Hospital services program
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Hospital Services program updates by e-mail
Oregon Administrative Rules
Chapter 410 Division 125 - Currently on file with Oregon Secretary of State
Recent rule revisions
July 1, 2012 - 410-125-0120, 410-125-0145, 410-125-0150, 410-125-0155, 410-125-0195, 410-125-0410 and 410-125-0450 Revisions to methodology, perm temporary rules, add clarifying language and repeal a rule.
Administrative rulebooks
07/01/2012 - 01/01/2012 - 07/01/2011 - 01/01/2011 - 07/01/2010
Zip files of rulebooks for 2007-2009 - 2003-2006
Supplemental information
Hospital Services Provider Guide - Updated 9/1/12
National Drug Code (NDC) Billing Tips - This document explains how to enter NDC information on medical and institutional outpatient claims for codes that require NDC reporting (e.g., physician-administered drugs). Also see DMAP's frequently asked questions about NDC requirements (link).
Ambulatory Payment Classification (APC) resources
APC indicators and pricing actions
Hospitals subject to APC methodology - 2012 and 2013
Standard Population Limited Hospital Benefit Code Lists
Effective Jan. 1, 2012, OHP Standard hospital benefits are the same as OHP Plus hospital benefits.
July 1, 2008 
Sept. 1, 2004 Aug. 1, 2004
Forms
EDMS Coversheet - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or claims to DMAP.
Prior Authorization Request Form - Use this form to submit faxed PA requests to DMAP. Click here for instructions.
Oregon Pharmacy and Oral Nutritional Supplement PA Request - When requesting prior authorization for drugs or oral nutritional supplements dispensed to OHP clients on a fee-for-service basis, fax this form to the Oregon Pharmacy Call Center at 888-346-0178.
Inpatient Hospital Hold Request for OHP Application
Newborn Notification Form - To receive prompt payment for delivery services covered by DMAP, notify the OHA Statewide Medical Processing Center when you deliver newborns for OHP clients.
Diagnostic Related Group (DRG) Weights
Medicare weights - Version 30, effective Oct. 1, 2012; Version 29, effective Oct. 1, 2011; Version 28, effective Oct. 1, 2010; Version 27, effective Oct. 1, 2009 - Older DRG Weights (zip file)
Oregon unique weights - Effective Oct. 1, 2007
Rate tables
Child and Adolescent Psychiatric Services Rates by Contracted Hospital -Effective 8/1/08
DMAP only posts the following rates for the current and previous year. For earlier rates, contact DMAP.
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Who to call for help
Provider Services 800-336-6016 or e-mail us
Address
and telephone contacts (pdf)