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Division of Medical Assistance Programs

2010 Information Memoranda (IM) Transmittals


TOPICS: Managed care service area changes • OHP Regional Meetings • Client announcements • Provider announcements • Miscellaneous


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Receive all DMAP IM transmittals by e-mail

Transmittal No.

Date

Title
DMAP IM 10-156 12/30/2010
Provider Announcement: Administrative rules revised effective January 1, 2011 
DMAP IM 10-155 12/29/2010
Arrival of new OHP 7210 and process for sending information to HIG
DMAP IM 10-154 12/29/2010
Provider announcement: Hospital Acquired Conditions policy to be effective Feb. 1, 2011
DMAP IM 10-153 12/27/2010 Announcements about National Drug Code reporting when billing DMAP or OHP managed care plans for physician-administered drugs
DMAP IM 10-152 12/22/2010
Revision of OHP application and application packet materials
DMAP IM 10-151 12/21/2010
OHP Managed Care Service Area Changes: Family Dental Care closing to new enrollment in Clackamas,  Multnomah and Washington counties
DMAP IM 10-150 12/21/2010
OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Jackson, Josephine, Lane and Douglas counties
DMAP IM 10-149 12/21/2010
OHP Managed Care Service Area Changes: Kaiser closing to new enrollment in Clackamas and Multnomah counties
DMAP IM 10-148 12/17/2010
Provider announcements about Jan. 1 pharmacy program changes 
DMAP IM 10-147 12/15/2010
Provider Announcement:  Fee-for-Service RVU code updates, effective January 1, 2011
DMAP IM 10-146 12/14/2010
Client announcements related to COIHS mental health and chemical dependency service integration effective Jan. 1, 2011
DMAP IM 10-145 12/10/2010 Provider announcement - Third-party billing for Behavioral Rehabilitative
Services providers
DMAP IM 10-144 12/06/2010
Provider announcement:  Inpatient claims for Hospital Acquired Conditions
DMAP IM 10-143 12/02/2010
Provider announcement - Contact change for surgical prior authorizations starting Jan. 1, 2011
DMAP IM 10-142 11/24/2010
Client and provider announcements about OHP managed care copayments effective Jan. 1, 2011
DMAP IM 10-141 11/24/2010
OHP Managed Care Service Area Changes: Kaiser Permanente closing to new enrollment in Marion and Polk counties
DMAP IM 10-140 11/18/2010
Provider Announcement:  Changes in claim processing this weekend
DMAP IM 10-139 11/15/2010
Provider Announcement: Administrative rules temporarily revised effective October 1, 2010 
DMAP IM 10-138 11/10/2010 New DMAP contacts for Client Enrolllment Services and Prepaid Heath Plan Coordinators
DMAP IM 10-137 11/09/2010 Pharmacy announcements: Reminders to complete mandatory pharmacy surveys by Friday, Nov. 12
DMAP IM 10-136 11/08/2010 Provider Announcement: Date change for system update for hospitals- DRG Grouper Version 28
DMAP IM 10-135 11/05/2010 Provider Announcement: National Provider Identifier (NPI) requirements effective January 1, 2011
DMAP IM 10-134 11/03/2010 Client announcement: Clarification about Nov. 1 LIPA medical plan
enrollment information for ZIP codes 97424 and 97426
DMAP IM 10-133 10/29/2010 Provider announcement: Mass adjustments planned for certain claims
DMAP IM 10-132 10/27/2010
OHP Managed Care Service Area Changes: Union County voluntary zip code
DMAP IM 10-131 10/27/2010
OHP Managed Care Service Area Changes: Wallowa county voluntary zip code
DMAP IM 10-130 10/27/2010
OHP Managed Care Service Area Changes: ODS Health closing to new enrollment in Union and Wallowa counties
DMAP IM 10-129 10/22/2010
Provider Announcement:  FQHCs/RHCs subcontracting with Prepaid  Health Plan (PHP) contractor   
DMAP IM 10-128 10/22/2010
OHP Managed Care Service Area Changes: Willamette Dental closing in Linn (D067) and Benton (D169) counties 
DMAP IM 10-127 10/22/2010
OHP Managed Care Service Area Changes: Willamette Dental Group opening in Marion (D065) and Polk (D168) counties effective 11/01/10.
DMAP IM 10-126 10/19/2010 Provider announcement - Mandatory surveys to support pharmacy reimbursement changes
DMAP IM 10-125 10/18/2010
Client announcements: Lane County ZIP codes 97424 and 97426 will be mandatory medical enrollment areas effective Nov. 1, 2010
DMAP IM 10-124 10/08/2010
Provider announcement:  Effect of new managed care edit on claims from IHS and Tribal-638 pharmacies
DMAP IM 10-123 10/07/2010
Skilled nursing facility update: Coordination of care for OHP clients enrolled with Kaiser-Permanente PCO
DMAP IM 10-122 10/07/2010
Pharmacy announcement: Intermittent point of sale availability on Sunday, Oct. 10
DMAP IM 10-121 10/05/2010
DMAP provider contract terminations and Provider Web Portal access
DMAP IM 10-120 9/30/2010
OHP Managed Care Service Area Changes: Wallowa county mandatory zip code
DMAP IM 10-119 09/30/2010
OHP Managed Care Service Area Changes: Union county mandatory zip code
DMAP IM 10-118 09/30/2010 Provider announcement: Age group expansion for Targeted Case Management Babies First and CaCoon programs
DMAP IM 10-117 09/29/2010
