Only share sensitive information on official, secure websites. Oregon's Medicaid coordinated-care organization, Health Share of Oregon, is notifying approximately 654,000 current and former members that some of their protected health information (PHI) was stored on a laptop computer stolen from its transportation vendor, GridWorks. For example, a product that comes in a package with two tests and directs the user to use the second test 36 to 72 hours after the first is counted as two tests. Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP). Name of provider or clinic Include doctors who can provide a visit by phone Telehealth provider Specialty Languages spoken - Select language - Provider gender Location (name of city, county, ZIP code or address) If you are looking for specific forms and policies, visit our provider page and select your area. Oregon Health Authority : FamilyCare CCO transition : Oregon Health OHSU | Provider Search - Moda Health Call: Check the list below to see where your clinic is assigned, and call that number. How you know Learn Access patient health information. As a CareOregon provider, you may have specific questions for us. Send changes or updates to providerupdates@careoregon.org. CareOregon provides plan services to three Coordinated Care Organizations (CCO) and offers a Medicare Advantage plan supporting and enhancing sensible, localized, coordinated care. An official website of the State of Oregon A lock icon ( ) or https:// means youve safely connected to the .gov website. Enrollment in Providence Health Assurance depends on contract renewal. Our Customer Service hours are 8:00 a.m. 5:00 p.m., Monday Friday. provider guidelines for your program and the OHA does not cover all valid codes, and OHA may not allow covered codes in all settings. For more information, visit theOregon Health Planwebsite. CareOregon Regional Care Teams (RCTs) offer providers a community of resources with a single point of contact for you and your patients. Your browser is out-of-date! communicate about your health needs. Health Share of Oregon Provider Directory We've got you covered Find the best provider or clinic for you. As a Health Share member, you can use My Plan to securely access your plan information, show your ID card to get care, and view your account details. Find other ways to get help applying for OHP. Health Systems Oregon Health Plan How to Submit and Adjust Claims to OHA Learn about Fee-for-Service Billing Also refer to the provider guidelines for your program and the General Rules. When we take care of each other, we tighten the bonds that connect and strengthen us all. With My Plan, you have access to your account whenever you want. PO Box 5308 Salem, OR 97304. We make it easy to find a primary provider or medical home youll love. Go to our EDI page to learn more., Make sure you bill any other payers first. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Contact us by telephone: (541) 485-2155 | (877) 600-5472 | TTY 711, 555 International Way Building B My Plan is for you. Call the nurse advice line at 1-800-893-5597 or access Telemedical services to talk with a doctor by phone or video at 1-800-835-2362 or the Teladoc website. Your physical health plan is listed on the back or inside of your Health Share ID card. Oregon Health Plan (OHP) Contacts Yes; enrolled providers can do individual claim submissions using the Oregon MedicaidProvider Portal. Use this tool to find a doctor, hospital, or clinic in the OHSU Health network. Get Thank you for your interest in joining CareOregons provider panel! Give your employees health care that cares for their mind, body, and spirit. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. Send claims electronically using our payer ID 93975. Also refer to the 18885193845, Call 503-416-4100 or 800-224-4840 or TTY 711. Website Feedback. Follow us on Twitter Find us on Facebook Below, youll find contact and procedural information for providers. To access your remittance advice electronically: To receive payments via Electronic Funds Transfer (EFT): CareOregon provides a couple of options for electronic payment. How you know About Health Share Benefits | Providence Health Assurance If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. Health Share Providence | Providence Health Assurance Not sure which RCT to contact? If you have questions about your health plans, providers, benefits, rides to appointments, data breach information, and more, we , https://www.healthshareoregon.org/members/get-help, Health (6 days ago) WebCall 800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). We encourage you to report incidents of suspected fraud, waste, or abuse. All other COVID-19 home test products require PCP order and prior authorization. Please note:CareOregon is not involved in any relationship with providers and Zelis Payments. OHSU Health will cover up to four units per month without a primary care providers (PCP) order or prior authorization. General Contact. Appeals If you receive