Mmis Oregon Health Plan

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Home [www.or-medicaid.gov]

Details: Providers - What you need to know about the Web portal. OHP provider announcements. Behavioral Health Providers - View the Addictions and Mental Health home page. APD Providers - View the Aging and people with physical disabilities home page. Oregon Medicaid NPI Verification - Search an NPI for active providers with Oregon Medicaid. mmis medicaid provider portal oregon

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› Url: https://www.or-medicaid.gov/ProdPortal/default.aspx Go Now

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Oregon Health Authority : Oregon Health Policy Board

Details: The Oregon Health Authority is overseen by the Oregon Health Policy Board (OHPB), a nine-member citizen board. OHA is responsible for the many of the state’s major health systems including the Medicaid program known as the Oregon Health Plan, the Oregon State Hospital, public health, behavioral health, and the Public Employees Benefit Board and Oregon Educators Benefit Board. oregon health authority mmis

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› Url: https://health.oregon.gov/OHA/healthplan/mmis.shtml Go Now

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VIEWING CASE INFORMATION IN MMIS - oregon.gov

Details: ACCESSING MMIS CASE INFORMATION • From the . Benefit Plan. panel in MMIS . o. Select . Status [1] dropdown . Active Only. o. click . Search [2] This will allow you to see only the Active lines. o. Ensure that the newest Benefit Plan line appears first by clicking on the end date column [3] two times. • Click on the . Benefit Plan mmis oregon portal

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› Url: https://www.oregon.gov/dhs/BUSINESS-SERVICES/OPAR/Documents/How%20to%20find%20MMIS%20Case%20Number.pdf Go Now

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Oregon Medicaid Management Information System (OR …

Details: Oregon Medicaid Management Information System (OR-MMIS) 271 EB05 BMD BMH BMM BMP CWM CWX KIT MED ADMIN Admin Services MFP Money Follows the Person APD Aged and Physically Disabled MFW Medically Fragile Children BHC Basic Health Care Pkg MIW Medically Involved Children BPA CMS State Plan for 20 hr MND Transplant Package mmis oregon ohp

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› Url: https://www.oregon.gov/OHA/HSD/OHP/Tools/271%20Supplement%20-%20EB05%20Benefit%20Descriptions.pdf Go Now

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MMIS Plan of Care (POC) Guide 15.10 v.1

Details: The nursing home Plan of Care is the most common type and is generally set up for one year. The following step-by-step procedure illustrates how to set up a nursing home Plan of Care in the MMIS. See Figures 9 through 21. Before setting up a new Plan of Care, always search to ensure an existing Plan of Care isn’t already set up for the client. medicaid mmis oregon

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› Url: https://www.dhs.state.or.us/spd/tools/mmis/15_10_v1_1_MMIS_Plan_of_Care_Guide_052412.pdf Go Now

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How to Issue an Oregon Health ID & Coverage Letter in MMIS

Details: The new Oregon Health IDs, cont. • The new Oregon Health IDs are not a guarantee of eligibility • The medical provider must confirm eligibility dates • The provider needs the prime number • Check to see if the client is eligible in MMIS • You may not need to fax an Oregon Health ID if the client is eligible in MMIS mmis ohp

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› Url: https://www.dhs.state.or.us/spd/tools/mmis/Issuing%20coverage%20letters%20and%20id%20cards.pdf Go Now

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Oregon Health Authority : Provider Web Portal : Oregon

Details: The Provider Web Portal gives you free, real-time information about Oregon Health Plan (OHP) eligibility, claim status, prior authorization status, and more. You can also submit individual claims, prior authorization and plan of care requests. Log into the Provider Web Portal: Available 24 hours a … mmis or

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› Url: https://www.oregon.gov/oha/HSD/OHP/Pages/webportal.aspx Go Now

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MMIS Managed Care Training

Details: If the client is already enrolled in a physical health plan, HIG then verifies and records the status of the TPL in the MMIS. If the client reports changes to their private health insurance situation, send a completed form “MSC0415H” to HIG. Questions about MMIS TrainingBob CostaMMIS Training Manager Oregon Health Authority503-947

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› Url: https://www.dhs.state.or.us/spd/tools/mmis/Webinar_MCE_Handout%20082112.pptx Go Now

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Oregon Health Authority : Oregon Health Plan members

Details: Oregon Health Plan members. COVID-19: Oregon Health Plan members are covered. OHP members are covered for COVID-19 vaccines, testing and treatment. Learn more about OHP coverage during this national emergency. Find the latest news, health information and answers to your top questions on the Oregon COVID-19 site.