Provider announcement: System update for hospitals about DRG Grouper Version 28 
DMAP IM 10-116 09/28/2010 Provider announcement: New hospice rates effective Oct. 1, 2010
DMAP IM 10-115 09/27/2010
Provider announcement: New managed care edit takes effect Monday, Oct. 3
DMAP IM 10-114 09/24/2010
OHP Managed Care Service Area Changes: ODS Medical opening to new enrollment in Wallowa and Union counties.
DMAP IM 10-113 09/24/2010
OHP Managed Care Service Area Changes:Providence Health Assurance closing to new enrollment in Clackamas, Multnomah and Washington counties.
DMAP IM 10-112 09/24/2010
OHP Managed Care Service Area Changes: ODS Dental closing to enrollment in Jefferson county
DMAP IM 10-111 09/24/2010
Staff Announcement: Use and ordering of DHS form 3203; Capturing primary reservation person’s date of birth on the form.
DMAP IM 10-110 09/22/2010
Provider Announcement: HSC Prioritized List interim changes, effective October 1, 2010.
DMAP IM 10-109 09/21/2010
Provider  announcement: Hemophilia factor billing ends Oct. 1, 2010
DMAP IM 10-108 09/16/2010
OHP Managed Care Service Area Changes: CareOregon in Klamath and Umatilla counties
DMAP IM 10-107 09/03/2010
Provider Announcement: New fax sheet to ensure claims are paid
DMAP IM 10-106 09/03/2010
Provider Announcement: Update and reminders on providing services - Corrected 9/16/10
DMAP IM 10-105 09/03/2010
Provider Announcement: Administrative Rule revisions, September 1, 2010
DMAP IM 10-104 09/02/2010
OHP Managed Care Service Area Changes: ODS Dental is opening to new enrollment in Deschutes and Jefferson counties
DMAP IM 10-103 09/02/2010
OHP Managed Care Service Area Changes: Providence closing to new enrollment in Yamhill county
DMAP IM 10-102 09/02/2010
OHP Managed Care Service Area Changes: Willamette Dental Group opening in Columbia county (D170) effective 09/01/2010
DMAP IM 10-101 08/27/2010
OHP Managed Care Service Area Changes: CareOregon in Klamath and Umatilla counties 
DMAP IM 10-100 08/27/2010
OHP Managed Care Service Area Changes: Kaiser Permanente in Clackamas, Marion and Polk counties
DMAP IM 10-099 08/25/2010 Provider announcement: Changes in claim processing this weekend
DMAP IM 10-098 08/17/2010 Provider announcement: Reminders about eligibility, benefits and enrollment
DMAP IM 10-097 08/16/2010 Provider announcement: National Provider Identifier requirements
DMAP IM 10-096 08/05/2010 Provider announcement: Pharmacy announcement: Limited point of sale availability on Sunday, Aug. 8
DMAP IM 10-095 07/30/2010 OHP Standard deadline letter – corrected version and talking points
DMAP IM 10-094 07/29/2010
OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Crook county.
DMAP IM 10-093 07/26/2010
OHP Managed Care Service Area Changes: Willamette Dental will be opening for new enrollment in Linn county, D067, effective 08/01/2010.
DMAP IM 10-092 07/22/2010
OHP Managed Care Service Area Changes: Effective 08/01/2010 COIHS will close to new enrollment in Lake county (H205) 
DMAP IM 10-091 07/15/2010
Provider Announcement: Administrative Rule revisions effective July 1, 2010
DMAP IM 10-090 07/08/2010 Provider announcement: Guidance for counties wishing to participate in new or expanded Targeted Case Management programs
DMAP IM 10-089 07/01/2010
Provider announcement: EDI Bulletin 23
DMAP IM 10-088 06/30/2010
OHP Managed Care Service Area Changes: Lincoln county Mandatory for Dental Benefits 
DMAP IM 10-087 06/30/2010
OHP Managed Care Service Area Changes: Effective 07/01/2010 COIHS will be open to new enrollment in Lake county (H205) 
DMAP IM 10-086 06/30/2010
OHP Managed Care Service Area Changes: FamilyCare in Washington county
DMAP IM 10-085 06/30/2010
OHP Managed Care Service Area Changes: Capitol Dental Care - Lincoln county 
DMAP IM 10-084 06/30/2010
OHP Managed Care Service Area Changes:ODS Dental closing to new enrollment in Hood River County
DMAP IM 10-083 06/30/2010
OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Crook, Clackamas and Washington Counties
DMAP IM 10-082 06/30/2010
OHP Managed Care Service Area Changes: Willamette Dental Group opening to enrollment in Jackson (D063), Lane (D060), Douglas (D059), Josephine (D146), and Benton (D169) counties.
DMAP IM 10-081 06/25/2010 Staff announcement: Updated Brokerage Operations Manual for Non-Emergent Medical Transportation Services
DMAP IM 10-080 06/23/2010 Managed care organization announcement: Correction to historical managed care enrollment segments
DMAP IM 10-079 06/23/2010 Providence Health Assurance opening to new enrollment in Multnomah (H200) and Clackamas (H198) counties.
DMAP IM 10-078 06/23/2010 Pharmacy program information: Oregon Medicaid Prior Authorization Criteria July 2010 document
DMAP IM 10-077 06/17/2010 Pharmacy alert: Point of sale claims for Medicare-Medicaid clients
DMAP IM 10-076 06/15/2010 Managed care announcement: Vaccines For Children Program - clarifies MCO requirements- Corrected 06/23/2010
DMAP IM 10-075 06/09/2010
Staff announcement: Survey sent to individuals on the OHP Standard reservation list
DMAP IM 10-074 06/08/2010

