DHS
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Health Plan | Provider guidelines | Hospital
DMAP administrative rules and supplemental information for:
Hospital services program
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Hospital Services program updates by e-mail
Rulebook
October 1, 2009 (pdf) (Current administrative
rules; see below for archived rules)
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Supplemental information
Hospital
Tax Rules and Forms
Hospital Services
Supplemental Information (pdf) - Updated 2/8/10 - Includes Revenue Center Code Table, prior authorization (PA) information, billing information, forms, and Electronic Data
Interchange (EDI) information.
Hysterectomy and Sterilization Procedures Manual (pdf) - 2/1/08 - For all providers who bill for hysterectomies and sterilizations; provides information and tips not found in the administrative rules.
Health Services Integration (link) - Resources and information about DHS efforts to integrate physical health care, oral health care, mental health and addiction services for OHP clients.
Standard Population Limited Hospital Benefit Code Lists (pdf)
July 1, 2008
Sept.
1, 2004
Aug.
1, 2004
DRG Weight Table (pdf)
Version 27 effective Oct. 1, 2009
Version 26 effective Oct. 1, 2008 (corrected 10/10/08)
Version 25 effective Oct. 1, 2007 (corrected 9/18/08)
Version
24 effective Oct. 1, 2006 (corrected 11/07/06)
Version
23 effective Oct. 1, 2005
Version
22 effective Oct. 1, 2004
Version
21 effective Oct. 1, 2003
Oregon
Unique DRG Weight Table (pdf)
Table 2 effective Oct. 1, 2007
Table 1 valid through Sept. 30, 2007
Fee-for-service (FFS) rate tables (pdf)
| Interim rates for Type A and B hospitals |
Pass-through rates for DRG hospitals |
| February 1, 2010 |
February 1 , 2010 |
| January 1, 2010 |
January 1 , 2010 |
| December 1, 2009 |
December 1 , 2009 |
| November 1, 2009 revised 11/4/09 |
November 1 , 2009 revised 11/4/09 |
| October 1, 2009 |
October 1 , 2009 revised 10/8/09 |
| September 1, 2009 |
September 1 , 2009 revised 9/9/09 |
| August 1, 2009 |
August 1 , 2009 |
| July 1, 2009 |
July 1 , 2009 |
| June 1, 2009 |
June 1 , 2009 |
| May 1, 2009 revised 5/28/09 |
May 1 , 2009 |
| April 1, 2009 revised 5/28/09 |
April 1 , 2009 revised 11/13/09 |
| March 1, 2009 revised 5/28/09 |
March 1 , 2009 revised 11/13/09 |
| February 1, 2009 |
February 1 , 2009 |
| January 1, 2009 |
January 1 , 2009 |
| December 1, 2008 |
December 1 , 2008 |
| November 1, 2008 |
November 1 , 2008 |
| October 1, 2008 |
October 1 , 2008 |
| September 1, 2008 |
September 1 , 2008 |
| August 1, 2008 |
August 1, 2008 |
| July 1, 2008 |
July 1, 2008 |
| June
1, 2008 |
June
1, 2008 |
| May
1, 2008 |
May
1, 2008 |
| April
1, 2008 |
April
1, 2008 revised 4/17/08 |
| March
1, 2008 |
March
1, 2008 |
| Feb. 1, 2008 |
Feb. 1, 2008 |
| January 1, 2008 |
January 1, 2008 |
| December 1, 2007 |
December
1, 2007 |
| November 1, 2007 |
November 1, 2007 |
| October 1, 2007 |
October 1, 2007 |
| September 1, 2007 |
September 1, 2007 |
| August
1, 2007 |
August
1, 2007 |
Managed care rate tables
Tables for Cost-to-charge ratios for Type A and B hospitals and FCHP non-contracted hospital reimbursement rates are
on the OHP
(Managed Care) guidelines page.
Who to call for help
Provider Services 800-336-6016 or e-mail us
Address
and telephone contacts (pdf)
Other information
If you have questions about DHS or problems getting DHS services, e-mail us: DHS Information. DHS GroupWise users,
address e-mail to dhs.info@state.or.us. For comments on this site: DMAP Information.
DHS GroupWise users, address e-mail to dmap.info@state.or.us
Oregon Department of Human Services
Division of Medical Assistance Programs
500 Summer St. NE E37, Salem, OR 97301-1079
503-945-5772 • 800-527-5772
TTY: 800-375-2863