a Notice of Action letter, you can appeal our decision in writing. Here youll find information useful for THWs and those who work with them. Find us on Facebook Connect with us at one of our upcoming community or provider events. Member forms and notices | Providence Health Plan An official website of the State of Oregon Call Trillium Member Services at 1-877-600-5472. Florida Orthopedic Institute Patients effected: $640,000 Please click on a topic below to get started. Umpqua Health Alliance. If you have an issue, concern, or complaint, please let us know. Learn more about us You can also call the Health Share Customer Service team at 503-416-8090, or care coordinators at OHSU Health at 844-827-6572. Each RCT is made up of care coordinators with a variety of backgrounds and experience, including: Online: Submit a completed Care Coordination Referral formand well route it to your assigned RCT. How to Submit and Adjust Claims to OHA - Oregon or Health Share of Oregon | Contact Us Health Share of Oregon Data Breach: What You Need to Know Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. Trillium Events Connect with us at one of our upcoming community or provider events. For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite . Oregon Medicaid Electronic Data Interchange Trading Partner Agreement OHA 2080 (Rev 7/17) Page 1 of 2 . You might have seen or heard of Connect to Care before, when it was called goMobile. Follow us on Twitter What is Connect to Care? You may also complete the New Contract Requests form here. Best practices for providers, backed by evidence-based guidelines. feeling out of control) that could harm you or someone At this site, you can: For details, visit this page for a riders guide, how to check on a ride and more. Please be certain to include all applicable fields for consideration. Phone numbers Medical/ Behavioral Health. When possible, call two business days ahead of your trip or ride. Youve got options with your Health Share Providence (OHP) health plan. If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. Learn what you may be required to do as part of a PERM review. For urgent care, call your primary care provider 24 hours/day. Emergency issues include chest pain or heart attack, broken Also see the Health Share of Oregon. Do you have questions about health plans and benefits? Call Health Share Customer Service 503-416-8090, or toll free at 888-519-3845 (TTY/TDD 711) Our Customer Service representatives are uniquely trained and qualified to answer any questions you may have about your EOCCO plan. OHP Client Services by calling 800-273-0557 The Oregon Health Authority Ombudsman at 503-947-2346 or toll-free at 877-642-0450 . An official website of the State of Oregon . Health Share of Oregon Contact Us. This service is available Monday through Friday, 8 a.m. to 5 p.m. Pacific Time. To update your information: Keeping your health coverage can help you stay healthy and live your life to the fullest. What are you looking for? Contact information: Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays. Our Customer Service hours are 8:00 a.m. - 5:00 p.m., Monday - Friday. Get language assistance. Mailing address: PO Box 14015, Salem OR 97309 Fax number: 503-378-5628 Fee-for , https://www.oregon.gov/oha/HSD/OHP/Pages/Contact-Us.aspx, Health (3 days ago) WebOregon Health Plan How to Submit and Adjust Claims to OHA Learn about Fee-for-Service Billing Also refer to the provider guidelines for your program and the General Rules. Have a health-related question? When autocomplete results are available use up and down arrows to review and enter to select. If you are one of these people, your member ID card will come from Health Share of Oregon and will have "Legacy Health PacificSource" listed under "Physical Health Plan.". The personal information of 654,362 patients could have been affected by the Healthshare of Oregon data breach. Enter "paper claims" for resources about submitting paper claims. Then verify eligibility and enrollment to determine if your patient is a current OHP member, and to determine whom to billOHA or an OHP health plan. Member feedback helps us improve. Paper Claim Submission - Plan Address List - Sheet1.pdf. Search for Primary Care Providers, hospitals, pharmacies and more. Beginning in April 2023, there will be new information guidelines about when and how often plan members will need to reapply for benefits. Click here to view our Regional Care Team overview in PDF format. 