Learn more on DMAP's EDI 5010 page.


Are you ready for ICD-10?

Learn the steps to ICD-10 readiness

Visit the CMS Web site for more information

See also:

General Rules rulebook history

Tools for providers

What other provider guidelines do you need?

 

 

DMAP administrative rules and supplemental information for:

General Rules program

Receive General Rules updates by e-mail

Rulebook

January 13, 2012 (pdf)(current administrative rules; see below for archived rules)

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Supplemental information

General Rules Supplemental Information (pdf) revised 1/7/11 - Includes information about advanced directives, eligibility verification, the Medical Care ID, OHP benefit packages, copayments, and Web links for DMAP 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