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› Url: http://www.ohp.oregon.gov/ Go Now

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www.dhs.state.or.us

Details: oregon childrens plan dual elig oco oregon childrens plan only odq ohp2 disqualified opu client oe ohs ohp student oh1 oregon health plan parti oh2 oregon health plan partii opc ohp2 eligible less than age 19 opi oregon project indep in home opp ohp2 pregnant woman - 0 thru 185 opt client opting out of ohp2 opu ohp2 > 18 - not pregnant - < 1 op6

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› Url: https://www.dhs.state.or.us/spd/tools/mmis/MMIS%20Case%20Descriptors.xlsx Go Now

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Oregon Health Authority : OHP Fee-for-Service Fee Schedule

Details: OHP Fee-for-Service Fee Schedule. On September 29, 2021, health care providers will be able to apply for $25.5 billion in relief funds, including $8.5 billion in American Rescue Plan resources for providers who serve rural patients and $17 billion for Provider Relief Fund Phase 4 for a broad range of providers who can document revenue loss and

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› Url: https://www.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx Go Now

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Oregon Health Authority : Contact Us : Oregon Health Plan

Details: Contact Information Oregon Health Plan (OHP) OHP Fee-for-Service Providers - 800-336-6016 Press 2 for medication prior authorizations or pharmacy claims Press 3 for other prior authorization questions Press 4 for code pairing and Prioritized List questions Press 5 for claims or web portal help Press 6 for enrollment, revalidation or credentialing

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› Url: https://www.oregon.gov/oha/HSD/OHP/Pages/Contact-Us.aspx Go Now

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Oregon Health Plan Provider Web Portal

Details: Oregon Health Plan Provider Web Portal Plan of Care Instructions on how to view plan of care information Division of Medical Assistance Programs November 2013. This tutorial is designed for the following mental health providers: – Adult Foster Home (AFH) – Residential Treatment Facility (RTF) – Residential Treatment Home (RTH)

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› Url: https://www.dhs.state.or.us/spd/tools/mmis/2013%20Web%20POC%20only.pdf Go Now

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OregonHealthCare.gov : Health coverage in Oregon : State

Details: Oregon Health Plan (OHP) OHP is Oregon's Medicaid program. It provides free coverage for people in Oregon who meet eligibility criteria. Coverage includes doctor visits, hospital care, mental health services, dental, and some vision care. Learn about Oregon Health Plan coverage. Private health insurance through HealthCare.gov

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› Url: https://healthcare.oregon.gov/Pages/types-of-coverage.aspx Go Now

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Medicaid Management Information System Medicaid

Details: The Medicaid Management Information System (MMIS) is an integrated group of procedures and computer processing operations (subsystems) developed at the general design level to meet principal objectives. For Title XIX purposes, "systems mechanization" and "mechanized claims processing and information retrieval systems" is identified in section 1903(a)(3) of the Act and defined in regulation at

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› Url: https://www.medicaid.gov/medicaid/data-systems/medicaid-management-information-system/index.html Go Now

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How to Use this Manual - or-medicaid.gov

Details: This users manual describes functions, pages and panels, and reports in the OR MMIS system. This manual, along with the 3.1.b Desk Level Business Processes document is intended to be used by Oregon Department of Human Services (DHS) staff as a reference and as a guide to how to perform MMIS

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› Url: https://www.or-medicaid.gov/PRODPORTAL/Manuals/5-4_General_information/Overview%20of%20Users%20Manual.htm Go Now

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Oregon Health Authority : Electronic Data Interchange

Details: Use the resources on this page to correctly register, test and exchange EDI information with OHA. Receive EDI updates by text or email or view the most recent changes. Registration resources. To register as an Oregon Medicaid trading partner, complete the Trading Partner Agreement for Electronic Health Care Transactions ().Oregon Medicaid requires the original signature of the Trading Partner

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› Url: https://www.oregon.gov/oha/HSD/OHP/Pages/edi-resources.aspx Go Now

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Medicaid Enterprise System Solution/Module Contract Status

Details: Select a state The Medicaid Enterprise System (MES) Contract Status Report contains Medicaid Management Information System (MMIS) and Eligibility and Enrollment (E&E) contract information broken out by Operations and Maintenance (O&M) and Design, Development and Implementation (DDI) activities. The State Officer point of contract information is presented for any additional questions.