Staff announcement: Change to June OHP 7210R application mailing date.
DMAP IM 10-073 06/07/2010 Staff announcement: Fax forms for CareOregon disenrollment for families served by Children's Health Alliance providers
DMAP IM 10-072 06/04/2010 Staff announcement: Information about the MMIS recipient data fix
DMAP IM 10-071 06/04/2010 Pharmacy announcement: Limited point of sale availability on Sunday, June 6
DMAP IM 10-070 06/02/2010 OHP Managed Care Service Area Changes: Harney County voluntary for Medical Managed Care
DMAP IM 10-069 06/02/2010 OHP Managed Care Service Area Changes: Wallowa County voluntary ZIP Code
DMAP IM 10-068 06/02/2010 OHP Managed Care Service Area Changes: Union County voluntary ZIP Code
DMAP IM 10-067 06/01/2010 Managed Care Clinic Change: Bridge City moves from FamilyCare to CareOregon
DMAP IM 10-066 05/28/2010 OHP Managed Care Service Area Changes: COIHS closing to new enrollment in Harney County, effective 06/01/10
DMAP IM 10-065 05/28/2010 OHP Managed Care Service Area Changes: ODS Medical closing to new enrollment in Union and Wallowa couties, effective 06/01/10
DMAP IM 10-064 05/28/2010 OHP Managed Care Service Area Changes: Kaiser closing to new enrollment effective 06/01/10 - Clackamas, Marion and Polk counties
DMAP IM 10-063 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Douglas County (D059), effective 06/01/10
DMAP IM 10-062 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Polk County (D168) 06/01/10
DMAP IM 10-061 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Josephine County (D146), effective 06/01/10
DMAP IM 10-060 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Marion County (D065), effective 06/01/10
DMAP IM 10-059 05/28/2010 OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment effective 06/01/10 - Yamhill, Tillamook, Benton, jackson, Josephine, Lane, washington, Clackamas, Linn, Baker and Wasco counties
DMAP IM 10-058 05/24/2010 Client announcements: Choice in CareOregon enrollment for families served by Children's Health Alliance
DMAP IM 10-057 05/14/2010 Pharmacy announcement: Limited point of sale availability on Sunday, May 16
DMAP IM 10-056 05/13/2010 Pharmacy program information: Oregon Medicaid Prior Authorization Criteria corrections to April 1 document
DMAP IM 10-055 05/11/2010 Incomplete reservation numbers listed on Oregon Health Plan (OHP) Standard Reservation applications mailed on 5/3/10
DMAP IM 10-054 05/04/2010 Provider announcement: "BMP" benefit plan will go live on Monday, May 10
DMAP IM 10-053 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Linn County (D067), May 1, 2010
DMAP IM 10-052 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Lane County (D060), May 1, 2010
DMAP IM 10-051 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Jackson County (D063), May 1, 2010
DMAP IM 10-050 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Benton County (D169), May 1, 2010
DMAP IM 10-049 04/29/2010 OHP Managed Care Service Area Changes: ODS Dental closng to new enrollment in Marion County, effective 05/01/2010
DMAP IM 10-048 04/29/2010 OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment effective 05/01/2010
DMAP IM 10-047 04/28/2010 Oregon Health Plan (OHP) Standard reservation list brochure
DMAP IM 10-046 04/28/2010 Provider Announcement: Administrative Rule revisions, effective April 26 and May 1, 2010
DMAP IM 10-045 04/28/2010 Staff Announcement: Continued health care coverage for foster care youth
DMAP IM 10-044 04/27/2010 OHP Managed Care Service Area Changes: Tillamook County Zip Codes 97136 (Rockaway Beach), 97135 (Pacific City) and 97141 (Tillamook) will be changed to mandatory enrollment beginning May 1, 2010
DMAP IM 10-043 04/27/2010 OHP Managed Care Service Area Changes: Lincoln County Zip Codes 97365 (Newport) and 97367 (Lincoln City) will be changed to mandatory enrollment beginning May 1, 2010
DMAP IM 10-042 04/09/2010 Provider Announcement: 3rd and final reminder: Prior Authorization required for non-PDL drugs and 34-day supply limit
DMAP IM 10-041 04/05/2010 Provider announcement: Prior Authorization required for non-PDL drugs and 34-day supply limit
DMAP IM 10-040 04/02/2010 Administrative Rule revisions, effective April 1, 2010
DMAP IM 10-039 04/01/2010 Provider announcement: Oregon Medicaid Prior Authorization Criteria document update
DMAP IM 10-038 04/01/2010 Pharmacy announcement: Coordination of Benefits and client copayment errors
DMAP IM 10-037 03/30/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Columbia County (D170), effective April 1, 2010
DMAP IM 10-036 03/29/2010 OHP Managed Care Service Area Changes: Tillamook County Zip Codes 97107 (Bay City) and 97118 (Garibaldi) will be changed to mandatory enrollment beginning April 1, 2010
