Provider Information

Monday, August 10, 2020
COVID-19 Funding Opportunity for Community Based Organizations, Recovery Support Programs and Peer-Run Organizations
From: Steven J. Allen, Behavioral Health Director
Subject: Funding to increase community supports, recovery supports, and peer-delivered services related to behavioral health impacts of COVID-19 pandemic

The Oregon Health Authority is pleased to announce the availability of funds for one-time investments in community-based supports, recovery supports, and peer-delivered services to increase or enhance capacity to address behavioral health needs or mitigate the risk of relapse or continued misuse related to isolation and other stressors caused by COVID-19.

  • Eligible peer-run or recovery support programs and community-based organizations serving adults, young adults and children who are seeking behavioral health support or recovery from substance use or gambling disorders may apply.
  • These funds are made available from the Coronavirus Aid, Relief, and Economic Security (CARES) Act and may only be used to directly respond to the COVID-19 crisis.
  • Funding awards will prioritize programs that serve individuals and groups experiencing inequities in access to health care resources who are tribal communities and communities of color, including Black, Indigenous and other People of Color, Veterans/military service members, and/or older adults.
To learn more, please read the announcement from OHA.

Coordinated Care Organizations - Lane County

Trillium Community Health Plan Provider Log in Page

Pacific Source Community Solutions- Lane Provider Page 

Culturally & Linguistically Appropriate Service standards for Healthcare Professionals

Prioritized List Statement of Intent 6: Telephonic Services During an Outbreak or Epidemic (OHA)


OHA Statement of Intent

Oral Health Providers Telehealth Guidance

April 8, 2020 - American Dental Association COVID-19 Coding & Billing *
*This document is being updated. You can click here to ensure you have the most current version.

April 7, 2020 OHA: Audio-only tele dentistry services are also covered during the COVID-19 emergency

Secure Email Options for OHP Providers

 

New secure email options for OHP providers

You can now send the following documents via secure email to the Department of Human Services (DHS) or Oregon Health Authority (OHA):

Paper claims that require special handling, administrative review requests, consent forms, OHP 405T forms, OHP 1036 forms and provider appeals for claim reconsideration: Send to OHA.FFSOHPClaims@dhsoha.state.or.us.

When sending documents via secure email to these addresses:
  • Scan and attach documents to the email.
  • Please send only one transaction per email.
  • For special claims and claim documentation, please follow the instructions in OHA's fact sheet.

Read the OHA Secure Email Instructions here.

The following processes remain the same:

  • Submitting initial provider enrollment applications and provider enrollment updates to OHA's central fax numbers. These are not accepted by email.
  • Submitting claims and supporting documentation for services provided within the past 12 months (to OHP PO Boxes or OHA's central fax number for claim documentation).

You can also submit fee-for-service claims, adjustments and prior authorization requests electronically using the Provider Web Portal at https://www.or-medicaid.gov.


Telehealth Resources (from OHA and CMS)

Information for Oregon Health Plan providers (May 11, 2020)

Available on the Oregon Health Plan COVID-19 page for CCOs and providers:

April 6, 2020 - OHA Fee-for-service Telehealth Guidance

Released March 24, 2020: OHA Telehealth Guidance document to CCOs. Read the document here.

As a companion piece to the earlier released Medicare Telehealth Guidance, the Centers for Medicare and Medicaid services today (3.19.2020) released Medicaid Telehealth Guidance to states. You can find a copy of the guidance here. Additionally, you can find the homepage for general Medicaid Telehealth Guidance here.

Office of Civil Rights Announces Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency. Read the release here from 3.17.2020

The Oregon Health Authority (OHA) is expanding coverage of telehealth and telephone services in light of the COVID-19 outbreak. A document summarizing the existing and new coverage can be viewed here.

Bill Correctly for Medicare Telehealth Services - CMS site information

CMS Sends More Detailed Guidance to Providers about COVID-19

Highlighted telehealth benefits in the Medicare program for use by patients and providers. Expanded use of virtual care are important tools for keeping beneficiaries healthy, while helping to contain the community spread; see the fact sheet (PDF) on coverage and payment related to COVID-19.

OHP Prioritized List
- Ancillary Guideline A5, Teleconsultations and Non-face-t0-face Telehealth Services (page AD-2)
- Updated 3.13.2020 in response to COVID-19

A revised Guideline Note A5, March 13, 2020

OAR 410-130-0610 Telemedicine

OHP January 2020 BH Fee Schedule

Tobacco Cessation Resources & Trainings

Tobacco Treatment Specialists List
Tobacco Treatment Specialist Training - March 30, 2020
Tobacco Treatment Specialist Training - June 27, 2020
Veterans Affairs - Tobacco and Health

May 2020 Behavioral Health Fee Schedule

Corrections to behavioral health fee schedule

The Oregon Health Authority (OHA) has found that the April 2020 Oregon Health Plan behavioral health fee schedule contained inaccurate information and removed it from the OHP Fee Schedule page.

Please refer to the May 2020 fee schedule for the rates and codes to use for services provided on or after April 28, 2020.


McKenzie/Holiday Farm Fire Information -

Non-emergency call center at 541-682-3977

www.lanecounty.org/mckenziefire