Services covers at-home COVID-19 antigen testing kits through pharmacy point-of-sale (POS) for members who have symptoms consistent with COVID-19 or who have had confirmed or suspected exposure to COVID-19. If you have any questions, please call OHSU Health Services Customer Service at 1-844-827-6572. No matter your health care need, we can help. Enrollment in Providence Health Assurance depends on contract renewal. Please click on a topic below to get started. We all know that Medicaid and the Oregon Health Plan (OHP) can be complicated, but were here to help make it easier for current and prospective members. An official website of the State of Oregon One test is the collection and processing of one sample, regardless of package size or packaging directions. CareOregon provides plan services to three Coordinated Care Organizations (CCO) and offers a Medicare Advantage plan supporting and enhancing sensible, localized, coordinated care. Important:835 enrollment is available through CareOregon ePayment Center, administered by Zelis. General Rules. 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. Email: medical@modahealth.com. 1. Do not bill separately for each plan. Please email VOE@careoregon.org or fax to 503-416-1462, with VOE and employee last name in the subject line, and your release of information form signed by the employee. Providers should report any instance of FWA to CareOregon within three (3) days of discovery. Professional Claim Submission . Enroll with Zelis Payment Networkfor ACH direct deposit payment or virtual credit cardfor a small fee(this is separate from CareOregons free ePayment ACH option noted above). PO Box 5490 Salem, OR 97304. Eligibility and enrollment Getting started as a new member All other COVID-19 home test products require PCP order and prior authorization. Trillium Resource Exchange Health Share organizes your care into three categories to help with all your health needs: Physical, Mental and Dental. With care coordination through RCTs, we will deliverthe right care, at the right time, in the right place, with the right team. Learn more about us Only share sensitive information on official, secure websites. To learn more, please contact your primary care provider. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Provider Contacts Listfor: Contact your Account Representative, Innovator Agent or Encounter Data Liaison. You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. If you are a Health Share member, our response may come as a secure message, and you will need to set up a password to open the email. When submitting claims to CareOregon, you have several options: Send electronic claims to payer ID (93975). We're here to supply you with the support you need to provide for our members. The office is open Monday through Friday, 7:30 a.m. to 5:30 p.m. PST. A lock icon ( ) or https:// means youve safely connected to the .gov website. Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP). Providers For questions, please call 503-471-2149. feeling out of control) that could harm you or someone OHSU Health Share members can get a free SmartExam. OHP provides insurance. Find other ways to get help applyingfor OHP. Gain valuable insights and practical care strategies during our Meds Ed online seminars. Washington General Fund. Find other ways to get help applying for OHP. Use the search field to find resources by topic, keyword or document name. The links below provide information regarding various electronic transactions such as submitting claims, receiving payments and remittance advices. My Plan Login: My Plan Login Page | Health Share of Oregon Sign in New to My Plan? What are you looking for? Oregon's Medicaid coordinated-care organization, Health Share of Oregon, is notifying approximately 654,000 current and former members that some of their protected health information (PHI) was stored on a laptop computer stolen from its transportation vendor, GridWorks. communicate about your health needs. Urgent and immediate care clinic locations, Home Health, Hospice and Palliative Care providers, Office of Civil Rights Investigations and Compliance. CareOregon Regional Care Teams (RCTs) offer providers a community of resources with a single point of contact for you and your patients. View and download your member handbook to learn about your benefits and how to access care. Pressoption 3for provider. PO Box 5490 Salem, OR 97304. Learn how, An official website of the State of Oregon, billing OHA, make sure the NPI you bill under is the same one you have reported for your Oregon Medicaid ID. For all other questions, visit Health Share of Oregon or call: 503-416-8090 . Contact them at 866-369-8805 for medical claims and 888-255-7293 for dental claims. Call our 24-Hour NurseLine: 855-834-6150, TTY: 711. Generally, OHA pays the maximum allowed rate or fee, less the TPR payment but not to exceed the maximum allowable rate or fee. Paper Claim Submission - Plan Address List - Sheet1.pdf. Call us to report any changes to your mailing address or email. (7 days ago) WebUMR- Claim Appeals P.O. OHA does not cover all valid codes, and OHA may not allow covered codes in all settings. Our Customer Service hours are 8:00 a.m. 5:00 p.m., Monday Friday. 