DMAP IM 10-035 03/29/2010 OHP Managed Care Service Area Changes: Lincoln County Zip Codes 97368 (Otis), 97388 (Gleneden Beach), and 97391 (Toledo) will be changed to mandatory enrolment beginning April 1, 2010
DMAP IM 10-034 03/29/2010 OHP Managed Care Service Area Changes: Curry County Zip Code 97415 (Brookings) will be changed to mandatory enrollment beginning April 1, 2010
DMAP IM 10-033 03/12/2010 Provider announcement: Prioritized list update effective April 1, 2010
DMAP IM 10-032 03/12/2010 Provider announcement - Retroactive authorization of Oxygen services
DMAP IM 10-031 03/12/2010 Provider announcement - Survey for hospitals, physician practices and ambulatory surgical centers
DMAP IM 10-030 03/05/2010 Staff announcement - Auto-assignment correction for voluntary service areas
DMAP IM 10-029 03/04/2010 Weekly Provider Web Portal Training via Webinar
DMAP IM 10-028 03/01/2010 Staff announcement: Auto-assignment concerns in voluntary service areas
DMAP IM 10-027 02/26/2010 OHP Managed Care Service Area Changes: Tillamook County Zip Codes 97130 (Manzanita) and 97143 (Netarts) will be mandatory enrollment beginning March 1, 2010
DMAP IM 10-026 02/26/2010 OHP Managed Service Area Changes: Lincoln County Zip Codes 97431 (Depoe Bay), 97369 (Otter Rock), 97372 (Rose Lodge), 97380 (Siletz) and 97394 (Waldport) will be changed to mandatory enrollment beginning March 1, 2010
DMAP IM 10-025 02/26/2010 OHP Managed Care Service Area Changes: Curry County Zip Code 97444 (Gold Beach) will be changed to mandatory enrollment beginning March 1, 2010
DMAP IM 10-024 02/24/2010 OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Deschutes (D193) and Wasco (D192) counties
DMAP IM 10-023 02/22/2010 OHP Managed Care: Continuity of Care Information
DMAP IM 10-022 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Polk County (P049), eff. 3/1/2010
DMAP IM 10-021 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Multnomah County (P050), eff. 3/1/2010
DMAP IM 10-020 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Marion County (P048), eff. 3/1/2010
DMAP IM 10-019 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Clackamas County (P051), eff. 3/1/2010
DMAP IM 10-018 02/11/2010 Delayed Coverage Letters for OHP Managed Care Service Area Enrollment Corrections
DMAP IM 10-017 02/08/2010 Provider Web Portal Training in Portland and Salem
DMAP IM 10-016 02/05/2010 Staff Q & A/Phone Scripts for OHP Managed Care Service Area Enrollment Corrections
DMAP IM 10-015 02/04/2010 OHP Managed Care Service Area Enrollment Corrections
DMAP IM 10-014 01/28/2010 Oregon Health Plan (OHP) Standard Awareness Campaign
DMAP IM 10-013 01/27/2010 OHP Managed Care Service Area Changes: ODS Medical opening to new enrollment in Jackson County, eff. 02/01/2010
DMAP IM 10-012 01/27/2010 OHP Managed Care Service Area Changes: Willamette Dental Group opening to new enrollment in Columbia County (D170) eff. 02/01/2010
DMAP IM 10-011 01/27/2010 OHP Managed Care Service Area Changes: Providence Health Assurance closing to new enrollment in Multnomah (H200) and Clackamas (H198) counties, eff. 02/01/2010
DMAP IM 10-010 01/25/2010 OHP Managed Care Service Area Changes: Tillamook County ZIP Codes 97112 (Cloverdale), 97134 (Oceanside) and 97147 (Wheeler) will be changed to mandatory enrollment beginning February 1, 2010
DMAP IM 10-009 01/25/2010 OHP Managed Care Service Area Changes: Lincoln County ZIP Codes 97366 (South Beach) and 97376 (Seal Rock) will be changed to mandatory enrolment beginning February 1, 2010
DMAP IM 10-008 01/25/2010 OHP Managed Care Service Area Changes: Curry County ZIP Codes 97450 (Langlois) and 97465 (Port Orford) will be changed to mandatory enrollment beginning February 1, 2010
DMAP IM 10-007 01/25/2010 OHP Managed Care Service Area Changes: Willamette Dental Service area change, Lane and Multnomah counties, effective 2/1/2010
DMAP IM 10-006 01/19/2010 Oregon Health Plan (OHP) Standard reseration list materials
DMAP IM 10-005 01/15/2010 Client notice - Benefit reduction notice to OHP Plus clients who turn 21
DMAP IM 10-004 01/12/2010 Provider announcement - Pharmacy dispensing fee survey
DMAP IM 10-003 01/08/2010 OHP Managed Care Service Area Changes: Willamette Dental Group changes effective Jan. 1, 2010
DMAP IM 10-002 01/07/2010 Provider announcement - Senior Prescription Drug Assistance Program eliminated Jan. 1, 2010
DMAP IM 10-001 01/06/2010 Provider announcement - FFS RVU rate update, effective January 1, 2010
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Managed care service area changes

