ohp patient portal find providers

How do I find a healthcare provider for OHP members?

The Oregon Medicaid Management Information System (MMIS) Provider Portal gives you free, real-time information about Oregon Health Plan (OHP) eligibility, claim status, prior authorization status, and more. You can also submit individual claims, prior authorization and plan of care requests. Log into the Provider Portal: Available 24 hours a day, 7 days a week.

How do I access Oregon Medicaid information for OHP members?

COVID-19: Oregon Health Plan members are covered. OHP members are covered for COVID-19 vaccines, testing and treatment. Learn more about OHP coverage during this national emergency. Find the latest news, health information and answers to …

What information is available on the provider web portal?

Apr 11, 2022 · Welcome to the Medicaid Portal web site! Providers - Login to set up your Web portal accounts and verify eligibility for OHP clients. More information about CCO 2.0, including questions and answers. Providers - What you need to know about the Web portal. OHP provider announcements.

How do I get help with OHP?

You can call 800-562-4620 to get help finding fee-for-service ("open card") providers. You can also try using these online resources, then contact the provider to see if they are accepting new patients. OHP Care Coordination's online provider directory. Learn …

What is my Oregon Medicaid provider number?

800-336-6016If you need a PIN: Email your provider name and Oregon Medicaid provider number to Provider Services (800-336-6016).

How do I log into my OHP account?

Go to ONE.Oregon.gov to manage your OHP benefits, renew your OHP or apply. Registered users can log in here.

Is OHP the same as Healthshare?

Health Share covers Oregon Health Plan members living in Clackamas, Multnomah, or Washington counties. With Health Share, you can get care from the largest network of health plans, doctors, dentists, and counselors.

Is care Oregon the same as OHP?

Welcome to CareOregon CareOregon is a health plan that administers both the Oregon Health Plan (Medicaid) and Medicare benefits. We believe everyone deserves great health care, and every day we help nearly 300,000 Oregonians get the comprehensive care they need.

How do I get a copy of my Oregon Health Plan card?

By telephone (toll-free): 800-699-9075 Replace a lost OHP Card.

What is the maximum income to qualify for Oregon Health Plan?

Do you qualify?Maximum Monthly Income by Applicant Type and Family SizeFamily sizeAdults (19-64)Children (0-18)1$1482$32742$2004$44283$2526$55823 more rows

Does OHP work in Washington?

We are Health Share Health Share of Oregon serves Oregon Health Plan members in Clackamas, Multnomah, and Washington counties. We bring together health plans, providers, and community health resources so our members can access the care they need to be well. The Oregon Health Plan (OHP) is our state's Medicaid program.

Does Kaiser Permanente accept CareOregon?

Kaiser Permanente participates in the Oregon Health Plan in several counties. To choose Medicaid with Kaiser Permanente, you must qualify for the Oregon Health Plan and be assigned to one of the Coordinated Care Organizations (CCOs) in our service area.

Does Oregon have free healthcare?

Oregon Health Plan (OHP) It provides free coverage for people in Oregon who meet eligibility criteria. Coverage includes doctor visits, hospital care, mental health services, dental, and some vision care.

Is OHP part of Obamacare?

Oregon expanded health coverage for children and working families through the ACA: Coverage for low-income working families: Under the ACA, Oregon extended Oregon Health Plan (OHP) coverage to more than 375,000 children and low-income working adults who lacked health insurance.

Who owns CareOregon?

CareOregon, formed by safety net health care providers in the state, is a Safety Net Health Plan. Safety Net Health Plans are nonprofits that derive their revenue from public programs. CareOregon is a 501(c)(3) public benefit nonprofit organization that draws nearly all its revenue from public programs.

Is CareOregon a PPO or HMO?

CareOregon Advantage Plus is an HMO-POS SNP plan with a Medicare/Medicaid contract.

If your office is new to the Provider Web Portal

Follow the steps in our Quick Setup Guide, then set up clerk accounts to give staff access to the features they need.

If your office already uses the Provider Web Portal

The Provider Web Portal administrator in your office can give you access to the features you need (such as Claims, Eligibility, Remittance Advice, Plan of Care, Prior Authorization, Benefits and Prioritized List Inquiry).

Log in to your online OHP account or sign up

Go to ONE.Oregon.gov to manage your OHP benefits, renew your OHP or apply.

Use Your OHP

New to OHP? Start here! Learn how to get physical, mental health, & dental care

Report Changes

Tell us when what’s on your application changes. You need to report changes like pregnancy, marriage, a new job, or a new address.

What is the phone number for OHP?

If you still have questions about your OHP coverage, please call us at 800-273-0557 or talk to your CCO. Help us blaze a better trail. Let us know how we can improve this page.

What is an OHP plan?

OHP has local health plans that help you use your benefits. These plans are called coordinated care organizations or CCOs. Most OHP members are enrolled in a CCO. Your CCO can help you get the care you need. Your CCO works with providers like doctors, counselors, nurses and dentists near you. Find your CCO.

What is primary care provider?

A primary care provider is who you will see for regular visits, prescriptions and care. You can pick one, or your CCO can help you pick one. Primary care providers can be doctors, nurse practitioners and more. Don’t forget to ask your CCO about a dentist and a mental health provider.

What is the Oregon Health Plan?

Welcome to the Oregon Health Plan! Welcome to the Oregon Health Plan (OHP). OHP is free health coverage from the State of Oregon. People who meet income and other requirements can get the Oregon Health Plan. OHP covers medical, dental, and mental health care. It also covers help with addictions.

What is Umpqua Health?

Umpqua Health is an organization with strong values of responsibility and integrity. For this reason, Umpqua Health has provided this Compliance, Fraud, Waste, and Abuse hotline and online report form.

What is UHA in Oregon?

Umpqua Health Alliance (UHA) is here to help you and your family get the care you need. UHA members have access to all medical, dental, and mental health benefits covered under the Oregon Health Plan, OHP ( see member handbook ). We’re here to assist you! If you need a copy of your Member Handbook, Provider Directory, UHA Formulary, or any other item, please contact UHA Customer Care! We will mail it to you free of charge within five days of your request.

How to Verify OHP Eligibility and CCO Enrollment

OHA offers three ways for enrolled Oregon Medicaid providers to access eligibility and enrollment information for OHP members:

Tools and Resources

To learn more about verifying eligibility and enrollment for Health Share of Oregon members, visit the Health Share of Oregon website.

What is the phone number for a provider directory?

If you have any questions, or would like to request a printed copy of the provider directory be sent to you, please call Customer Service at 503-416-4100, toll-free at 800-224-4840 or TTY 711. Loading….

What are the requirements for PCP?

Note: Your PCP will handle most of your health care needs, except for: 1 Vision 2 Substance use treatment 3 Family planning or obstetric appointments