Advanced Health Provider Updates

Provider Notifications

Drug Testing Limited Update Notification

Authorization Request Change Form and Notice

New HRSN Benefit effective 7/1/26

H0015 Billing Requirements

STAT Memo

DME Documentation Notice

Therapy Notice

PCP SUD Notice

ADAPT Changes October 2025

NEW – PCP Prior Authorization Responsibilities May 2025

Prior Authorization Timeframe Changes Effective January 1, 2026

March 19, 2025 Removal of PA Requirement for CPT Codes 69209 and 69210

February 25, 2025 Vitamin D Notice

January 28, 2025 Vaccines For Children Update 

December 1, 2024 Sterilization and Hysterectomy Consent Reminder

April 1, 2024 Diabetes Supply Change Notice

February 5, 2024 Reconsideration and P2P Notice

February 1, 2024 MRI Notice

December 2023 Delayed Authorization Time Frame 

November 5, 2023 Automated Flex Fund Process

October 2023 Vision Changes Notice

September 2023 VisibilEDI Provider Portal

September 2023 90-day Diabetic Testing Supply Notice

September 2023 Medication Prior Authorization Notification

September 2023 Rehab Services Notification

September 2023 Rehab Services Referral Requirement

July 23, 2023 Avastin Bevacizumab Requirement Notice

April 21, 2023 Formulary Update – Albuterol Inhalers

January 1, 2023 EPSDT Notice

January 1, 2023 Colonoscopy Related CPT Code Notice

August 25, 2022 Claims NOABD Provider Notification

August 1, 2022 DME Supply Authorization Removal – Diabetic & Incontinence Supplies

May 19, 2021 Sleep Study Authorization Removal Notice

May 17, 2021 Formulary Update – Incruse Ellipta

Behavioral Health Provider Directed Payments

Effective January 1, 2023, the Oregon Health Authority (OHA) implemented four behavioral health-directed payments (BHDP’s) within the CCO contracts that will further the goals and priorities of the Medicaid program.

Click here for more information.

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