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Health Plan | OHP (DMAP) policies, rules 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.
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
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
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. |