(Formerly known as KSEL notices)

Receive managed care service area change transmittals by e-mail

Transmittal No.

Date

Title
DMAP IM 10-151 12/21/2010
OHP Managed Care Service Area Changes: Family Dental Care closing to new enrollment in Clackamas,  Multnomah and Washington counties
DMAP IM 10-150 12/21/2010
OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Jackson, Josephine, Lane and Douglas counties
DMAP IM 10-149 12/21/2010
OHP Managed Care Service Area Changes: Kaiser closing to new enrollment in Clackamas and Multnomah counties
DMAP IM 10-141 11/24/2010
OHP Managed Care Service Area Changes: Kaiser Permanente closing to new enrollment in Marion and Polk counties
DMAP IM 10-132 10/27/2010
OHP Managed Care Service Area Changes: Union county voluntary zip code
DMAP IM 10-131 10/27/2010
OHP Managed Care Service Area Changes: Wallowa county voluntary zip code
DMAP IM 10-130 10/27/2010
OHP Managed Care Service Area Changes: ODS Health closing to new enrollment in Union and Wallowa counties
DMAP IM 10-128 10/22/2010
OHP Managed Care Service Area Changes: Willamette Dental closing in Linn (D067) and Benton (D169) counties 
DMAP IM 10-127 10/22/2010
OHP Managed Care Service Area Changes: Willamette Dental Group opening in Marion (D065) and Polk (D168) counties effective 11/01/10.
DMAP IM 10-120 9/30/2010
OHP Managed Care Service Area Changes: Wallowa county mandatory zip code
DMAP IM 10-119 09/30/2010
OHP Managed Care Service Area Changes: Union county mandatory zip code
DMAP IM 10-114 09/24/2010
OHP Managed Care Service Area Changes: ODS Medical opening to new enrollment in Wallowa and Union counties.
DMAP IM 10-113 09/24/2010
OHP Managed Care Service Area Changes:Providence Health Assurance closing to new enrollment in Clackamas, Multnomah and Washington counties.
DMAP IM 10-112 09/24/2010
OHP Managed Care Service Area Changes: ODS Dental closing to enrollment in Jefferson county
DMAP IM 10-108 09/16/2010
OHP Managed Care Service Area Changes: CareOregon in Klamath and Umatilla counties
DMAP IM 10-104 09/02/2010
OHP Managed Care Service Area Changes: ODS Dental is opening to new enrollment in Deschutes and Jefferson counties
DMAP IM 10-103 09/02/2010
OHP Managed Care Service Area Changes: Providence closing to new enrollment in Yamhill county
DMAP IM 10-102 09/02/2010
OHP Managed Care Service Area Changes: Willamette Dental Group opening in Columbia county (D170) effective 09/01/2010
DMAP IM 10-101 08/27/2010
OHP Managed Care Service Area Changes: CareOregon in Klamath and Umatilla counties 
DMAP IM 10-100 08/27/2010
OHP Managed Care Service Area Changes: Kaiser Permanente in Clackamas, Marion and Polk counties
DMAP IM 10-094 7/29/2010
OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Crook county.
DMAP IM 10-093 7/26/2010
OHP Managed Care Service Area Changes: Willamette Dental will be opening for new enrollment in Linn county, D067, effective 08/01/2010.
DMAP IM 10-092 07/22/2010
OHP Managed Care Service Area Changes: Effective 08/01/2010 COIHS will close to new enrollment in Lake county (H205) 
DMAP IM 10-088 06/30/2010
OHP Managed Care Service Area Changes: Lincoln county Mandatory for Dental Benefits 
DMAP IM 10-087 06/30/2010
OHP Managed Care Service Area Changes: Effective 07/01/2010 COIHS will be open to new enrollment in Lake county (H205) 
DMAP IM 10-086 06/30/2010
OHP Managed Care Service Area Changes: FamilyCare in Washington county
DMAP IM 10-085 06/30/2010
OHP Managed Care Service Area Changes: Capitol Dental Care - Lincoln county 
DMAP IM 10-084 06/30/2010
OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Hood River county
DMAP IM 10-083 06/30/2010
OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Crook, Clackamas and Washington Counties
DMAP IM 10-082 06/30/2010
OHP Managed Care Service Area Changes: Willamette Dental Group opening to enrollment in Jackson (D063), Lane (D060), Douglas (D059), Josephine (D146), and Benton (D169) counties.
DMAP IM 10-079 06/23/10 Providence Health Assurance opening to new enrollment in Multnomah (H200) and Clackamas (H198) counties.
DMAP IM 10-076 06/15/2010 Managed Care Announcement: Vaccines For Children Program - clarifies MCO requirements
DMAP IM 10-070 06/02/2010 OHP Managed Care Service Area Changes: Harney County voluntary for Medical Managed Care
DMAP IM 10-069 06/02/2010 OHP Managed Care Service Area Changes: Wallowa County voluntary ZIP Code
DMAP IM 10-068 06/02/2010 OHP Managed Care Service Area Changes: Union County voluntary ZIP Code
DMAP IM 10-066 05/28/2010 OHP Managed Care Service Area Changes: COIHS closing to new enrollment in Harney County, effective 06/01/10
DMAP IM 10-065 05/28/2010 OHP Managed Care Service Area Changes: ODS Medical closing to new enrollment in Union and Wallowa couties, effective 06/01/10
DMAP IM 10-064 05/28/2010 OHP Managed Care Service Area Changes: Kaiser closing to new enrollment effective 06/01/10 - Clackamas, Marion and Polk counties
DMAP IM 10-063 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Douglas County (D059), effective 06/01/10
DMAP IM 10-062 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Polk County (D168) 06/01/10
DMAP IM 10-061 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Josephine County (D146), effective 06/01/10