800-431-4135, TTY: 711 Sign up for InTouch, your member portal with personalized health plan information. OHSU Health Services is a new system of care, with over 45locations and thousands of providers across the metro area. Continuing education for health care professionals. else. It has known security flaws and may not display all features of this and other websites. Authorities do not know if the laptop was stolen with the intent of accessing and using any information or if it was a . Providers Overview | PacificSource A .gov website belongs to an official government organization in the UnitedStates. There are lots of things Connect to Care and our partners are here to help your patients with: See if they're eligible for Medicare and help you enroll in the Oregon Health Plan, Help set uptheir medical, dental and behavioral health appointments, Connect them with trained staff to help coordinate their health care needs. A CCO is a network of all types of health care providers (physical health care, addictions and mental PDF If you need to exchange transactions for multiple Oregon Medicaid ID How do we do that? Its time to confirm your eligibility and renew your Oregon Health Plan coverage. Learn more. With this form, you can change your plan, add or remove dependents, or terminate your coverage. My Plan Login: My Plan Login Page | Health Share of Oregon Sign in New to My Plan? (6 days ago) WebClaims & Appeals Submission Claims Address US Family Health Plan/TRICARE Attn: Claims Department P.O. Email: medical@modahealth.com. For reporting compliance issues feel free to contact us anonymously at503-416-1459. Let us help you find the plan that best fits you or your family's needs. You can also ask for an interpreter.This help is free. OHSU Health Services covers at-home COVID-19 antigen testing kits through pharmacy point-of-sale (POS) for members who have symptoms consistent with COVID-19 or who have had confirmed or suspected exposure to COVID-19. It is strictly between Zelis and you, the provider. Search for and find the forms you need as one of our members. The Top 10 and Why They Matter - Gov Health IT Disclaimer |Non-discrimination and Communication Assistance |Notice of Privacy Practice |Terms of Use & Privacy Policy, Browse value-added services & buy-up options, Advanced directives & declarations for mental treatment, Non-discrimination and Communication Assistance |. One test is the collection and processing of one sample, regardless of package size or packaging directions. We accept relay calls.You can get help from a certified and qualified health care interpreter. Ride to Care gets a lot of Health Share members to their Oregon Health Plan appointments. You can also give us a phone call at (888) 920-9466. To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the Washington General Fund. We accept all relay calls. Are not enrolled in a CCO and need help finding a provider that accepts OHP open card. To learn more, please contact your primary care provider. Providers Go to your local in-network pharmacy to buy at-home tests using your pharmacy benefit at point of sale. Visit our provider directory to locate a doctor near you. Learn more about OHP and the benefits that come with your membership. Our team of local customer service experts is available to help you Monday through Friday from 7:30 a.m. to 5:30 p.m. Pacific Time. . Call: 503-416-4100 or 800-224-4840. If enrolling with the ePayment center, please do not submit this form. To do that, you need to update your household information by April 1, 2023! Phone: 503-416-8090. Moda Health customer service My Plan Login: My Plan Login Page | Health Share of Oregon Please contact Zelis at 855-774-4392 or, 2. This coverage is for home tests as a diagnostic tool, not a general screening tool; and does not replace coverage for COVID-19 testing done in clinics and labs. Health Share provides free services to make sure you can Join the people who've already picked Trillium for outstanding personal service. In an emergency, call 911 or go to the hospital. Box 830479 Birmingham, AL 35283 Appeals Address US https://www.hopkinsmedicine.org/johns_hopkins_healthcare/downloads/usfhp/usfhp_quickrefguide.pdf Category: Health Show Health In order to be eligible for payment, claims must meet CareOregon's policies, procedures and authorization requirements as described on this webpage and its links. Include VOE and employee last name in the subject line. Trillium was honored to be a sponsor for Harvesting Hope, where we shared this video about our commitment to whole healthcare. Please send the email address(es) that you want CareOregon to use when contacting your clinic tocareoregonalerts@careoregon.org. Only share sensitive information on official, secure websites. Health (7 days ago) WebFor questions about your health benefits or other questions, please contact Health Share Customer Service by calling 503-416-8090 or toll free at 1-888-519-3845 (TTY/TDD 711). For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. For forms and guides in several languages, including appointment verification forms, visit this page. Health Share of Oregon is Oregon's largest Medicaid coordinated care organization. Doug Flow, 541-471-4106 . The best source of information at this time is this Redetermination FAQ provided by Health Share of Oregon. Visit the OHP fee schedule page to learn more about maximum allowed rates.. For EDI claims for which additional paperwork or documentation will be submitted. OHSU Health Services | OHSU We accept all