oregon health plan patient portal

How do I contact Oregon Health Plan (OHP)?

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, …

What is the Oregon Health Plan?

Apr 05, 2022 · Providers - What you need to know about the Web portal. OHP provider announcements. Behavioral Health Providers - View the Addictions and Mental Health home page. APD Providers - View the Aging and people with physical disabilities home page. Oregon Medicaid NPI Verification - Search an NPI for active providers with Oregon Medicaid.

What information is available on the provider web portal?

Welcome to the secure patient portal! Student Health Services has implemented a new electronic medical records system. Click here to log in. Log in to the portal using your ONID username and password. Note to incoming students: New student data is loaded into the patient portal two terms (6 months) prior to your scheduled start date.

How do I access eligibility and enrollment information for Oregon Medicaid members?

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: Provider Web Portal - https://www.or-medicaid.gov. After login, click "Eligibility" to get started. To learn more, see the Eligibility and Copayment Quick Reference.

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).

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.

Questions and answers about fee-for-service billing

Also refer to the provider guidelines for your program and the General Rules.

Handbooks, tips, and step-by-step guides

Learn about fee-for-service claim processing, how to bill OHA on paper, and how to bill using the Provider Web Portal. Use the search field to find resources by topic, keyword or document name. For example: