Sep 18, 2015 · Each request must be under its own EDMS Coversheet. If you have two prior authorization requests, they must be sent under two different coversheets. If you are enrolling …
If you have received this packet in error, please notify the sender immediately and destroy this cover sheet along with its contents, and delete from your system, if applicable.
Jul 2, 2025 · Members approved for OHP eligibility through HealthCare.gov or the Hospital Presumptive Eligibility (HPE) process will not be in our system right away. For these people, …
OHP is for low-income Oregonians. For example, a single adult with an income of $20,784 or less per year or a family of four with an annual income of $43,056 per year (full income eligibility …
Oregon Medicaid Pharmacy Quick Reference (effective July 1, 2025) When in doubt, refer to the Pharmaceutical Services provider guidelines at www.oregon.gov/OHA/hsd/ohp/pages/policy …
Only use the 9/12 version of the coversheet. Complete and print it from the Provider Web Portal or download it at https://apps.state.or.us/Forms/Served/de3970.pdf. Do not change the scale of …
If you have received this packet in error, please notify the sender immediately and destroy this cover sheet along with its contents, and delete from your system, if applicable.
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