| Transmittal No. |
Date |
Title |
| DMAP IM 12-141 |
12/28/2012 |
Provider announcement - Primary care definition and rate change effective Jan. 1, 2013 |
| DMAP IM 12-140 |
12/28/2012 |
Pharmacy announcement - Updated pharmacy benefit manager list effective Jan. 1, 2013 |
| DMAP IM 12-139 |
12/21/2012 |
OHP Plan Service Area Changes: Yamhill County Coordinated Care (CCO) will open to new enrollment in Marion and Polk counties effective Jan. 1, 2013 |
| DMAP IM 12-138 |
12/21/2012 |
Provider announcements - Winter 2013 OHP provider training and resource updates |
| DMAP IM 12-137 |
12/21/2012 |
Pharmacy announcements - Jan. 1, 2013 Preferred Drug List, PA criteria and billing changes |
| DMAP IM 12-136 |
12/21/2012 |
Provider announcement: Delay in new billing process for nursing facility residents who elect hospice services. Implementation is expected on or after March 1, 2013. |
| DMAP IM 12-135 |
12/18/2012 |
OHP Plan Service Area Changes: Health Share of Oregon/Providence Coordinated Care Organization (CCO) closing to new enrollment in Clackamas, Multnomah and Washington counties effective 01/01/2013 |
| DMAP IM 12-134 |
12/18/2012 |
OHP Plan Service Area Changes: Umatilla and Morrow Counties CCO transition - CareOregon members move to Eastern Oregon CCO effective 1/1/2013 |
| DMAP IM 12-133 |
12/14/2012 |
Provider announcement: Payment recovery for some November 2012 MCO/CCO claims |
| DMAP IM 12-132 |
12/14/2012 |
Provider announcement: December 2012 "Provider Matters" |
| DMAP IM 12-131 |
12/03/2012 |
Provider announcement: Correction of some Nov. 16 payment recovery errors |
| DMAP IM 12-130 |
12/03/2012 |
OHP Plan Service Area Changes: Jackson, Marion, Morrow and Polk Counties are voluntary FCHP/PCO enrollment areas effective 12/1/2012 |
| DMAP IM 12-129 |
11/29/2012 |
Reminders about Coordinated Care Organization (CCO) transition and health service delivery |
| DMAP IM 12-128 |
11/29/2012 |
OHP Managed Care Service Area Changes: Yamhill County Coordinated Care Organization will open to new enrollment in Clackamas, Tillamook, Washington and Yamhill counties effective 12/1/2012 |
| DMAP IM 12-127 |
11/28/2012 |
Provider announcement: Medicaid Patient-Centered Primary Care Home Payment Update, Payment Webinar |
| DMAP IM 12-126 |
11/20/2012 |
Provider announcement: Training reminder: Hospice/nursing facility change in payment process |
| DMAP IM 12-125 |
11/20/2012 |
OHP Managed Care Service Area Changes: Klamath County will be a mandatory Fully Capitated Health Plan (FCHP) enrollment area effective 12/1/2012 |
| DMAP IM 12-124 |
11/16/2012 |
Provider announcement: November 2012 "Provider Matters" |
| DMAP IM 12-123 |
11/14/2012 |
Provider announcement: Payment recovery for some September and October 2012 MCO/CCO claims |
| DMAP IM 12-122 |
11/14/2012 |
Provider announcement: More Revenue Center Codes will require HCPCS codes upon APC implementation |
| DMAP IM 12-121 |
11/6/2012 |
OHP Managed Care Service Area Changes: Yamhill County Care Organization CCO (Coordinated Care Organization) is closed to new enrollment in Clackamas, Marion, Polk, Tillamook, Washington and Yamhill counties. |
| DMAP IM 12-120 |
11/6/2012 |
New e-mail address for DMAP Hearings Unit |
| DMAP IM 12-119 |
11/6/2012 |
Update: Primary Care Managers Program – Change in contact information |
| DMAP IM 12-118 |
11/6/2012 |
Pharmacy announcement - Updated Coordinated Care Organization (CCO) Pharmacy Benefit Manager list |
| DMAP IM 12-117 |
11/2/2012 |
Provider announcement: Hospice/nursing facility change in payment
process, effective Jan. 1, 2013 – Next steps and training information |
| DMAP IM 12-116 |
10/29/2012 |
Pharmacy announcements: Wave 4 Coordinated Care Organization Transition and Hurricane Sandy inclement weather protocols |
| DMAP IM 12-115 |
10/25/2012 |
DMAP Worker Guides combined and updated. New and separate Developmental Disabilities Worker Guide |
| DMAP IM 12-114 |
10/18/2012 |
Provider announcement – New fee-for-service calculated rate for Babies First! and CaCoon TCM program providers |
| DMAP IM 12-113 |
10/18/2012 |
Provider announcement: October 2012 "Provider Matters" |
| DMAP IM 12-112 |
10/18/2012 |
OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Lane County |
| DMAP IM 12-111 |
10/18/2012 |
Client announcement: Dental plan choices for Capitol Dental Care members who see a Shoreview Dental Clinic dentist |
| DMAP IM 12-110 |
10/18/2012 |
| Provider announcement: Reprocessing o f 2011 MCO claims – Payments not affected |
|
| DMAP IM 12-109 |
10/17/2012 |
| Provider announcement - Rebill DMAP for maternity case management claims that incorrectly denied due to CCO enrollment |
|
| DMAP IM 12-108 |
10/17/2012 |
| Provider announcement: Correction of some Oct. 5 payment recovery errors |
|
| DMAP IM 12-107 |
10/16/2012 |
| Provider announcement: Palivizumab (Synagis) reimbursement reminders |
|
| DMAP IM 12-106 |
10/15/2012 |
OHP Managed Care Service Area Changes: PacificSource Community Solutions closing in Grant, Harney, Lake, and Wheeler Counties |
| DMAP IM 12-105 |
10/15/2012 |
Provider announcement: Join OHA for ICD-10 Conference, Oct. 29 and 30 |
| DMAP IM 12-104 |
10/10/2012 |
| Provider announcement: Medicare Grouper Version 30 Delayed |
|
| DMAP IM 12-103 |
10/10/2012 |
| OHP Managed Care Service Area Changes: Providence Health Assurance closing to new enrollment in Yamhill County |
|
| DMAP IM 12-102 |
10/10/2012 |
| OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Benton, Crook and Jefferson counties |
|
| DMAP IM 12-101 |
10/10/2012 |
| OHP Managed Care Service Area Changes: FamilyCare closing to new enrollment in Clatsop, Jackson and Josephine counties |
|
| DMAP IM 12-100 |
10/08/2012 |
| Provider announcement: DME billing for codes E1399 and K0108 |
|
| DMAP IM 12-099 |
10/03/2012 |
| OHP Managed Care Service Area Changes: Umatilla County |
|
| DMAP IM 12-098 |
09/27/2012 |
OHP Managed Care Service Area Changes: FamilyCare PCO (Physician Care Organization) closing 10/1/12 in Morrow and Umatilla Counties |
| DMAP IM 12-097 |
09/27/2012 |
Provider announcement: Payment recovery for some August 2012 CCO claims |
| DMAP IM 12-096 |
09/27/2012 |
Provider announcement: Hospice service rates effective Oct. 1, 2012 |
| DMAP IM 12-095 |
09/25/2012 |
New processes to be followed by DMAP Hearings Unit |
| DMAP IM 12-094 |
09/24/2012 |
Oct. 1, 2012 Prioritized List Changes |
DMAP IM 12-093 |
09/24/2012 |
OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Benton, Crook and Jefferson Counties |
| DMAP IM 12-092 |
09/24/2012 |
Provider announcements about electronic billing and direct deposit |
| DMAP IM 12-091 |
09/21/2012 |
Patient-Centered Primary Care Homes Provider Webinar |
| DMAP IM 12-090 |
09/21/2012 |
Provider training and resource updates |
| DMAP IM 12-089 |
09/21/2012 |
Provider announcement: September 2012 “Provider Matters” |
| DMAP IM 12-088 |
09/18/2012 |
| OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Baker County |
|
| DMAP IM 12-087 |
09/17/2012 |
EDMS Coversheet (DHS 3970) update on DHS Forms Server |
| DMAP IM 12-086 |
09/17/2012 |
| Provider announcement: Payment recovery for some August 2012 claims |
|
| DMAP IM 12-085 |
09/17/2012 |
| Pharmacy announcements: Recovery of generic olanzapine overpayments begins Oct. 19 |
|
| DMAP IM 12-084 |
09/11/2012 |
| Client announcement: Dental plan choices for Capitol Dental Care members who see a Shoreview Dental Clinic dentist |
|
| DMAP IM 12-083 |
09/10/2012 |
| Provider announcements: About Sep. 1 fee-for-service provider rate reductions |
|
| DMAP IM 12-082 |
09/06/2012 |
| OHP Managed Care Service Area Changes: PacificSource Community Solutions closed in Sherman County |
|
| DMAP IM 12-081 |
08/31/2012 |
| Provider announcement: CMS announces new ICD-10 compliance date |
|
| DMAP IM 12-080 |
08/22/2012 |
| Pharmacy announcements: Recovery of generic olanzapine overpayments postponed |
|
| DMAP IM 12-079 |
08/22/2012 |
| Pharmacy announcement: Brand GEODON® and LEXAPRO® to be removed from the OHP Preferred Drug List |
|
| DMAP IM 12-078 |
08/21/2012 |
| OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Linn County |
|
| DMAP IM 12-077 |
08/20/2012 |
| Announcement: Delay in using APC reimbursement software for payments to DRG in-State hospital claims |
|
| DMAP IM 12-076 |
08/16/2012 |
Provider Announcement: August 2012 “Provider Matters” |
| DMAP IM 12-075 |