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› Url: https://www.medicaid.gov/medicaid/data-and-systems/mmis/contract-status-report/index.html Go Now

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Oregon Medicaid Eligibility: 2021 Income & Asset Limits

Details: To apply for the Oregon Health Plan, elderly individuals can apply online at ONE.Oregon.gov, complete a paper application and mail it to OHP Customer Service, P.O. Box 14015, Salem OR, 97309-5032, or fax it to 503-378-5628. For persons who need assistance filling out the Medicaid application, free local assistance is available.

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› Url: https://www.medicaidplanningassistance.org/medicaid-eligibility-oregon/ Go Now

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Health insurance plans - State of Oregon

Details: Oregon Health Plan (OHP) Application questions: 800-699-9075 (toll-free) Coverage questions: 800-273-0557 (toll-free) Oregon Health Insurance Marketplace. 855-268-3767 (toll-free) [email protected]oregon.gov Contact us Sign up for our newsletter …

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› Url: https://healthcare.oregon.gov/marketplace/coverage/Pages/health-plans.aspx Go Now

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Directory Search

Details: NOTICE: This information may be sensitive and/or private, thus subject to HIPAA privacy and security regulations. This information is not to be shared or distributed to persons without a right or business need to know.

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› Url: https://www.or-medicaid.gov/ProdPortal/Directory%20Search/tabId/50/Default.aspx Go Now

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Oregon Medicaid

Details: has expanded coverage to low-income adults. As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP — a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued

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› Url: https://www.medicaid.gov/state-overviews/stateprofile.html?state=Oregon Go Now

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OregonHealthCare.gov : Oregon Health Insurance Marketplace

Details: Oregon Health Plan (OHP) Application questions: 800-699-9075 (toll-free) Coverage questions: 800-273-0557 (toll-free) Oregon Health Insurance Marketplace. 855-268-3767 (toll-free) [email protected]oregon.gov Contact us Sign up for our newsletter …

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› Url: https://healthcare.oregon.gov/ Go Now

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Share this Report - U.S. Department of Health and Human

Details: Review of Medicaid Family Planning Services Claimed Under the Oregon Health Plan During the Period October 1, 2006, Through September 30, 2009. In December 2008, the State agency implemented a new MMIS and changed its internal controls to properly identify these claims. We recommended that Oregon (1) refund $1.5 million to the Federal

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› Url: https://oig.hhs.gov/oas/reports/region9/91002043.asp Go Now

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Health Share Portal - Washington County, Oregon …

Details: Health Share provider portal at https://cim6.phtech.com with the same usernames and passwords as on the MHO CIM site. The Health Share provider portal CIM will replace the current functionality through MMIS to coordinate with the health plan assigned for medical and mental health benefit management.

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› Url: https://www.co.washington.or.us/HHS/MentalHealth/ProviderTools/upload/Health-Share-Portal-FAQ-Portal-Live.pdf Go Now

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Cleaning up Medicaid Eligibility

Details: Oregon Health Plan: key facts 3 MMIS Audit Related Meetings with SOS Auditors Jan 8, 2016 –Entrance Conference Jan 19, 2016 –MMIS Overview Feb 16, 2016 –Overview of Eligibility & Enrollment Process Mar 1, 2016 –SOS MMIS Audit (Proposed Scope & Additional Questions)

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› Url: https://olis.oregonlegislature.gov/liz/2017R1/Downloads/CommitteeMeetingDocument/132025 Go Now

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FAQs - Medicaid Management Information System (MMIS)

Details: The Medicaid Management Information System (MMIS) is the mechanized claims processing and information retrieval system that all states are required to have according to section 1903(a)(3) of the Social Security Act and defined in regulation at 42 CFR 433.111. All states operate an MMIS to support Medicaid business

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› Url: https://dch.georgia.gov/sites/dch.georgia.gov/files/imported/vgn/images/portal/cit_1210/20/0/152598358FAQsforProviders_October2010.pdf Go Now

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Oregon Office of Payment Accuracy and Recovery Insurance

Details: Federal laws - 42 USC 132b-7(a), 42 CFR 435.910, 42 CFR 435.920 and 42 CFR 457.340(b). When you write your SSN on the application it means that you give permission for the Department of Human Services (DHS)/Oregon Health Authority (OHA) to use it and tell others about it for these reasons: To help us decide if you qualify for benefits.