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. CareOregon Advantage (Medicare): Press option 3 for provider. For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite . Access your formulary search here for information on your prescriptions. Continuing education for health care professionals. If you need assistance with this process please contact Customer Service at the number below. To access your remittance advice electronically: To receive payments via Electronic Funds Transfer (EFT): CareOregon provides a couple of options for electronic payment. We accept all relay calls. CareOregon takes fraud, waste and abuse very seriously. No matter your health care need, we can help. Register for a My Plan account The Nurse Advice Line is open 24 hours a day, every day. CAC Contact. Go to our EDI page to learn more., Make sure you bill any other payers first. Contact your Oregon Health Authority eligibility worker, or Visit ONE.Oregon.gov, or Call Trillium Member Services at 1-877-600-5472. (toll free at And if they already have health insurance through OHP, we can help them manage their health care. Brendon Bassett . Not sure which RCT to contact? Find the best provider or clinic for you. 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. New to Oregon Health Planweb page. 50 KB Download. It has known security flaws and may not display all features of this and other websites. If you have an issue, concern, or complaint, please let us know. Health Share of Oregon Notifies 654,000 Members About Business Associate Data Breach. Be sure to identify each email with a name and job title. This program provides healthcare coverage for low-income residents of Oregon. When possible, call two business days ahead of your trip or ride. Find our Pharmacy Help Desk, formulary, policies and forms. OHP website. Learn about your OHP benefits and how to access them when youre in need. 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. Provider Resources. We make it easy to maximize your membership in minutes. To update your information: Keeping your health coverage can help you stay healthy and live your life to the fullest. Name of provider or clinic Include doctors who can provide a visit by phone Telehealth provider Specialty Languages spoken - Select language - Provider gender Location (name of city, county, ZIP code or address) Providers Please send the email address(es) that you want CareOregon to use when contacting your clinic tocareoregonalerts@careoregon.org. (how to identify a Oregon.gov website) Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care). OHA is working with Health Share of Oregon, Willamette Valley Community Health and Yamhill Community Care to transition FamilyCare members. 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. If , https://www.oregon.gov/oha/HSD/OHP/pages/billing.aspx, Health (Just Now) WebAs a CareOregon provider, you may have specific questions for us. . Mailing address: PO Box 14015, Salem OR 97309 Fax number: 503-378-5628 Fee-for-Service Providers - 800-336-6016 Press 2 for medication prior authorizations or pharmacy claims Press 3 for other prior authorization questions You may also complete the New Contract Requests form here. The Oregon Health , https://www.providencehealthplan.com/health-share-providence-ohp/complaints-and-appeals, Health (1 days ago) WebPhysical location address (as noted on current W-9 form) Billing name and address Email address of billing contact (s) Call 888-445-8913 for Health Net Medicare Advantage , https://www.healthnetoregon.com/for-providers/resources/electronic-transactions/claims.html, Health (7 days ago) WebProvider Claim Dispute & Redeterminations Incentives Statement A Health Net representative may contact you regarding your inquiry. RCTs work closely with providers and members through both telephonic and community-based support Yes; enrolled providers can do individual claim submissions using the Oregon MedicaidProvider Portal. 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: customerservice@careoregon.org Hours : 8 a.m. to 5 p.m. Monday-Friday Click here to access our member portal to send us a secure message. This service is available Monday through Friday, 8 a.m. to 5 p.m. Pacific Time. The personal information of 654,362 patients could have been affected by the Healthshare of Oregon data breach. The best source of information at this time is this Redetermination FAQ provided by Health Share of Oregon. Toll-free: 877-605-3229. OHP Client Services by calling 800-273-0557 The Oregon Health Authority Ombudsman at 503-947-2346 or toll-free at 877-642-0450 . OHSU Health Services cannot reimburse members for over the counter at-home tests purchased on their own. The plans are listed below. Send CareOregon Advantage and OHP electronic claims to the same payor ID (93975). In order to be eligible for payment, claims must meet CareOregon's policies, procedures and authorization requirements as described on this webpage and its links. CareOregon and Health Share/CareOregon:Call: 503-416-4100, toll-free 800-224-4840 or TTY 711Email: customerservice@careoregon.orgHours: 8 a.m. to 5 p.m. Monday-FridayClick here to access our member portal to send us a secure message. As a Health Share member, you can use My Plan to securely access your plan information, show your ID card to get care, and view your account details. Phone: 503-416-8090. Also refer to the As a CareOregon provider, you may have specific questions for us. Call our general care coordination line at 503-416-3731 or Customer Service at 503-416-4100 and well connect you to your assigned team. Enter "portal"forresourcesaboutsubmitting webportalclaims. Change Healthcare will validate the claims for HIPAA compliance and send them directly to CareOregon. But we changed the name so that its easier to understand what were all about connecting people with the care they deserve. Authorities do not know if the laptop was stolen with the intent of accessing and using any information or if it was a . In addition, their services are lest robust than Care Oregon'sno matter what the website says. Would we be able to use this text under the video: Trillium was honored to be a sponsor for Harvesting Hope, where we shared this video about our commitment to whole healthcare. Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. The Oregon Health Plan (OHP) is the Medicaid program for the state of Oregon. Umpqua Health Alliance. You can bill using the Oregon Medicaid Provider Portal, electronic data interchange, or commercially available paper claims. Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. get signed up for it through the Oregon Health Plan. Search for and find the forms you need as one of our members. Call OHP Care Coordination at 800-562-4620 if you: Are not enrolled in a CCO and need nurse advice. There are lots of things Connect to Care and our partners are here to help your patients with: See if they're eligible for Medicare and help you enroll in the Oregon Health Plan, Help set uptheir medical, dental and behavioral health appointments, Connect them with trained staff to help coordinate their health care needs. Learn about feedback and complaints by clicking on your language of choice below: Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. Attach your release of information form signed by the employee. Health Share coordinates your services. We can help you get a cell phone and service plan for telehealth care with your provider. Training must align with the materials presented in: Coordinated Care Organization contract with the Oregon Health Authority (Exhibit B, Part 9, Section 11). The organization notified 654,000 patients due to the theft of the device. We make it easy to find a primary provider or medical home youll love. Also see the Physical health Dental health Behavioral health Pharmacy Find a primary care provider Get a ride Instead, select the option for 835 enrollment upon registration through the ePayment center. For questions about your Medicare Part D pharmacy coverage, please call our Moda Health Customer Service at 503-265-4709 or toll-free at 888-786-7509. And how can it help your patients? Customer Service & Sales teams: Providence Health Plan Providence Medicare Advantage Plans Providence Medicare Supplement Employers Thank you for your interest in joining CareOregons provider panel! Learn about fee-for-service claim processing, how to bill OHA on paper, and how to bill using the Oregon MedicaidProvider Portal. Our Vision Champion the pursuit of human progress by improving the health of our community. We accept relay calls.You can get help from a certified and qualified health care interpreter. Visit the OHP fee schedule page to learn more about maximum allowed rates.. https://www.zelis.com/provider-enrollment/, Medicare and Medicaid billing and pricing resources, 2021 Evaluation & Management Coding guide, Medicare Fraud & Abuse: Prevent, Detect, Report WBT (cms.gov), Special Needs Plan Model of Care Training Provider Module, Model of Care Clinic/Practice Attestation, 2020 important updates about OHP and metro-area CCOs, Behavioral Health Qualified Directed Payments, Strategic Healthcare Investment for Transformation (SHIFT). When autocomplete results are available use up and down arrows to review and enter to select. For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. Are not enrolled in a CCO and need help finding a provider that accepts OHP open card. Appeals If you receive a Notice of Action letter, you can appeal our decision in writing. It is strictly between Zelis and you, the provider. TTY/TDD 711). Learn more and apply. Providers must complete training designed to educate on ways to prevent, detect, and correct instances of FWA. OHSU Health Services members can get at-home COVID-19 test kits at no cost. Read about: an important message for providers. 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. Were here to give you the support and resources you need. For example: Institutional Claims: Handbook and slides. For reporting compliance issues feel free to contact us anonymously at503-416-1459. Call 503-416-4100 or 800-224-4840 or TTY 711. Call or email our Customer Service team at To enroll with the Zelis Payment Network, go to their website at. 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.. Include VOE and employee last name in the subject line. Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care).
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