08/16/2012 |
Pharmacy announcements: Recovery of generic olanzapine overpayments begins Aug. 24 |
| DMAP IM 12-074 |
08/10/2012 |
| Provider announcement: Payment recovery for some July 2012 claims |
|
| DMAP IM 12-073 |
08/08/2012 |
| Provider announcement: Jan. 1, 2012 DRG hospital outpatient reimbursement methodology update; Starting Aug. 21 - APC for in-State hospitals only |
|
| DMAP IM 12-072 |
08/03/2012 |
OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Clackamas County |
| DMAP IM 12-071 |
08/01/2012 |
| OHP Managed Care Service Area Changes: Tillamook County IHN to Columbia Pacific CCO transition process |
|
| DMAP IM 12-070 |
08/01/2012 |
| OHP Managed Care Service Area Changes: Lincoln County CareOregon to IHN CCO transition process |
|
| DMAP IM 12-069 |
07/26/2012 |
| Provider announcement: ICD-10 awareness - Updated 8/16/12 to include announcement correction |
|
| DMAP IM 12-068 |
07/20/2012 |
| Provider announcement: July 2012 “Provider Matters” |
|
| DMAP IM 12-067 |
07/19/2012 |
| OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Hood River County |
|
| DMAP IM 12-066 |
07/17/2012 |
OHP Managed Care Service Area Changes: Marion and Polk Counties Marion Polk Community Health Plan CCO transition process - Corrected 7/18/12 to include contiguous ZIP code information |
| DMAP IM 12-065 |
07/17/2012 |
OHP Managed Care Service Area Changes: Coos and Curry Counties Southwest Oregon Independent Practice Association, Inc CCO transition |
| DMAP IM 12-064 |
07/17/2012 |
OHP Managed Care Service Area Changes: Douglas County DCIPA CCO transition process |
| DMAP IM 12-063 |
07/17/2012 |
OHP Managed Care Service Area Changes: Lane County CCO transition process |
| DMAP IM 12-062 |
07/17/2012 |
OHP Managed Care Service Area Changes: Deschutes, Crook, Jefferson and Klamath Counties PacificSource Community Solutions CCO transition - Corrected 7/18/12 to add MHO closure information |
| DMAP IM 12-061 |
07/17/2012 |
OHP Managed Care Service Area Changes: Benton, Lincoln and Linn Counties IHN CCO transition process |
| DMAP IM 12-060 |
07/17/2012 |
OHP Managed Care Service Area Changes: Clackamas, Multnomah, Washington and Marion Counties FamilyCare CCO transition process |
| DMAP IM 12-059 |
07/17/2012 |
OHP Managed Care Service Area Changes: Curry, Josephine, Jackson and Douglas Counties MRIPA CCO transition process |
| DMAP IM 12-058 |
07/12/2012 |
| Pharmacy announcement - Lipitor® no longer preferred over generic equivalents starting July 18, 2012 |
|
| DMAP IM 12-057 |
07/12/2012 |
| OHP Managed Care Service Area Changes: ODS Health opening in Union and Wallowa counties |
|
| DMAP IM 12-056 |
07/11/2012 |
| Provider announcement: Payment recovery for some June 2012 claims |
|
| DMAP IM 12-055 |
07/10/2012 |
| Provider announcement: Summer quarter - free provider training opportunities |
|
| DMAP IM 12-054 |
07/10/2012 |
| Provider announcement: Coordinated Care Organization Webinar |
|
| DMAP IM 12-053 |
07/03/2012 |
| Client announcements to Multnomah County CareOregon members about Portland Family Practice providers |
|
| DMAP IM 12-052 |
07/03/2012 |
| Pharmacy announcement: Clarification about 2011 claim discrepancy reporting |
|
| DMAP IM 12-051 |
06/28/2012 |
| Provider announcement: Hospital policy changes effective July 1, 2012 |
|
| DMAP IM 12-050 |
06/27/2012 |
| Provider announcement - Cost template request for Babies First! and CaCoon providers |
|
| DMAP IM 12-049 |
06/22/2012 |
Provider announcement - Rebill claims that report 340B family planning National Drug Codes |
| DMAP IM 12-048 |
06/21/2012 |
OHP Managed Care Service Area Changes: Dental Changes in Clackamas, Multnomah and Washington counties |
| DMAP IM 12-047 |
06/20/2012 |
| OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Jackson, Josephine, Lane, Linn, Marion, Wasco and Yamhill counties |
|
| DMAP IM 12-046 |
06/18/2012 |
| Provider announcement: Request to home health agencies for most recent Medicare Cost Reports |
|
| DMAP IM 12-045 |
06/15/2012 |
Provider announcement: June 2012 “Provider Matters” |
| DMAP IM 12-044 |
06/15/2012 |
MCO announcement: Information about new drug carve-out files available to contracted plans starting July 3 |