DMAP IM 10-060 05/28/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Marion County (D065), effective 06/01/10
DMAP IM 10-059 05/28/2010 OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment effective 06/01/10 - Yamhill, Tillamook, Benton, jackson, Josephine, Lane, washington, Clackamas, Linn, Baker and Wasco counties
DMAP IM 10-053 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Linn County (D067), May 1, 2010
DMAP IM 10-052 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Lane County (D060), May 1, 2010
DMAP IM 10-051 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Jackson County (D063), May 1, 2010
DMAP IM 10-050 04/29/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Benton County (D169), May 1, 2010
DMAP IM 10-049 04/29/2010 OHP Managed Care Service Area Changes: ODS Dental closng to new enrollment in Marion County, effective 05/01/2010
DMAP IM 10-048 04/29/2010 OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment effective 05/01/2010
DMAP IM 10-044 04/27/2010 OHP Managed Care Service Area Changes: Tillamook County Zip Codes 97136 (Rockaway Beach), 97135 (Pacific City) and 97141 (Tillamook) will be changed to mandatory enrollment beginning May 1, 2010
DMAP IM 10-043 04/27/2010 OHP Managed Care Service Area Changes: Lincoln County Zip Codes 97365 (Newport) and 97367 (Lincoln City) will be changed to mandatory enrollment beginning May 1, 2010
DMAP IM 10-037 03/30/2010 OHP Managed Care Service Area Changes: Willamette Dental Group closing to new enrollment in Columbia County (D170), effective April 1, 2010
DMAP IM 10-036 03/29/2010 OHP Managed Care Service Area Changes: Tillamook County Zip Codes 97107 (Bay City) and 97118 (Garibaldi) will be changed to mandatory enrollment beginning April 1, 2010
DMAP IM 10-035 03/29/2010 OHP Managed Care Service Area Changes: Lincoln County Zip Codes 97368 (Otis), 97388 (Gleneden Beach), and 97391 (Toledo) will be changed to mandatory enrolment beginning April 1, 2010
DMAP IM 10-034 03/29/2010 OHP Managed Care Service Area Changes: Curry County Zip Code 97415 (Brookings) will be changed to mandatory enrollment beginning April 1, 2010
DMAP IM 10-027 02/26/2010 OHP Managed Care Service Area Changes: Tillamook County Zip Codes 97130 (Manzanita) and 97143 (Netarts) will be mandatory enrollment beginning March 1, 2010
DMAP IM 10-026 02/26/2010 OHP Managed Service Area Changes: Lincoln County Zip Codes 97431 (Depoe Bay), 97369 (Otter Rock), 97372 (Rose Lodge), 97380 (Siletz) and 97394 (Waldport) will be changed to mandatory enrollment beginning March 1, 2010
DMAP IM 10-025 02/26/2010 OHP Managed Care Service Area Changes: Curry County Zip Code 97444 (Gold Beach) will be changed to mandatory enrollment beginning March 1, 2010
DMAP IM 10-024 02/24/2010 OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Deschutes (D193) and Wasco (D192) counties
DMAP IM 10-023 02/22/2010 OHP Managed Care: Continuity of Care Information
DMAP IM 10-022 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Polk County (P049), eff. 3/1/2010
DMAP IM 10-021 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Multnomah County (P050), eff. 3/1/2010
DMAP IM 10-020 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Marion County (P048), eff. 3/1/2010
DMAP IM 10-019 02/19/2010 OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Clackamas County (P051), eff. 3/1/2010
DMAP IM 10-018 02/11/2010 Delayed Coverage Letters for OHP Managed Care Service Area Enrollment Corrections
DMAP IM 10-016 02/05/2010 Staff Q & A/Phone Scripts for OHP Managed Care Service Area Enrollment Corrections
DMAP IM 10-015 02/04/2010 OHP Managed Care Service Area Enrollment Corrections
DMAP IM 10-013 01/27/2010 OHP Managed Care Service Area Changes: ODS Medical opening to new enrollment in Jackson County, eff. 02/01/2010
DMAP IM 10-012 01/27/2010 OHP Managed Care Service Area Changes: Willamette Dental Group opening to new enrollment in Columbia County (D170) eff. 02/01/2010
DMAP IM 10-011 01/27/2010 OHP Managed Care Service Area Changes: Providence Health Assurance closing to new enrollment in Multnomah (H200) and Clackamas (H198) counties, eff. 02/01/2010
DMAP IM 10-010 01/25/2010 OHP Managed Care Service Area Changes: Tillamook County ZIP Codes 97112 (Cloverdale), 97134 (Oceanside) and 97147 (Wheeler) will be changed to mandatory enrollment beginning February 1, 2010
DMAP IM 10-009 01/25/2010 OHP Managed Care Service Area Changes: Lincoln County ZIP Codes 97366 (South Beach) and 97376 (Seal Rock) will be changed to mandatory enrolment beginning February 1, 2010
DMAP IM 10-008 01/25/2010 OHP Managed Care Service Area Changes: Curry County ZIP Codes 97450 (Langlois) and 97465 (Port Orford) will be changed to mandatory enrollment beginning February 1, 2010
DMAP IM 10-007 01/25/2010 OHP Managed Care Service Area Changes: Willamette Dental Service area change, Lane and Multnomah counties, effective 2/1/2010
DMAP IM 10-003 01/08/2010 OHP Managed Care Service Area Changes: Willamette Dental Group changes effective Jan. 1, 2010

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OHP Regional Meetings

Staff transmittals about OHP Regional Meetings are now posted on the Office of Payment Accuracy and Recovery transmittal page.

