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Oregon Health Plan policies

Administered by the Department of Human Services (DHS), Division of Medical Assistance Programs (DMAP)

Rulebooks (current administrative rules), Supplemental information and other policies and guidelines

Receive policies, rules and guidelines updates by e-mail - Selecting this link will subscribe you to email updates for ALL of the programs below. Or, select individual programs of interest and subscribe to that program. NOTE: Fee-for-service providers need to subscribe to the General Rules and Managed Care Plans need to subscribe to the OHP program, regardless of any others you choose.

This is a list of DMAP programs (divisions) of Oregon administrative rules (OARs) and the most recent date these programs were revised. The links will take you to the most current DMAP Rulebooks (most current OARs). Providers use the Rulebooks and related Supplemental information for billing.

New provider? Go here

Administrative Examinations and Reports (division 150) Rulebook (RB) last revised: February 1, 2007

American Indian/Alaska Native (division 146) RB last revised: July 1, 2009

Ancillary Services Criteria

Dental Services (division 123) RB last revised: July 1, 2009

Durable Medical Equipment Prosthetics, Orthotics & Supplies (DMEPOS) (division 122) RB last revised: July 1, 2009

Federally Qualified & Rural Health Centers (division 147) RB last revised: July 1 , 2009

General Rules (division 120) RB last revised: July 1 , 2009

Home Enteral/Parenteral Nutrition and IV Services (division 148) RB last revised: Aug. 6 , 2009: added Update page

Home Health Services (division 127) RB last revised: December 1, 2008

Hospice Services (division 142) RB last revised: January 1, 2008

Hospital Services (division 125) RB last revised: July 1, 2009

Medical-Surgical Services (division 130) RB last revised: July 1, 2009

Medical Transportation Services (division 136) RB last revised: April 1, 2009

OHP "Managed Care" Administrative Rules (division 141) RB last revised: August 5, 2009

Physical and Occupational Therapy Services (division 131) RB last revised: July 1, 2007

Pharmaceutical Services (division 121) RB last revised (correction only): July 2, 2009

Private Duty Nursing Services (division 132) RB last revised: December 1, 2008

Procedural rules (division 001) RB last revised: February 1, 2008

School-Based Health Services (division 133) RB last revised: July 1, 2009

Senior Prescription Drug Program (division 149) RB last revised: none

Speech-Language Pathology, Audiology and Hearing Aid Services (division 129) RB last revised: December 1, 2008

Targeted Case Management (division 138) RB last revised: December 28, 2008

Transplant Services (division 124) RB last revised: February 1, 2007

Visual Services (division 140) RB last revised: July 1, 2009

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See also: Notices: proposed rule revisions & hearings

See also:Tools for providers

See also:Rulebook and Provider Guide archive (history)

New providers
If you're newly enrolled as an DMAP provider, go to the New Providers Section for links to all of the provider guidelines you'll need, depending on your provider type.

If you have questions about DHS, or problems getting DHS services, e-mail us: DHS Information. DHS GroupWise users, address e-mail to dhs.info@state.or.us. For comments on this site: DMAP Information. DHS GroupWise users, address e-mail to dmap.info@state.or.us.
Oregon Department of Human Services
Division of Medical Assistance Programs
500 Summer St. NE E37, Salem, OR 97301-1079
Phone: 503-945-5772 or 800-527-5772
Fax: 503-373-7689
TTY: 800-375-2863