relay calls. If you are interested in becoming a contracted provider, please review our credentialing requirements (outlined in our CareOregon Provider Manual). Register for a My Plan account OHP website. Just qualified for OHP.not sure which COO to choose Please email VOE@careoregon.org. 2001-2023 Oregon Health & Science University. If you need more than four tests per month, contact your PCP. Urgent issues include severe flu, fever, minor cuts and injuries, or other health issues that cannot wait for a regular appointment. Keep your member ID card close You ll need your ID card to receive services, , https://www.providencehealthplan.com/health-share-providence-ohp, Health (1 days ago) WebTo learn more, please contact your Primary Care Provider or call the Health Share Customer Service team at 503-416-8090. Providers should report any instance of FWA to CareOregon within three (3) days of discovery. Complaints and Appeals | Providence Health Assurance PO Box 5490 Salem, OR 97304. OHSU is an equal opportunity affirmative action institution. 005010X224A2 837D. Get language assistance. After sending an email, a Health Share staff member will be in touch with you within 24 hours. Health Share provides free services to make sure you can communicate , Health (Just Now) WebNo matter your health care need s, we can help. Call 503-416-4100 or 800-224-4840 or TTY 711. RCTs work closely with providers and members through both telephonic and community-based support Click here to access our member portal to send us a secure message. A .gov website belongs to an official government organization in the UnitedStates. CareOregon - Providers Your physical health plan is listed on the back or inside of your Health Share ID card. You can also ask for an interpreter.This help is free. To get care and services: Find a Mental Health or Substance Use Provider online Call CareOregon at 503-416-4100 Talk to your primary care provider (your main doctor or clinic) listed on your ID card We're here to supply you with the support you need to provide for our members. Call OHP Care Coordination at 800-562-4620 if you: Are not enrolled in a CCO and need nurse advice. Youll need your ID card to receive services, so keep it with you at all times. Please call Provider Customer Service at503-416-4100 or 800-224-4840. Call or email our Customer Service team at And if they already have health insurance through OHP, we can help them manage their health care. Posted By HIPAA Journal on Feb 7, 2020. Choose one of the following teams to view contact information, hours of operation and to get assistance by phone or email. Health share care oregon prior authorization, Monarch healthcare claims mailing address, Health (7 days ago) Web503-416-8090, or toll free at 888-519-3845 (TTY/TDD 711) Email Health Share Customer Service We value your feedback and welcome your questions. Be sure to identify each email with a name and job title. When autocomplete results are available use up and down arrows to review and enter to select. Generally, OHA pays the maximum allowed rate or fee, less the TPR payment but not to exceed the maximum allowable rate or fee. 50 KB Download. And how can it help your patients? CareOregon Advantage (Medicare): 1. https://www.zelis.com/provider-enrollment/, Medicare and Medicaid billing and pricing resources, 2021 Evaluation & Management Coding guide, Medicare Fraud & Abuse: Prevent, Detect, Report WBT (cms.gov), Special Needs Plan Model of Care Training Provider Module, Model of Care Clinic/Practice Attestation, 2020 important updates about OHP and metro-area CCOs, Behavioral Health Qualified Directed Payments, Strategic Healthcare Investment for Transformation (SHIFT). Find other ways to get help applying for OHP. https://pacificsource.com/medicaid/contact-us, Health (7 days ago) WebYou may also contact your provider directly to talk about your concerns. Have a health-related question? Go to our Provider Portal information page to learn more.Providers can also submit batches of claims using electronic data interchange. OHP members:We want to make sure you have the information you need. Click here to view our Regional Care Team overview in PDF format. Learn how, An official website of the State of Oregon, billing OHA, make sure the NPI you bill under is the same one you have reported for your Oregon Medicaid ID. The notification did not clarify whether the laptop was encrypted. When autocomplete results are available use up and down arrows to review and enter to select. Understand when and where to receive different types of care. bones, major bleeding, behavioral health crisis (like If , https://www.oregon.gov/oha/HSD/OHP/pages/billing.aspx, Health (Just Now) WebAs a CareOregon provider, you may have specific questions for us. Champion the pursuit of human progress by improving the health of our community. We can help you get a cell phone and service plan for telehealth care with your provider. All Rights Reserved. Contact your Oregon Health Authority eligibility worker, or