Client announcements

Receive client announcement transmittals by e-mail

Transmittal No.

Date

Title
DMAP IM 10-146 12/14/2010
Client announcements related to COIHS mental health and chemical dependency service integration effective Jan. 1, 2011
DMAP IM 10-142 11/24/2010
Client and provider announcements about OHP managed care copayments effective Jan. 1, 2011
DMAP IM 10-134 11/03/2010 Client announcement: Clarification about Nov. 1 LIPA medical plan
enrollment information for ZIP codes 97424 and 97426
DMAP IM 10-125 10/18/2010
Client announcements: Lane County ZIP codes 97424 and 97426 will be mandatory medical enrollment areas effective Nov. 1, 2010
DMAP IM 10-058 05/21/2010 Client announcement: Choice in CareOregon enrollment for families served by Children's Health Alliance
DMAP IM 10-005 1/15/2010 Client notice - Benefit reduction notice to OHP Plus clients who turn 21

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Provider announcements

Receive provider announcement transmittals by e-mail

Transmittal No.

Date

Title
DMAP IM 10-156 12/30/2010
Provider Announcement: Administrative rules revised effective January 1, 2011 
DMAP IM 10-154 12/29/2010
Provider announcement: Hospital Acquired Conditions policy to be effective Feb. 1, 2011
DMAP IM 10-153 12/27/2010 Announcements about National Drug Code reporting when billing DMAP or OHP managed care plans for physician-administered drugs
DMAP IM 10-148 12/17/2010
Provider announcements about Jan. 1 pharmacy program changes 
DMAP IM 10-147 12/15/2010
Provider Announcement:  Fee-for-Service RVU code updates, effective January 1, 2011
DMAP IM 10-145 12/10/2010 Provider announcement - Third-party billing for Behavioral Rehabilitative
Services providers
DMAP IM 10-144 12/06/2010
Provider announcement:  Inpatient claims for Hospital Acquired Conditions
DMAP IM 10-143 12/02/2010
Provider announcement - Contact change for surgical prior authorizations starting Jan. 1, 2011
DMAP IM 10-142 11/24/2010
Client and provider announcements about OHP managed care copayments effective Jan. 1, 2011
DMAP IM 10-140 11/18/2010
Provider Announcement:  Changes in claim processing this weekend
DMAP IM 10-139 11/15/2010
Provider Announcement: Administrative rules temporarily revised effective October 1, 2010 
DMAP IM 10-137 11/09/2010 Pharmacy announcements: Reminders to complete mandatory pharmacy
surveys by Friday, Nov. 12
DMAP IM 10-136 11/08/2010 Provider Announcement: Date change for system update for hospitals- DRG
Grouper Version 28
DMAP IM 10-135 11/05/2010 Provider Announcement: National Provider Identifier (NPI) requirements
effective January 1, 2011
DMAP IM 10-133 10/29/2010 Provider announcement: Mass adjustments planned for certain claims
DMAP IM 10-129 10/22/2010
Provider Announcement:  FQHCs/RHCs subcontracting with Prepaid  Health Plan (PHP) contractor   
DMAP IM 10-126 10/19/2010 Provider announcement - Mandatory surveys to support pharmacy reimbursement changes
DMAP IM 10-124 10/08/2010
Provider announcement:  Effect of new managed care edit on claims from IHS and Tribal-638 pharmacies
DMAP IM 10-123 10/07/2010
Skilled nursing facility update: Coordination of care for OHP clients enrolled with Kaiser-Permanente PCO
DMAP IM 10-122 10/07/2010
Pharmacy announcement: Intermittent point of sale availability on Sunday, Oct. 10
DMAP IM 10-121 10/05/2010
DMAP provider contract terminations and Provider Web Portal access
DMAP IM 10-118 09/30/2010 Provider announcement: Age group expansion for Targeted Case Management Babies First and CaCoon programs
DMAP IM 10-117 09/29/2010
Provider announcement: System update for hospitals about DRG Grouper Version 28 
DMAP IM 10-116 09/28/2010 Provider announcement: New hospice rates effective Oct. 1, 2010
DMAP IM 10-115 09/27/2010
Provider announcement: New managed care edit takes effect Monday, Oct. 3
DMAP IM 10-110 09/22/2010
Provider Announcement: HSC Prioritized List interim changes, effective October 1, 2010.
DMAP IM 10-109 09/21/2010
Provider  announcement: Hemophilia factor billing ends Oct. 1, 2010
DMAP IM 10-107 09/03/2010
Provider Announcement: New fax sheet to ensure claims are paid
DMAP IM 10-106 09/03/2010
Provider Announcement: Update and reminders on providing services
DMAP IM 10-105 09/03/2010
Provider Announcement: Administrative Rule revisions, September 1, 2010
DMAP IM 10-099 08/25/2010 Provider announcement: Changes in claim processing this weekend
DMAP IM 10-098 08/17/2010 Provider announcement: Reminders about eligibility, benefits and enrollment
DMAP IM 10-097 08/16/2010
Provider announcement: National Provider Identifier requirements
DMAP IM 10-096 08/05/2010
Provider announcement: Pharmacy announcement: Limited point of sale availability on Sunday, Aug. 8
DMAP IM 10-091 07/15/2010
Provider Announcement: Administrative Rule revisions effective July 1, 2010
DMAP IM 10-090 07/08/2010 Provider announcement: Guidance for counties wishing to participate in new or expanded Targeted Case Management programs
DMAP IM 10-089 07/01/2010
Provider announcement: EDI Bulletin 23
DMAP IM 10-078 06/23/2010 Pharmacy program information: Oregon Medicaid Prior Authorization Criteria July 2010 document
DMAP IM 10-077 06/17/2010 Pharmacy alert: Point of sale claims for Medicare-Medicaid clients
DMAP IM 10-071 06/04/2010 Pharmacy announcement: Limited point of sale availability on Sunday, June 6
DMAP IM 10-057 05/14/2010 Pharmacy announcement: Limited point of sale availability on Sunday, May 16
DMAP IM 10-056 05/13/2010 Pharmacy program information: Oregon Medicaid Prior Authorization Criteria corrections to April 1 document
DMAP IM 10-054 05/04/2010 Provider announcement: "BMP" benefit plan will go live on Monday, May 10
DMAP IM 10-046 04/28/2010 Provider Announcement: Administrative Rule revisions, effective April 26 and May 1, 2010
DMAP IM 10-042 04/09/2010 Provider Announcement: 3rd and final reminder: Prior Authorization required for non-PDL drugs and 34-day supply limit
DMAP IM 10-041 04/05/2010 Provider announcement: Prior Authorization required for non-PDL drugs and 34-day supply limit
DMAP IM 10-040 04/02/2010 Administrative Rule revisions, effective April 1, 2010
DMAP IM 10-039 04/01/2010 Provider announcement: Oregon Medicaid Prior Authorization Criteria document update
DMAP IM 10-038 04/01/2010 Pharmacy announcement: Coordination of Benefits and client copayment errors
DMAP IM 10-033 03/12/2010 Provider announcement: Prioritized list update effective April 1, 2010
DMAP IM 10-032 03/12/2010 Provider announcement - Retroactive authorization of Oxygen services
DMAP IM 10-031 03/12/2010 Provider announcement - Survey for hospitals, physician practices and ambulatory surgical centers
DMAP IM 10-029 03/04/2010 Weekly Provider Web Portal Training via Webinar
DMAP IM 10-017 02/08/2010 Provider Web Portal Training in Portland and Salem
DMAP IM 10-015 02/04/2010 OHP Managed Care Service Area Enrollment Corrections
DMAP IM 10-004 01/12/2010 Provider announcement - Pharmacy dispensing fee survey
DMAP IM 10-002 01/07/2010 Provider announcement - Senior Prescription Drug Assistance Program eliminated Jan. 1, 2010
DMAP IM 10-001 01/06/2010 Provider announcement - FFS RVU rate update, effective January 1, 2010

