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

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

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.

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.

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.

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.