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:

OHP (Managed Care) rulebook history

MCO announcements

OHP managed care information

Tools for providers

 

DMAP administrative rules and supplemental information for:

OHP (Managed Care) program

Receive OHP (managed care) program updates by e-mail

Rulebook

January 1, 2012 (pdf) (current administrative rules; see below for archived rules.)

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Supplemental information

Managed Care Tax Rules and Forms

The Prioritized List of Health Services

Capitation rates and per capita cost information

Managed care hospital rates (pdf)

Cost-to-charge ratios for payment to Type A and B hospitals Reimbursement rates for FCHP non-contracted DRG hospitals
Oct. 1, 2011 - Refer to the Hospital Services program Type A and B interim rates Oct. 1, 2011 - See OAR 410-120-1295
Jan. 1, 2011 - Sep. 30, 2011  
Jan. 1, 2010 - Dec. 31, 2010  
Jan. 1, 2009 - Dec. 31, 2009 Oct. 1, 2009 - 78 percent of Medicare's rate. See OAR 410-120-1295
Jan. 1, 2008 - Dec. 31, 2008  
Oct. 1, 2005 - Dec. 31, 2006
(10/10/06 valid end date revised)
Jan. 1, 2006 (12/23/05 revised)
Oct. 1, 2005 (12/23/05 revised)
Oct. 1, 2004 (6/21/05 revised)

Who to call for help

Provider Services 800-336-6016
Address and telephone contacts