Medical-Surgical Services program
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Medical-Surgical services program updates by e-mail
Oregon Administrative Rules
Chapter 410 Division 130 - Currently on file with Oregon Secretary of State
Recent rule revisions
- 03/29/2013 (T) - 410-130-0255 and 410-130-0005 - Increase payment for certain primary care practitioners and increase the VFC administration fee
Administrative rulebooks
12/28/2012 - 01/01/2012 - 08/01/2011 - 07/01/2011 - 01/01/2011
09/02/2010 - 07/01/2010 - 04/15/2010
Zip files of rulebooks for 2007-2009 - 2003-2006
Supplemental information
Medical-Surgical Provider Guide - Updated 9/1/12. Includes information about where to find codes; prior authorization; pharmaceutical references; primary case management services; blood lead screening and risk assessment; hysterectomy and sterilization consent; maternity case management forms; fluoride charts.
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).
Forms
EDMS Coversheet (pdf) - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or hysterectomy/sterilization consent forms 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 (pdf) - 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.
Hysterectomy Consent Form - English or Spanish
Consent to Sterilization Form (age 21 or over) - English or Spanish
Consent to Sterilization Form (ages 15 through 20) - English or Spanish
Maternity Case Management Forms - Initial Assessment, Training and Education Tracking, Home and Environmental Assessment, FAIR for Smoking Cessation
Lead Risk Assessment Questionnaire
Who to call for help
Provider Services 800-336-6016 or e-mail us
Address
and telephone contacts