Also see

2012 Action Requests

2012 Policy Transmittals

 



 

 


 

 

Division of Medical Assistance Programs

2012 Information Memoranda (IM) Transmittals


TOPICS: Plan service area changesOHP Regional MeetingsClient announcementsProvider announcementsMiscellaneous

 

Receive DMAP transmittals by e-mail

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
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Plan service area changes

Receive plan service area change transmittals by e-mail

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

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OHP Regional Meetings

Information about OHP Regional Meetings is now posted on the OHP Regional Meeting page.

Client announcements

Receive client announcement transmittals by e-mail

Transmittal No.

Date

Title

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 12-084 09/11/2012
Client announcement: Dental plan choices for Capitol Dental Care members who see a Shoreview Dental Clinic dentist
DMAP IM 12-053 07/03/2012
Client announcements to Multnomah County CareOregon members about Portland Family Practice providers
DMAP IM 12-009 01/23/2012 Client announcement: 6,500 tri-county mental health plan enrollment changes, effective February 1, 2012

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Provider announcements

Receive provider announcement transmittals by e-mail

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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Miscellaneous

Receive miscellaneous transmittals by e-mail

Transmittal No.

Date

Title

DMAP IM 12-131 12/03/2012 Provider announcement: Correction of some Nov. 16 payment recovery errors
DMAP IM 12-129 11/29/2012 Reminders about Coordinated Care Organization (CCO) transition and health service delivery
DMAP IM 12-120 11/6/2012 New e-mail address for DMAP Hearings Unit
DMAP IM 12-115 10/25/2012 DMAP Worker Guides combined and updated. New and separate Developmental Disabilities Worker Guide
DMAP IM 12-095 09/25/2012 New processes to be followed by DMAP Hearings Unit
DMAP IM 12-091 09/21/2012 Patient-Centered Primary Care Homes Provider Webinar
DMAP IM 12-087 09/17/2012 EDMS Coversheet (DHS 3970) update on DHS Forms Server
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 12-035 04/20/2012
Announcement: Patient-Centered Primary Care Home (PCPCH) Program – provider and client information
DMAP IM 12-024 03/07/2012 MCO announcement: Senate Bill 201 Disenrollment Codes
DMAP IM 12-019 02/21/2012 Updated DMAP Worker Guide VII - HIPP-HIG email contact information change
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