Visit ONE.Oregon.gov, or Call Trillium Member Services at 1-877-600-5472. info@healthshareoregon.org Press option 3 for provider. Phone: Call the number listed on https://www.uhcprovider.com/en/admin-guides/administrative-guides-manuals-2022/umr-supp-2022/how-to-contact-umr-guide-supp.html Category: Health Show Health info@healthshareoregon.org. Before the state forced it, providers (from hospitals to independent contractors) were refusing to work with them because they were unprepared for this market, paid poorly, and did not meet state standards. Revenue: $500 million to $1 billion (USD) Physical health Dental health Behavioral health Pharmacy Find a primary care provider Get a ride CareOregon takes fraud, waste and abuse very seriously. When submitting claims to CareOregon, you have several options: Send electronic claims to payer ID (93975). You're the heart of our members' health care. We all know that Medicaid and the Oregon Health Plan (OHP) can be complicated, but were here to help make it easier for current and prospective members. Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care). Materials include claims guides, integration toolkits, care coordination resources and more. (how to identify a Oregon.gov website) For technical questions or comments about our website, contact the web administrator. With Connect to Care, CareOregons community Urgent and immediate care clinic locations, Home Health, Hospice and Palliative Care providers, Office of Civil Rights Investigations and Compliance. Mailing address: PO Box 14015, Salem OR 97309 Fax number: 503-378-5628 Fee-for-Service Providers - 800-336-6016 Press 2 for medication prior authorizations or pharmacy claims Press 3 for other prior authorization questions Customer Service is available to help you from 7 a.m. to 8 p.m., seven days a week. Finding a provider is quick and easy with our interactive tool. Go to the Oregon Health Plan's Office Closures page to learn more about the resources available on state office closure days. PO Box 5490 Salem, OR 97304. CAC Contact. The Oregon Health , https://www.providencehealthplan.com/health-share-providence-ohp/complaints-and-appeals, Health (1 days ago) WebPhysical location address (as noted on current W-9 form) Billing name and address Email address of billing contact (s) Call 888-445-8913 for Health Net Medicare Advantage , https://www.healthnetoregon.com/for-providers/resources/electronic-transactions/claims.html, Health (7 days ago) WebProvider Claim Dispute & Redeterminations Incentives Statement A Health Net representative may contact you regarding your inquiry. To schedule a ride, call Ride to Care at 503-416-3955 or visit Ride to Care online. Trinity Healthshare Claims Mailing Address - health-improve.org Email: Send us a completed form to ccreferral@careoregon.org. The plans are listed below. Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. After the first two months of membership, an annual preventative wellness visit and related lab work for which there are no medical symptoms or diagnosis in advance are eligible for sharing, up to a maximum of $400 of the fair and reasonable charges as . Copyright 2023 Providence Health Plan, Providence Plan Partners, and Providence Health Assurance. Health Share of Oregon Notifies 654,000 Members About Business Associate Data Breach. Enroll with Zelis Payment Networkfor ACH direct deposit payment or virtual credit cardfor a small fee(this is separate from CareOregons free ePayment ACH option noted above). For billing purposes, OHA usesCurrent Procedural Terminology (CPT),Level II National Codes (HCPCS) andCurrent Dental Terminology (CDT)procedure codes. If you suspect that benefits aren't being used correctly or want to report a case of waste, abuse or fraud, please contact Ethics Point at 888-331-6524. Learn more about sharing concerns or complaints. Moda Health Provider Services. New to Oregon Health Planweb page. TTY/TDD 711). Current members that experience a qualifying event during the Special Enrollment Period, Jan. 1 - Dec. 31, 2023, can make changes to their plan using the forms below.. 2023 Oregon Plans. Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. When we take care of each other, we tighten the bonds that connect and strengthen us all. Attach your release of information form signed by the employee. File a complaint with: OHP Client Services by calling 800-273-0557. Oregon Health Plan Members | OHSU 11/10/2023 - Veterans Day (observed for qualified Veterans). Search tools, news and notices . Learn Get language assistance. If you require assistance with getting a PH TECH | Id account set up, please contact the Help Desk at 503-584-2169 option 3 . We accept relay calls.You can get help from a certified and qualified health care interpreter. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. For all other questions, visit Health Share of Oregon or call: 503-416-8090 . Coordinated Care Organizations (CCO) - State of Oregon
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