IMPORTANT NOTICE FOR EVERY MEMBER:
OHP Renewals have started. Free help is available by phone, online, and in-person. Please make sure you update your address and phone number with OHP. Watch your mail for notices from OHA over the next several months. Follow the instructions they give you right away. Call Advanced Health Customer Service for more information or to be connected with an Application Assister. Failing to respond could result in losing your benefits.
Click here for more information.
Your Oregon Health Plan & Benefits
- Oregon Health Plan Application
- Oregon Health Plan Benefits
- Oregon Health Plan – Renewing Your Coverage
- Oregon Health Plan Client Handbook
Contact OHP if you need help when applying. Click the below link to find a local assistor in you area.
OHP Contact Information:
Telephone (toll-free): 1-800-699-9075 (TTY 711)
Email: oregonhealthplan.changes@state.or.us (the e-mail address is for changes only)
Members can contact OHP for help:
- Changing your address, phone number, family status, CCO or other information
- Replacing a lost OHP Card
- Checking the status of your application
- Seeing if you or your children are still covered by OHP
- Changing plans
Advanced Health Benefits
- Active Living Program
- Behavioral Health
- Family Planning
- Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
- Healthcare Interpreter Services
- Intensive Care Coordination (ICC) Services
- Opioid Crisis Resources
- Pharmacy
- Tobacco Cessation
- Traditional Health Worker Services
- Transportation
- To read more about transitioning to Advanced Health, click here to read our Transition of Care Policy.
Advanced Health Member Materials
2024 Advanced Health Member Handbook
2024 Advanced Health Member Letters
2024 Advanced Health Member ID Cards
2024 Member Rights and Responsibilties
Member Rights and Responsibilities (English version)
Member Rights and Responsibilities (Spanish version)
Member Rights and Responsibilities (Large version)
Member Rights and Responsibilities (Audio verison)
Member Rights and Responsibilities (Spanish Audio version)
2024 Advanced Health Non-Discrimination Policy
Non-Discrimination Policy (English version)
Non-Discrimination Policy (Spanish version)
Non-Discrimination Policy (Large Print)
Services That Need Pre-Approval
Some services need approval before you get the service. Your provider must ask the CCO for approval. This is known as a preapproval.
You can look at the provider directory on our website to see which providers are in our network.
*See the dropdown lists below to see if the service you need requires a pre-authorization.
Physical Health Benefits
Services that May Need Preapproval:
- Comfort Care & Hospice Services
- Diagnostic Services
- Durable Medical Equipment
- Hearing Aids
- Immunizations and Travel Vaccines
- Physical Therapy, Occupational Therapy, Speech Therapy
- Preventive Services
- Vision Services
Services that Need Preapproval:
- Elective Surgeries/Procedures
- Gender Affirming Care
- Home Health Services
- Inpatient Hospital Services
- Outpatient Hospital Services
- Pharmaceutical Services (Prescription Medication) – Prescription Needed
- Specialist Services
- Surgical Procedures
The list above is not a full list of services that need preapproval. If you have questions, please call Advanced Health Customer Service at 541-269-7400 / 800-264-0014.
Behavioral Health Care Benefits
Services that May Need Preapproval:
- Substance Use Disorder (SUD) Services – Out of Area Providers
Services that Need Preapproval:
- Assertive Community Treatment – Screening Needed
- Wraparound Services
- Behavioral Health Psychiatric Residential Treatment Services (PRTS)
- Inpatient Substance Use Disorder (SUD) Residential and Detox Services
- Medication Assisted Treatment (MAT) for Substance Use Disorder (SUD)
- Behavioral Health Specialist Services
The list above is not a full list of services that need preapproval. If you have questions, please call Advanced Health Customer Service at 541-269-7400 / 800-264-0014.
Dental Benefits
Services that Need Preapproval:
- Oral Exams – Preapproval not Needed (Referral needed if not seeing Primary Care Dentist)
- Partial or Complete Dentures – Preapproval Needed (Referral needed if not seeing Primary Care Dentist )
- Crowns – Preapproval Needed (Referral needed if not seeing Primary Care Dentist)
- Extractions – Preapproval not Needed (Referral needed if not seeing Primary Care Dentist)
- Root Canal Therapy – Preapproval Needed for Molars (Referral needed if not seeing Primary Care Dentist)
- Orthodontics – Preapproval Needed
The list above is not a full list of services that need preapproval. If you have questions, please call Advanced Health Customer Service at 541-269-7400 / 800-264-0014.