| DMAP IM 12-043 |
06/14/2012 |
Provider announcement: Payment recovery for some May 2012 claims |
| DMAP IM 12-042 |
06/07/2012 |
| Provider announcement: HIPAA 5010 reminder |
|
| DMAP IM 12-041 |
06/01/2012 |
Pharmacy announcement: Request to verify processing of Mar. to Aug. 2011 pharmacy claims submitted to DMAP |
| DMAP IM 12-040 |
05/31/2012 |
| OHP Managed Care Service Area Changes: Kaiser closing to new enrollment in Clackamas County |
|
| DMAP IM 12-039 |
05/14/2012 |
| Provider announcement: Payment recovery for some March/April 2012 claims |
|
| DMAP IM 12-038 |
05/08/2012 |
| Pharmacy announcement - Zyprexa® no longer preferred over generic equivalents starting May 16 |
|
| DMAP IM 12-037 |
05/07/2012 |
| Provider announcement: 5/18 reprocessing planned for some pharmacy claims |
|
| DMAP IM 12-036 |
04/24/2012 |
| OHP Managed Care Service Area Changes: Marion Polk Community Health Plan closing to new enrollment in Yamhill County |
|
| DMAP IM 12-035 |
04/20/2012 |
| Announcement: Patient-Centered Primary Care Home (PCPCH) Program – provider and client information |
|
| DMAP IM 12-034 |
04/20/2012 |
| Provider announcement: Apr. 27 payment recovery of claims incorrectly billed to DMAP (CORRECTION) |
|
| DMAP IM 12-033 |
04/16/2012 |
| Provider announcement: Free provider training opportunities |
|
| DMAP IM 12-032 |
04/11/2012 |
| Provider announcement: Recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-031 |
04/11/2012 |
| OHP Managed Care Service Area Changes: ODS Dental is opening to new enrollment in Tillamook County |
|
| DMAP IM 12-030 |
03/29/2012 |
| Provider announcement: CAWEM Plus Prenatal (CWX) expanded to Umatilla County, effective April 1, 2012 |
|
| DMAP IM 12-029 |
03/27/2012 |
| Announcement: DMAP’s HIPAA 5010 compliance deadline extended to June 29, 2012 |
|
| DMAP IM 12-028 |
03/27/2012 |
| OHP Managed Care Service Area Changes: Willamette Dental Group |
|
| DMAP IM 12-027 |
03/21/2012 |
Announcement: Status of Jan. 1 changes to DRG hospital reimbursement |
| DMAP IM 12-026 |
03/21/2012 |
| OHP Managed Care Service Area Changes: ODS Dental is closing to new enrollment in Tillamook County |
|
| DMAP IM 12-025 |
03/20/2012 |
| Announcement: Apr. 1 Prioritized List changes |
|
| DMAP IM 12-024 |
03/07/2012 |
MCO announcement: Senate Bill 201 Disenrollment Codes |
| DMAP IM 12-023 |
03/05/2012 |
Provider announcement: Recovery of claims incorrectly billed to DMAP |
| DMAP IM 12-022 |
03/02/2012 |
Provider announcement: Less than 30 days left for 5010 compliance |
| DMAP IM 12-021 |
03/02/2012 |
MCO and provider announcement: Updated data for Senate Bill 101 implementation |
| DMAP IM 12-020 |
02/23/2012 |
OHP Managed Care Service Area Changes: Willamette Dental Group |
| DMAP IM 12-019 |
02/21/2012 |
Updated DMAP Worker Guide VII - HIPP-HIG email contact information change |
| DMAP IM 12-018 |
02/16/2012 |
Provider announcement: Less than 45 days left for 5010 compliance |
| DMAP IM 12-017 |
02/13/2012 |
| Provider announcement: Effective January 1, 2012 - Instructions for LAP Dental Hygienists change to Expanded Practice Dental Hygienist |
|
| DMAP IM 12-016 |
02/09/2012 |
| Provider announcement: Recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-015 |
02/07/2012 |
| Announcements: Reminders about HIPAA 5010 requirements |
|
| DMAP IM 12-014 |
01/27/2012 |
| OHP Managed Care Service Area Changes: CareOregon closing to new enrollment in Umatilla County |
|
| DMAP IM 12-013 |
01/26/2012 |
| Provider announcement: Feb. 4 claim adjustments due to incorrect DMEPOS rates |
|
| DMAP IM 12-012 |
01/25/2012 |
| OHP Managed Care Service Area Changes: Willamette Dental Group |
|
| DMAP IM 12-011 |
01/25/2012 |
| OHP Managed Care Service Area Changes: Providence Health Assurance |
|
| DMAP IM 12-010 |
01/24/2012 |
| OHP Managed Care Service Area Changes: ODS Dental will open to new enrollment in Tillamook County |
|
| DMAP IM 12-009 |
01/23/2012 |
| Client announcement: 6,500 tri-county mental health plan enrollment changes, effective February 1, 2012 |
|
| DMAP IM 12-008 |
01/19/2012 |
| Provider announcement: Recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-007 |
