Medical-Surgical Services program
Oregon Administrative Rules
Chapter 410 Division 130 - Currently on file with Oregon Secretary of State
Recent rule revisions
- 03/29/2013 (T) - 410-130-0255 and 410-130-0005 - Increase payment for certain primary care practitioners and increase the VFC administration fee
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).
EDMS Coversheet (pdf) - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or hysterectomy/sterilization consent forms to DMAP.
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.
Who to call for help