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› Url: https://apps.oregon.gov/dhs/opar Go Now

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State of Oregon: Employment Department - Home

Details: Career & Business Information. Earned Income Tax Credit. Look Up Wages & Job Info. Local Industry Profiles. Contact Local Economists. More at www.QualityInfo.org. . . Agency Home Page Feature Box 1.

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› Url: http://www.employment.oregon.gov/DHS/healthplan/mmis.shtml Go Now

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Oregon Health Authority Should Improve Efforts to Detect

Details: Source: State of Oregon Financial Condition Report, FY2016, Report 2017-14. OHA primarily uses the Medicaid Management Information System (MMIS) to pay health care providers for services they render to individuals who are eligible for Medicaid. During FY 2016, MMIS processed more than

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› Url: https://www.oregonlegislature.gov/lfo/Audit%20Reviews%20Documents/SOS%20Audit%20Report%20No.%202017-25.pdf Go Now

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DEPARTMENT OF HEALTH & HUMAN SERVICES Office of …

Details: SUBJECT: Review of Medicaid Family Planning Services Claimed Under the Oregon Health Plan During the Period October 1, 2006, Through September 30, 2009 (A-09-10-02043) Attached, for your information, is an advance copy of our final report on Medicaid family planning services claimed under the Oregon Health Plan.

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› Url: https://oig.hhs.gov/oas/reports/region9/91002043.pdf Go Now

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New Hampshire MMIS Health Enterprise Portal

Details: The providers displayed as a result of this search are currently enrolled to participate in the New Hampshire Title XIX Medicaid, but they may not be accepting new patients at this time. The information contained on the search results page is current as of the date generated, but can change at any time.

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› Url: https://nhmmis.nh.gov/portals/wps/portal/FindaHealthCareProvider Go Now

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MMIS eligibility system and training - Moda Health

Details: The Medicaid Management Information System (MMIS), implemented by the Division of Medical Assistance Programs (DMAP), affects all providers who are contracted with ODS to serve Oregon Health Plan (OHP) members. All members receive a wallet-sized card listing their name and ID number when they enroll in the Oregon Health Plan.

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› Url: https://www.modahealth.com/dental/workshops_mmis_ohp.shtml Go Now

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Table of Contents State/Territory Name: Oregon State Plan

Details: generally the same as those used to develop the Oregon Health Plan CCO capitation rates. The PACE methods also consider the mix of delivery systems used in the Oregon Health Plan (OHP), which includes capitated and non-capitated programs. These assumptions include trends, completion factors, and adjustments for data issues and programmatic changes.

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› Url: https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/OR/OR-20-0001.pdf Go Now

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Government-to- Government Report - Oregon State Legislature

Details: The Oregon Health Authority (OHA) is pleased to share the 2015 Government-to-Government Report with the Legislative Commission on Indian Services and with the Governor as required by Senate Bill 770. This report demonstrates OHA’s commitment to working with the tribes of Oregon in our health

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› Url: https://www.oregonlegislature.gov/cis/GovToGovReports/2015_OHA_Tribal_Report.pdf Go Now

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Instead the performance measures in the state’s - Oregon

Details: Public Comment on Sale of Trillium Health Plan to Centene June 10, 2015 When Oregon set up the Coordinated Care Organizations (cco’s) in 2012 to manage the Oregon Health Plan, it transferred federal funds to the cco’s that came with conditions including compliance with a number of federal civil rights obligations.

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› Url: https://dfr.oregon.gov/business/reg/insurer/Documents/comments/20150610-trillium-meachamm.pdf Go Now

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john gaisford - Health Care Manager - CNSI LinkedIn

Details: Dissertation based on Oregon Health Plan where I worked full time from 1988 through 2002. MMIS(Medicaid Management Information System) Professionals - View john’s full profile

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Oregon Health Authority Addictions & Mental Health

Details: All of the data used in this study were extracted from Oregon’s Medicaid Management Information System (MMIS) by Oregon Health Authority’s Office of Health Analytics, Program Analysis and Evaluation Unit. For this study, enrollment is defined as the number of individual children under 18

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› Url: https://nwi.pdx.edu/pdf/OR-wrap-fiscal-analysis.pdf Go Now

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