01/13/2012 |
Provider announcement: Feb. 2012 reconciliation planned for Targeted Case Management, Behavioral Rehabilitation Services, and School Based Health Services leverage accounts |
| DMAP IM 12-006 |
01/13/2012 |
| Pharmacy announcement: Adjusting claims submitted before Jan. 1, 2012 |
|
| DMAP IM 12-005 |
01/13/2012 |
| Provider announcement: Fee-for-service Relative Value Unit (RVU) rates staying the same for Jan. 1, 2012 |
|
| DMAP IM 12-004 |
01/12/2012 |
| Announcement: Reminder about Jan. 1, 2012 changes to eligibility inquiry search criteria |
|
| DMAP IM 12-003 |
01/10/2012 |
| Provider announcement – Reminder about applying for Medicaid EHR Program Incentives |
|
| DMAP IM 12-002 |
01/09/2012 |
| Provider announcement: Summary of Administrative Rule revisions |
|
| DMAP IM 12-001 |
01/06/2012 |
| OHP Managed Care Service Area Changes: Kaiser closing to new enrollment in Marion County |
|
| Transmittal No. |
Date |
Title |
| DMAP IM 12-139 |
12/21/2012 |
OHP Plan Service Area Changes: Yamhill County Coordinated Care (CCO) will open to new enrollment in Marion and Polk counties effective Jan. 1, 2013 |
| DMAP IM 12-135 |
12/18/2012 |
OHP Plan Service Area Changes: Health Share of Oregon/Providence Coordinated Care Organization (CCO) closing to new enrollment in Clackamas, Multnomah and Washington counties effective 01/01/2013 |
| DMAP IM 12-134 |
12/18/2012 |
OHP Plan Service Area Changes: Umatilla and Morrow Counties CCO
transition - CareOregon members move to Eastern Oregon CCO effective
1/1/2013 |
| DMAP IM 12-130 |
12/03/2012 |
OHP Plan Service Area Changes: Jackson, Marion, Morrow and Polk Counties are voluntary FCHP/PCO enrollment areas effective 12/1/2012 |
| DMAP IM 12-128 |
11/29/2012 |
OHP Managed Care Service Area Changes: Yamhill County Coordinated Care Organization will open to new enrollment in Clackamas, Tillamook, Washington and Yamhill counties effective 12/1/2012 |
| DMAP IM 12-125 |
11/20/2012 |
OHP Managed Care Service Area Changes: Klamath County will be a mandatory Fully Capitated Health Plan (FCHP) enrollment area effective 12/1/2012 |
| DMAP IM 12-121 |
11/6/2012 |
OHP Managed Care Service Area Changes: Yamhill County Care Organization CCO (Coordinated Care Organization) is closed to new enrollment in Clackamas, Marion, Polk, Tillamook, Washington and Yamhill counties. |
| DMAP IM 12-112 |
10/18/2012 |
OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Lane County |
| DMAP IM 12-106 |
10/15/2012 |
OHP Managed Care Service Area Changes: PacificSource Community Solutions closing in Grant, Harney, Lake, and Wheeler Counties |
| DMAP IM 12-103 |
10/10/2012 |
| OHP Managed Care Service Area Changes: Providence Health Assurance closing to new enrollment in Yamhill County |
|
| DMAP IM 12-102 |
10/10/2012 |
| OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Benton, Crook and Jefferson counties |
|
| DMAP IM 12-101 |
10/10/2012 |
| OHP Managed Care Service Area Changes: FamilyCare closing to new enrollment in Clatsop, Jackson and Josephine counties |
|
| DMAP IM 12-099 |
10/03/2012 |
| OHP Managed Care Service Area Changes: Umatilla County |
|
| DMAP IM 12-098 |
09/27/2012 |
OHP Managed Care Service Area Changes: FamilyCare PCO (Physician Care Organization) closing 10/1/12 in Morrow and Umatilla Counties |
DMAP IM 12-093 |
09/24/2012 |
OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Benton, Crook and Jefferson Counties |
| DMAP IM 12-088 |
09/18/2012 |
| OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Baker County |
|
| DMAP IM 12-082 |
09/06/2012 |
| OHP Managed Care Service Area Changes: PacificSource Community Solutions closed in Sherman County |
|
| DMAP IM 12-072 |
08/03/2012 |
OHP Managed Care Service Area Changes: Kaiser opening to new enrollment in Clackamas County |
| DMAP IM 12-071 |
08/01/2012 |
| OHP Managed Care Service Area Changes: Tillamook County IHN to Columbia Pacific CCO transition process |
|
| DMAP IM 12-070 |
08/01/2012 |
| OHP Managed Care Service Area Changes: Lincoln County CareOregon to IHN CCO transition process |
|
| DMAP IM 12-067 |
07/19/2012 |
| OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Hood River County |
|
| DMAP IM 12-066 |
07/17/2012 |
