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Information for new providers

If you're newly enrolled with DHS as a provider for medical assistance programs, you need our provider guidelines to help you understand the Oregon Administrative Rules (OARs) that apply to your provider type, and how to correctly submit claims. The table below shows each type of provider in the column on the left. The rest of the row shows the types of provider rules and guidelines you need. Follow these links to the provider pages where you can download the rulebooks and important supplemental information.


Note: Every fee-for-service provider needs General Rules in addition to specific specialty.


General Rules • OHP Rules • AIS • HIPAA

Provider Type

Rules and Guidelines Needed

AFS All Provider Rules and Guidelines
Air Ambulance Med Trans
Alcohol and Drug (Chemical Dependency) Contact Alondra Rogers, AMH, (503) 947-5528
Ambulance Med Trans
Ambulatory Surgical Center Med/Surg
Audio Therapy Speech/Lang. Path
Billing Provider Med/Surg
Birthing Center Med/Surg
Capitation Org. Dental
Chiropractor Med/Surg
Copy Service Admin Exam
Dentist/Dental Hygienist Dental/Denturist
Denturist Dental/Denturist
Dialysis Hospital
Direct Entry Midwife Med/Surg
Family Planning Clinic Med/Surg
Hearing Aid Speech/Language Path
DME
Home Health Home Health, Home Enteral/Parenteral
Hospice Hospice
Hospital Hospital, Med/Surg,

OT/PT, Speech/Lang

Independent Lab Med/Surg
Indian Health American Indian/Alaska Native

Admin Exam

Medical Air Transport Med Trans
Mental Health Clinic Contact Alondra Rogers, AMH, (503) 947-5528; Admin Exam
Misc. Medical DME, Ancillary Services
Misc. Medical and Home Enteral/Parenteral DME, Home IV
Naturopath Med/Surg
Nurse Anesthetist Med/Surg
Nurse Practitioner Med/Surg
Nutritionist Med/Surg
Occupational Therapy OT/PT
Optician, Dispensing Visual
Optometrist Visual, Admin Exam
PCCM Med/Surg, Admin Exam
Physician Med/Surg, Admin Exam
Physician/Ophthalmologist Med/Surg, Visual, Admin Exam
Pharmacy Pharmacy
Physical Therapy OT/PT, Admin Exam
Podiatrist Med/Surg
Polygrapher Admin Exam
Portable X-Ray Service Med/Surg
Prenatal Clinic Med/Surg
Prepaid Health Plans (Managed Care) All Provider Rules and Guidelines
Private Duty Nurse PDN, Med/Surg
Private Duty Nurse w/Home Enteral/Parental Specialty PDN, Home IV
Psychologist Admin. Exam
Public Clinic Med/Surg, Dental,
Visual, Admin Exam
Residential Treatment Center Contact Alondra Rogers, AMH, (503) 947-5528; Admin Exam
Rural Health Clinic Rural Health,   Admin Exam
School-Based Health Services School-Based
Social Worker Med/Surg, Admin. Exam
Special Transport Med Trans
Special Transportation Contract Med Trans
Speech Therapy Speech/Lang. Path
Targeted Case Management Med/Surg
TCM Rules
Taxi Med. Trans
Transportation Broker Med Trans
Wheelchair Transport Med. Trans
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Page updated: October 16, 2007

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