Learn more on DMAP's EDI 5010 page.


See also:

Tools for providers

Information for new providers

Ancillary services criteria

 



 

 


 

 

Oregon Health Plan policies

Rulebooks (current administrative rules), supplemental information and other policies and guidelines administered by the Division of Medical Assistance Programs

Receive policies, rules and guidelines updates by e-mail - Selecting this link will subscribe you to email updates for ALL of the programs below. Or, select individual programs of interest and subscribe to that program.

NOTE: Fee-for-service providers need to subscribe to the General Rules and Managed Care Plans need to subscribe to the OHP program, regardless of any others you choose.

This is a list of DMAP programs (divisions) of Oregon administrative rules (OARs) and the most recent date these programs were revised. The links will take you to the most current DMAP Rulebooks (most current OARs). Providers use the Rulebooks and related supplemental information for billing.

Medicaid rules program name/division #
Last revision date
Administrative Examinations and Reports (division 150)
July 1, 2011
American Indian/Alaska Native (division 146)
October 1, 2011
Durable Medical Equipment Prosthetics, Orthotics & Supplies (DMEPOS) (division 122)
January 1, 2012
Dental Services (division 123)
January 1, 2012
Federally Qualified & Rural Health Centers (division 147)
October 1, 2011
General Rules (division 120)
January 13, 2012
Home Enteral/Parenteral Nutrition and IV Services (division 148)
January 1, 2012
Home Health Services (division 127)
January 1, 2012
Hospice Services (division 142)
January 1, 2012
Hospital Services (division 125)
January 1, 2012
Law Enforcement Medical Liability Account (division 160)
July 1, 2011
Medicaid Electronic Health Records Incentive (division 165)
July 22, 2011
Medical-Surgical Services (division 130)
January 1, 2012
Medical Transportation Services (division 136)
July 1, 2011
OHP "Managed Care" Administrative Rules (division 141)
January 1, 2012
Physical and Occupational Therapy Services (division 131)
January 1, 2012
Pharmaceutical Services (division 121)
January 1, 2012
Private Duty Nursing Services (division 132)
July 1, 2011
Procedural rules (division 001)
July 1, 2011
School-Based Health Services (division 133)
July 1, 2011
Speech-Language Pathology, Audiology and Hearing Aid Services (division 129)
July 1, 2011
Targeted Case Management (division 138)
July 1, 2011
Transplant Services (division 124)
July 1, 2011
Visual Services (division 140)
December 6, 2011
   
Non-Medicaid rules program name/division  
Rural Medical Practitioners Insurance Subsidy Program  

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