OHP Managed Care Service Area Changes: Marion and Polk Counties Marion Polk Community Health Plan CCO transition process |
| DMAP IM 12-065 |
07/17/2012 |
OHP Managed Care Service Area Changes: Coos and Curry Counties Southwest Oregon Independent Practice Association, Inc CCO transition |
| DMAP IM 12-064 |
07/17/2012 |
OHP Managed Care Service Area Changes: Douglas County DCIPA CCO transition process |
| DMAP IM 12-063 |
07/17/2012 |
OHP Managed Care Service Area Changes: Lane County CCO transition process |
| DMAP IM 12-062 |
07/17/2012 |
OHP Managed Care Service Area Changes: Deschutes, Crook, Jefferson and Klamath Counties PacificSource Community Solutions CCO transition |
| DMAP IM 12-061 |
07/17/2012 |
OHP Managed Care Service Area Changes: Benton, Lincoln and Linn Counties IHN CCO transition process |
| DMAP IM 12-060 |
07/17/2012 |
OHP Managed Care Service Area Changes: Clackamas, Multnomah, Washington and Marion Counties FamilyCare CCO transition process |
| DMAP IM 12-059 |
07/17/2012 |
OHP Managed Care Service Area Changes: Curry, Josephine, Jackson and Douglas Counties MRIPA CCO transition process |
| DMAP IM 12-057 |
07/12/2012 |
| OHP Managed Care Service Area Changes: ODS Health opening in Union and Wallowa counties |
|
| DMAP IM 12-048 |
06/21/2012 |
OHP Managed Care Service Area Changes: Dental Changes in Clackamas, Multnomah and Washington counties |
| DMAP IM 12-047 |
06/20/2012 |
| OHP Managed Care Service Area Changes: ODS Dental opening to new enrollment in Jackson, Josephine, Lane, Linn, Marion, Wasco and Yamhill counties |
|
| DMAP IM 12-040 |
05/31/2012 |
| OHP Managed Care Service Area Changes: Kaiser closing to new enrollment in Clackamas County |
|
| DMAP IM 12-036 |
04/24/2012 |
| OHP Managed Care Service Area Changes: Marion Polk Community Health Plan closing to new enrollment in Yamhill County |
|
| DMAP IM 12-031 |
04/11/2012 |
| OHP Managed Care Service Area Changes: ODS Dental is opening to new enrollment in Tillamook County |
|
| DMAP IM 12-028 |
03/27/2012 |
| OHP Managed Care Service Area Changes: Willamette Dental Group |
|
| DMAP IM 12-026 |
03/21/2012 |
| OHP Managed Care Service Area Changes: ODS Dental is closing to new enrollment in Tillamook County |
|
| DMAP IM 12-020 |
02/23/2012 |
| OHP Managed Care Service Area Changes: Willamette Dental Group |
|
| DMAP IM 12-014 |
01/27/2012 |
| OHP Managed Care Service Area Changes: CareOregon closing to new enrollment in Umatilla County |
|
| DMAP IM 12-012 |
01/25/2012 |
| OHP Managed Care Service Area Changes: Willamette Dental Group |
|
| DMAP IM 12-011 |
01/25/2012 |
| OHP Managed Care Service Area Changes: Providence Health Assurance |
|
| DMAP IM 12-010 |
01/24/2012 |
| OHP Managed Care Service Area Changes: ODS Dental will open to new enrollment in Tillamook County |
|
| DMAP IM 12-001 |
01/06/2012 |
OHP Managed Care Service Area Changes: Kaiser closing to new enrollment in Marion County |
Transmittal No. |
Date |
Title |
| DMAP IM 12-141 |
12/28/2012 |
Provider announcement - Primary care definition and rate change effective Jan. 1, 2013 |
| DMAP IM 12-140 |
12/28/2012 |
Pharmacy announcement - Updated pharmacy benefit manager list effective Jan. 1, 2013 |
| DMAP IM 12-138 |
12/21/2012 |
Provider announcements - Winter 2013 OHP provider training and resource updates |
| DMAP IM 12-137 |
12/21/2012 |
Pharmacy announcements - Jan. 1, 2013 Preferred Drug List, PA criteria and billing changes |
| DMAP IM 12-136 |
12/21/2012 |
Provider announcement: Delay in new billing process for nursing facility residents who elect hospice services. Implementation is expected on or after March 1, 2013. |
| DMAP IM 12-133 |
12/14/2012 |
Provider announcement: Payment recovery for some November 2012 MCO/CCO claims |
| DMAP IM 12-132 |
12/14/2012 |
Provider announcement: December 2012 "Provider Matters" |
| DMAP IM 12-127 |
11/28/2012 |
Provider announcement: Medicaid Patient-Centered Primary Care Home Payment Update, Payment Webinar |
| DMAP IM 12-126 |
11/20/2012 |
Provider announcement: Training reminder: Hospice/nursing facility change in payment process |
| DMAP IM 12-124 |
11/16/2012 |
Provider announcement: November 2012 "Provider Matters" |
