Are you ready for ICD-10?

Learn the steps to ICD-10 readiness

Visit DMAP's ICD-10 page for more information

See also:

How to become an OHP provider

Billing tips - How to submit claims to DMAP

How to verify OHP eligibility and enrollment

Tools for providers

What other provider guidelines do you need?

 

 

PLEASE NOTE: DMAP policies have moved to the OHA website. Please update your bookmarks or favorites with this change. This page will no longer be available after August 30, 2014.

 

Medical Assistance (General Rules) program

Receive General Rules updates by e-mail

Oregon Administrative Rules

Chapter 410 Division 120 - Currently on file with Oregon Secretary of State

Recent rule revisions

Administrative rulebooks

07/03/2014 - 07/01/2014

04/04/2014 - 03/31/2014 - 02/01/2014 - 01/01/2014 - 12/30/2013 - 12/27/2013 - 11/29/2013

11/10/2013 - 10/31/2013 - 10/2/2013 - 10/01/2013 - 09/25/2013 - 09/12/2013 - 08/23/2013

08/01/2013 - 07/01/2013 - 06/29/2013 - 05/29/2013 - 04/01/2013 - 03/29/2013 - 03/01/2013

01/30/2013 - 01/08/2013 - 01/01/2013 - 12/01/2012 - 11/01/2012 - 10/05/2012 - 09/01/2012

07/20/2012 - 07/01/2012 - 04/01/2012 - 03/22/2012 - 03/16/2012 - 02/01/2012 - 01/13/2012

01/01/2012 - 10/20/2011 - 10/01/2011 - 08/01/2011 - 07/15/2011 - 07/01/2011 - 01/01/2011

Zip files of rulebooks for 2009-2010 - 2007-2008 - 2005-2006 - 2003-2004

Supplemental information

General Rules Provider Guide - Last updated 9/1/12. Includes information about eligibility verification, the Oregon Health ID, OHP benefit packages and copayments.

OHA Provider Discrimination Review Request - Process and form (Word or PDF). See OAR 410-141-3210 in the OHP (MCO and CCO) program for more information.

DMAP 3165 - Agreement to Pay Form (Word or PDF) - See OAR 410-120-1280 for more information

Fraud and abuse authorities

See OAR 410-120-1510. You can also report fraud online. For more information, see the DHS frequently asked questions about reporting fraud.

Medicaid Fraud Control Unit (MFCU)

1515 SW 5th Avenue, Suite 410, Portland, OR 97201
Phone (971) 673-1880, or fax (971) 673-1890

Provider Audit Unit (PAU)

2850 Broadway St. NE, Salem, OR 97303
Phone (888) 372-8301, or fax (503) 378-3437

Fraud Investigations Unit (FIU)

P.O. Box 14150, Salem, OR 97309-5027
Phone (888) 372-8301, or fax (503) 373-1525

Who to call for help

Provider Services 800-336-6016 or e-mail us
Address and phone contacts