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Contact us Becoming a CareOregon provider Language services Health-related services Care coordination and Regional Care Teams Connect to Care for providers Submitting claims and receiving payment CMS fraud, waste and abuse training Model of Care Training presentation for providers Oregon Health Plan resources for providers To enroll with the Zelis Payment Network, go to their website at. 503-765-3521 888-788-9821 . Get language assistance. Learn more about OHP and the benefits that come with your membership. Our Coordinated Care Organizations | PacificSource Send claims electronically using our payer ID 93975. Health (5 days ago) Web800-699-9075, TTY: 711. OHP website. Learn about your OHP benefits and how to access them when youre in need. A lock icon ( ) or https:// means youve safely connected to the .gov website. 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. 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. Finding a provider is quick and easy with our interactive tool. 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. Doug Flow, 541-471-4106 . When submitting claims to CareOregon, you have several options: Send electronic claims to payer ID (93975). 503-416-8090 888-519-3845 TTY/TDD 711. My Plan Login: My Plan Login Page | Health Share of Oregon Sign in New to My Plan? For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. Learn about your benefits and how to maximize your Health Share Providence membership. But we changed the name so that its easier to understand what were all about connecting people with the care they deserve. 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. Learn more and apply. Providers should report any instance of FWA to CareOregon within three (3) days of discovery. PDF Oregon Health Plan Provider Manual - trilliumohp.com Health Share of Oregon Notifies 654,000 Members About Business Associate Data Breach. Let us help you find the plan that best fits your needs. Providence Health Plan offers commercial group, individual health coverage and ASO services.Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Health Share of Oregon Notifies 654,000 Members About Business You may also complete the New Contract Requests form here. Find us on Facebook For urgent care, call your primary care provider 24 hours/day. Moda Health customer service Go to the Oregon Health Plan's Office Closures page to learn more about the resources available on state office closure days. Oregon Health Plan (OHP) Contact Information CareOregon - Home Health Share organizes your care into three categories to help with all your health needs: Physical, Mental and Dental. Learn If you already have OHP, you can visit Oregon Health Plan Benefits under our Oregon Health Plan Members dropdown menu to get to your member handbook. For example: Institutional Claims: Handbook and slides. We accept relay calls.You can get help from a certified and qualified health care interpreter. Call or email our Customer Service team at 2001-2023 Oregon Health & Science University. It is your legal right to submit a complaint, and you wont face any negative consequences if you do. Washington General Fund. When possible, call two business days ahead of your trip or ride. Let us help you find the plan that best fits you or your family's needs. Yamhill Community Care Organization. Here youll find information useful for THWs and those who work with them. TTY/TDD 711). An official website of the State of Oregon To schedule a ride, call Ride to Care at 503-416-3955 or visit Ride to Care online. For all other matters, contact CareOregon Customer Service at the numbers above. Member feedback helps us improve. 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). When autocomplete results are available use up and down arrows to review and enter to select. Only share sensitive information on official, secure websites. Log in to access your myProvidence account. 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. 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. If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. Medicaid Program Integrity Toolkits - These toolkits explain topics that often result in payment errors for providers. Health Share of Oregon Provider Directory We've got you covered Find the best provider or clinic for you. else. Join the people who've already picked Trillium for outstanding personal service. Our Regional Care Teams offer providers a community of resources with a single point of contact for you and your patients. Our Customer Service hours are 8:00 a.m. - 5:00 p.m., Monday - Friday. If you are looking for specific forms and policies, visit our provider page and select your area. Training must align with the materials presented in: Coordinated Care Organization contract with the Oregon Health Authority (Exhibit B, Part 9, Section 11). Visit the OHP fee schedule page to learn more about maximum allowed rates.. To access your remittance advice electronically: To receive payments via Electronic Funds Transfer (EFT): CareOregon provides a couple of options for electronic payment. Headquarters: Portland, OR. Send changes or updates to providerupdates@careoregon.org. Every month, Connect to Care comes out to the communities where your patients live, all over the Metro area including Clackamas, Multnomah and Washington counties. That means they can get physical health care, but also dental and mental health care, too. Members have access to healthcare professionals by phone or video 24/7. Were here to give you the support and resources you need. Springfield, Oregon 97477, /content/dam/centene/trillium/News_Stories/or-home-middleeast-family.jpg, Quit Tobacco in Pregnancy (Lane County only, Orthopedic & Spinal Procedures (TurningPoint), Healthcare Interpretation and Translation, Talking to Patients about the COVID-19 Vaccine, Risk Adjustment, Care Gaps, and Clinical Documentation, Continuing Education Opportunities Related to Substance Use in Pregnancy, Instructions for taking Medicare Parts C and D General Compliance Training, Instructions for taking Medicare Parts C and D Fraud, Waste, and Abuse Training, Pre-Session Process and How a Bill Becomes a Law, Promoting Self-Advocacy and Health Literacy in Patient Communication, Parent Child Family Health Resource Fair | Trillium Community Health Plan, African Career Fair | Trillium Community Health Plan, Provider Update: OHA Healthcare Provider Informational Calls: COVID-19, Health insurance options for those affected by job loss, Trillium Partners with Orchid Health to Serve McKenzie River Valley Area After Wildfire, Food for the Spirit: Trillium and Rockwood CDC Partner to Increase Access to Food, Trillium and Rockwood CDC Partnership Increases Access to Culturally Specific Food in Local Communities, Trillium Invests in Tri-County Community Health Programs | Trillium Community Health Plan, Trillium Community Health Plan Appoints Emily Ann Farrell As Health Equity Administrator | Trillium Community Health Plan, Trillium Community Health Plan Successfully Resolves Corrective Action Plan with OHA | Trillium Community Health Plan, Contact your Oregon Health Authority eligibility worker, or. It is strictly between Zelis and you, the provider. If you are interested in becoming a contracted provider, please review our credentialing requirements (outlined in our CareOregon Provider Manual). 1. To learn more about HRS, visit our health-related services web page. Learn about and access your free health and wellness resources here. 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. Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. General Rules. You can also give us a phone call at (888) 920-9466. (how to identify a Oregon.gov website) You also can call Care Coordinators at your health care plan: CareOregon: 503-416-4100. 50 KB Download. PO Box 14590 Salem, OR 97309. Oregon Health Authority : FamilyCare CCO transition : Oregon Health Enroll with CareOregon ePayment Center, administered by Zelisfor ACH direct deposit payment,at no cost. Please contact Zelis at 855-774-4392 or, 2. General Contact. Search by name, specialty, or location. OHSU | Provider Search - Moda Health Yes; enrolled providers can do individual claim submissions using the Oregon MedicaidProvider Portal. Health Share of Oregon. Call 503-416-4100 or 800-224-4840 or TTY 711. With this form, you can change your plan, add or remove dependents, or terminate your coverage.