| DMAP IM 12-123 |
11/14/2012 |
Provider announcement: Payment recovery for some September and October 2012 MCO/CCO claims |
| DMAP IM 12-122 |
11/14/2012 |
Provider announcement: More Revenue Center Codes will require HCPCS codes upon APC implementation |
| DMAP IM 12-119 |
11/6/2012 |
Update: Primary Care Managers Program – Change in contact information |
| DMAP IM 12-118 |
11/6/2012 |
Pharmacy announcement - Updated Coordinated Care Organization (CCO) Pharmacy Benefit Manager list |
| DMAP IM 12-117 |
11/2/2012 |
Provider announcement: Hospice/nursing facility change in payment
process, effective Jan. 1, 2013 – Next steps and training information |
| DMAP IM 12-116 |
10/29/2012 |
Pharmacy announcements: Wave 4 Coordinated Care Organization Transition and Hurricane Sandy inclement weather protocols |
| DMAP IM 12-114 |
10/18/2012 |
Provider announcement – New fee-for-service calculated rate for Babies First! and CaCoon TCM program providers |
| DMAP IM 12-113 |
10/18/2012 |
Provider announcement: October 2012 "Provider Matters" |
| DMAP IM 12-110 |
10/18/2012 |
| Provider announcement: Reprocessing o f 2011 MCO claims – Payments not affected |
|
| DMAP IM 12-109 |
10/17/2012 |
| Provider announcement - Rebill DMAP for maternity case management claims that incorrectly denied due to CCO enrollment |
|
| DMAP IM 12-108 |
10/17/2012 |
| Provider announcement: Correction of some Oct. 5 payment recovery errors |
|
| DMAP IM 12-105 |
10/15/2012 |
Provider announcement: Join OHA for ICD-10 Conference, Oct. 29 and 30 |
| DMAP IM 12-104 |
10/10/2012 |
| Provider announcement: Medicare Grouper Version 30 Delayed |
|
| DMAP IM 12-100 |
10/08/2012 |
| Provider announcement: DME billing for codes E1399 and K0108 |
|
| DMAP IM 12-097 |
09/27/2012 |
Provider announcement: Payment recovery for some August 2012 CCO claims |
| DMAP IM 12-096 |
09/27/2012 |
Provider announcement: Hospice service rates effective Oct. 1, 2012 |
| DMAP IM 12-094 |
09/24/2012 |
Oct. 1, 2012 Prioritized List Changes |
| DMAP IM 12-092 |
09/24/2012 |
Provider announcements about electronic billing and direct deposit |
| DMAP IM 12-090 |
09/21/2012 |
Provider training and resource updates |
| DMAP IM 12-089 |
09/21/2012 |
Provider announcement: September 2012 “Provider Matters” |
| DMAP IM 12-086 |
09/17/2012 |
| Provider announcement: Payment recovery for some August 2012 claims |
|
| DMAP IM 12-085 |
09/17/2012 |
| Pharmacy announcements: Recovery of generic olanzapine overpayments begins Oct. 19 |
|
| DMAP IM 12-083 |
09/10/2012 |
| Provider announcements: About Sep. 1 fee-for-service provider rate reductions |
|
| DMAP IM 12-081 |
08/31/2012 |
| Provider announcement: CMS announces new ICD-10 compliance date |
|
| DMAP IM 12-080 |
08/22/2012 |
| Pharmacy announcements: Recovery of generic olanzapine overpayments postponed |
|
| DMAP IM 12-079 |
08/22/2012 |
| Pharmacy announcement: Brand GEODON® and LEXAPRO® to be removed from the OHP Preferred Drug List |
|
| DMAP IM 12-078 |
08/21/2012 |
| OHP Managed Care Service Area Changes: ODS Dental closing to new enrollment in Linn County |
|
| DMAP IM 12-077 |
08/20/2012 |
| Announcement: Delay in using APC reimbursement software for payments to DRG in-State hospital claims |
|
| DMAP IM 12-076 |
08/16/2012 |
Provider Announcement: August 2012 “Provider Matters” |
| DMAP IM 12-075 |
08/16/2012 |
Pharmacy announcements: Recovery of generic olanzapine overpayments begins Aug. 24 |
| DMAP IM 12-074 |
08/10/2012 |
| Provider announcement: Payment recovery for some July 2012 claims |
|
| DMAP IM 12-073 |
08/08/2012 |
| Provider announcement: Jan. 1, 2012 DRG hospital outpatient reimbursement methodology update; Starting Aug. 21 - APC for in-State hospitals only |
|
| DMAP IM 12-069 |
07/26/2012 |
| Provider announcement: ICD-10 awareness - Updated 8/16/12 to include announcement correction |
|
| DMAP IM 12-068 |
07/20/2012 |
| Provider announcement: July 2012 “Provider Matters” |
|
| DMAP IM 12-058 |
07/12/2012 |
| Pharmacy announcement - Lipitorâ no longer preferred over generic equivalents starting July 18, 2012 |
|
| DMAP IM 12-056 |
07/11/2012 |
| Provider announcement: Payment recovery for some June 2012 claims |
|
| DMAP IM 12-055 |
