Tools for providers
This page contains information for the health care and service providers who make sure that Oregon Health Plan (Medicaid) clients get the services they need. It includes links to information about how to become an OHP provider, the basic “keys to success” to successfully bill DMAP for claims, and all the policies that providers need to know.
If you have questions about billing DMAP, contact DMAP Provider Services at 800-336-6016 or e-mail dmap.providerservices@state.or.us. For other questions, refer to the DMAP Provider Contacts list for the most current contact information.
Announcements
Billing information
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Electronic Data Interchange (EDI) more
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Electronic Funds Transfer
To receive your payments from DHS using Electronic Funds Transfer (EFT, or direct deposit), complete this form.
Eligibility verification more
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Forms
Make sure to refer to your provider guidelines for the forms required for your program.
Fraud and abuse
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Frequently Asked Questions (FAQs) more
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New providers more
Outreach sites more
Payment Error Rate Measurement (PERM)
PERM is a federally-mandated review of Medicaid claim payments. CMS will perform this audit every three years. Oregon is currently under PERM review for claims paid for the fourth quarter of calendar year 2007.
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Prioritized list, fees, rates and costs more
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Provider guidelines more
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Provider tax rules and forms
Provider Training
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Transitional Payment Request
If you do not receive an expected payment through the regular financial cycle, you may qualify for a Transitional Payment. Complete the Transitional/Special Payment Request form (Word) or (PDF), save it to your computer, then send it as an e-mail attachment to DMAP Provider Services.
You may need to adjust the security settings for your Internet browser. These instructions (Word) tell you how to adjust your Internet Explorer browser settings to enable macros for Microsoft Word documents you open through your Internet browser.
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