Learn how to apply for Medicaid Electronic Health Record incentives:

Review resources and frequently asked questions

Are you ready for ICD-10?

Learn the steps to ICD-10 readiness

Visit DMAP's ICD-10 page for more information

See also:

Billing tips - How to submit claims to DMAP

Unit of measure list for NDC reporting

Prior authorization (PA) handbook

How to submit PA requests on the Web

Ancillary Services Criteria

Pharmaceutical Services - Prescriber information

Tools for providers

 

PLEASE NOTE: DMAP policies have moved to the OHA website. Please update your bookmarks or favorites with this change. This page will no longer be available after August 30, 2014.

 

Medical-Surgical Services program

Receive Medical-Surgical services program updates by e-mail

Oregon Administrative Rules

Chapter 410 Division 130 - Currently on file with Oregon Secretary of State

Recent rule revisions

Administrative rulebooks

07/08/2014

04/04/2014 - 03/13/2014 - 01/01/2014 - 09/25/2013 - 06/25/2013 - 03/29/2013

12/28/2012 - 01/01/2012 - 08/01/2011 - 07/01/2011 - 01/01/2011

09/02/2010 - 07/01/2010 - 04/15/2010

Zip files of rulebooks for 2007-2009 - 2003-2006

Supplemental information

Medical-Surgical Provider Guide - Updated 9/1/12. Includes information about where to find codes; prior authorization; pharmaceutical references; primary case management services; blood lead screening and risk assessment; hysterectomy and sterilization consent; maternity case management forms; fluoride charts.

National Drug Code (NDC) Billing Tips - This document explains how to enter NDC information on medical and institutional outpatient claims for codes that require NDC reporting (e.g., physician-administered drugs). Also see DMAP's frequently asked questions about NDC requirements (link).

Forms

EDMS Coversheet (pdf) - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or hysterectomy/sterilization consent forms to DMAP.

Prior Authorization Request Form - Use this form to submit faxed PA requests to DMAP. Click here for instructions.

Oregon Pharmacy and Oral Nutritional Supplement PA Request (pdf) - When requesting prior authorization for drugs or oral nutritional supplements dispensed to OHP clients on a fee-for-service basis, fax this form to the Oregon Pharmacy Call Center at 888-346-0178.

Hysterectomy Consent Form - English or Spanish

Consent to Sterilization Form (age 21 or over) - English or Spanish

Consent to Sterilization Form (ages 15 through 20) - English or Spanish

Maternity Case Management Forms - Initial Assessment, Training and Education Tracking, Home and Environmental Assessment, FAIR for Smoking Cessation

Lead Risk Assessment Questionnaire

Who to call for help

Provider Services 800-336-6016 or e-mail us
Address and telephone contacts