07/10/2012 |
| Provider announcement: Summer quarter - free provider training opportunities |
|
| DMAP IM 12-054 |
07/10/2012 |
| Provider announcement: Coordinated Care Organization Webinar |
|
| DMAP IM 12-052 |
07/03/2012 |
| Pharmacy announcement: Clarification about 2011 claim discrepancy reporting |
|
| DMAP IM 12-051 |
06/28/2012 |
| Provider announcement: Hospital policy changes effective July 1, 2012 |
|
| DMAP IM 12-050 |
06/27/2012 |
| Provider announcement - Cost template request for Babies First! and CaCoon providers |
|
| DMAP IM 12-049 |
06/22/2012 |
Provider announcement - Rebill claims that report 340B family planning National Drug Codes |
| DMAP IM 12-046 |
06/18/2012 |
| Provider announcement: Request to home health agencies for most recent Medicare Cost Reports |
|
| DMAP IM 12-045 |
06/15/2012 |
Provider announcement: June 2012 “Provider Matters” |
| DMAP IM 12-043 |
06/14/2012 |
| Provider announcement: Payment recovery for some May 2012 claims |
|
| DMAP IM 12-042 |
06/07/2012 |
| Provider announcement: HIPAA 5010 reminder |
|
| DMAP IM 12-041 |
06/01/2012 |
Pharmacy announcement: Request to verify processing of Mar. to Aug. 2011 pharmacy claims submitted to DMAP |
| DMAP IM 12-039 |
05/14/2012 |
| Provider announcement: Payment recovery for some March/April 2012 claims |
|
| DMAP IM 12-038 |
05/08/2012 |
| Pharmacy announcement - Zyprexa® no longer preferred over generic equivalents starting May 16 |
|
| DMAP IM 12-037 |
05/07/2012 |
| Provider announcement: 5/18 reprocessing planned for some pharmacy claims |
|
| DMAP IM 12-034 |
04/19/2012 |
| Provider announcement: Apr. 27 payment recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-033 |
04/16/2012 |
| Provider announcement: Free provider training opportunities |
|
| DMAP IM 12-032 |
04/11/2012 |
| Provider announcement: Recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-030 |
03/29/2012 |
| Provider announcement: CAWEM Plus Prenatal (CWX) expanded to Umatilla County, effective April 1, 2012 |
|
| DMAP IM 12-029 |
03/27/2012 |
| Announcement: DMAP’s HIPAA 5010 compliance deadline extended to June 29, 2012 |
|
| DMAP IM 12-027 |
03/21/2012 |
Announcement: Status of Jan. 1 changes to DRG hospital reimbursement |
| DMAP IM 12-025 |
03/20/2012 |
| Announcement: Apr. 1 Prioritized List changes |
|
| DMAP IM 12-023 |
03/05/2012 |
| Provider announcement: Recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-022 |
03/02/2012 |
| Provider announcement: Less than 30 days left for 5010 compliance |
|
| DMAP IM 12-021 |
03/02/2012 |
| MCO and provider announcement: Updated data for Senate Bill 101 implementation |
|
| DMAP IM 12-018 |
02/16/2012 |
| Provider announcement: Less than 45 days left for 5010 compliance |
|
| DMAP IM 12-017 |
02/13/2012 |
| Provider announcement: Effective January 1, 2012 - Instructions for LAP Dental Hygienists change to Expanded Practice Dental Hygienist |
|
| DMAP IM 12-016 |
02/09/2012 |
| Provider announcement: Recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-015 |
02/07/2012 |
| Announcements: Reminders about HIPAA 5010 requirements |
|
| DMAP IM 12-013 |
01/26/2012 |
| Provider announcement: Feb. 4 claim adjustments due to incorrect DMEPOS rates |
|
| DMAP IM 12-008 |
01/19/2012 |
| Provider announcement: Recovery of claims incorrectly billed to DMAP |
|
| DMAP IM 12-007 |
01/13/2012 |
Provider announcement: Feb. 2011 reconciliation planned for Targeted Case Management, Behavioral Rehabilitation Services, and School Based Health Services leverage accounts |
| DMAP IM 12-006 |
01/13/2012 |
| Pharmacy announcement: Adjusting claims submitted before Jan. 1, 2012 |
|
| DMAP IM 12-005 |
01/13/2012 |
| Provider announcement: Fee-for-service Relative Value Unit (RVU) rates staying the same for Jan. 1, 2012 |
|
| DMAP IM 12-004 |
01/12/2012 |
| Announcement: Reminder about Jan. 1, 2012 changes to eligibility inquiry search criteria |
|
| DMAP IM 12-003 |
01/10/2012 |
| Provider announcement – Reminder about applying for Medicaid EHR Program Incentives |
|
| DMAP IM 12-002 |
01/09/2012 |
Provider announcement: Summary of Administrative Rule revisions |
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