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Miscellaneous

Receive miscellaneous transmittals by e-mail

Transmittal No.

Date

Title
DMAP IM 10-155 12/29/2010
Arrival of new OHP 7210 and process for sending information to HIG
DMAP IM 10-152 12/22/2010
Revision of OHP application and application packet materials
DMAP IM 10-138 11/10/2010 New DMAP contacts for Client Enrolllment Services and Prepaid Heath Plan Coordinators
DMAP IM 10-111 09/24/2010
Staff Announcement: Use and ordering of DHS form 3203; Capturing primary reservation person’s date of birth on the form.
DMAP IM 10-095 07/30/2010 OHP Standard deadline letter – corrected version and talking points
DMAP IM 10-081 06/25/2010 Staff announcement: Updated Brokerage Operations Manual for Non-Emergent Medical Transportation Services
DMAP IM 10-080 06/23/2010 Managed care organization announcement: Correction to historical managed care enrollment segments
DMAP IM 10-075 06/09/2010
Staff announcement: Survey sent to individuals on the OHP Standard reservation list
DMAP IM 10-074 06/08/2010

Staff announcement: Change to June OHP 7210R application mailing date.
DMAP IM 10-073 06/07/2010 Staff announcement: Fax forms for CareOregon disenrollment for families served by Children's Health Alliance providers
DMAP IM 10-072 06/04/2010 Staff announcement: Information about the MMIS recipient data fix
DMAP IM 10-067 06/01/2010 Managed Care Clinic Change – Bridge City moves from FamilyCare to CareOregon
DMAP IM 10-055 05/11/2010 Incomplete reservation numbers listed on Oregon Health Plan (OHP) Standard Reservation applications mailed on 5/3/10
DMAP IM 10-047 04/28/2010 Oregon Health Plan (OHP) Standard reservation list brochure
DMAP IM 10-045 04/28/2010 Staff announcement: Continued health care coverage for foster care youth
DMAP IM 10-030 03/05/2010 Staff announcement: Auto-assignment correction for voluntary service areas
DMAP IM 10-028 03/01/2010 Staff announcement: Auto-assignment concerns in voluntary service areas
DMAP IM 10-006 01/19/2010 Oregon Health Plan (OHP) Standard reservation list materials
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