Effective
|
Title
|
Provider types affected
|
| 1/1/10 |
Coverage reduction to the OHP Plus and OHP with limited drug benefit plans |
All providers |
| 11/10/09 |
Free Provider Web Portal Training - Fall 2009 |
All providers who want to learn how to set up their account, verify eligibility and bill using the Provider Web Portal |
| 10/28/09 |
Flu season update for pharmacies - Federal guidelines for Tamiflu use |
Pharmacies |
| 10/27/09 |
Pharmacy reminder - Billing for compound drugs |
Pharmacies |
| 10/23/09 |
OHP coverage of antiviral treatments for influenza |
Prescribing providers and pharmacies |
| 10/16/09 |
Information about mandatory state office closures |
All providers |
| 10/01/09 |
Health care expanded for pregnant CAWEM clients in Benton, Clackamas, Deschutes, Hood River, Jackson, Lincoln, and Multnomah counties |
All providers |
| 10/01/09 |
Seasonal and H1N1 flu vaccine coverage |
Prescribing providers |
| 10/01/09 |
Seasonal and H1N1 flu vaccine coverage |
Pharmacy providers |
| 9/25/09 & 10/01/09 |
Administrative Rule revisions, effective September and October 2009 |
All providers |
| 10/02/2009 |
Rate reductions for fee-for-service prescriptions |
Prescribing providers and pharmacies |
| 8/7/2009 |
Get paid faster with EFT and electronic billing |
All Providers |
| 8/5/2009 |
Administrative Rule Revisions, August 2009 |
All providers |
| 8/3/2009 |
OHP clients may bring Proof of Payment Form (OHP 3045) |
All providers |
| 7/1/2009 |
Use AVR, Provider Web Portal, or EDI for eligibility and claim status inquiries |
All providers |
| 7/1/2009 |
New PA requirements for Long-Acting Opioids, CNS Stimulants and select laxatives |
Prescribers and pharmacies |
| 7/1/2009 |
DMAP Administrative Rule Revisions, July 2009 |
All providers |
| 6/1/2009 |
DMAP stops mailing Provider Announcements |
All providers |
| 5/27/2009 |
Pharmacy reminder - Enter prescriber NPI on all pharmacy claims |
Pharmacy providers |
| 6/1/2009 |
DMAP stops mailing provider announcements |
All providers |
| 5/4/2009 |
Provider Alert: Client coverage letters are in the mail |
All providers |
| 5/1/2009 |
Administrative Rule Revisions, May, 2009 |
All providers |
| 4/28/2009 |
Prescriber NPI required on all pharmacy claims |
Pharmacies and prescribers |
| 4/1/2009 |
Administrative Rule Revisions, April 2009 |
All providers |
| 4/1/2009 |
Prioritized List revised to add/delete diagnosis, CPT and HCPCS codes |
All providers |
| 3/12/2009 |
Provider Alert - Initial mailing of coverage letters begins |
All providers |
| 3/10/2009 |
Pharmacy billing reminders and updates |
Pharmacy providers |
| 1/30/2009 |
Prospective Drug Utilization Review (ProDUR) overview |
Pharmacy providers |
| 3/1/2009 |
New MMIS web portal functionality |
All providers |
| 02/12/2009 |
Provider alert: Status of 1099 mailings to DHS providers |
Providers who receive 1099 forms from DHS |
| 02/04/2009 |
EDI Bulletin 21: Go-live updates - Corrected 2/13/09 |
Electronic data interchange (EDI) trading partners |
| 02/01/2009 |
Administrative Rule Revisions, Jan. 09 |
All providers |
| 01/16/2009 |
Provider Alert - MMIS transitional issues/temporary protocols |
All providers |
| 01/01/2009 |
Medication Therapy Management Services Claims |
Pharmacy providers |
| 01/09/2009 |
Rx temporary workaround |
Pharmacy providers |
| 01/02/2009 |
OHP client eligibility and Point-of-Sale |
Pharmacy providers |
| 01/01/2009 |
National Drug Code Required for Medicaid |
Providers with Physician-Administered Drug claims |
| 01/01/2009 |
DME reimbursement reminder |
DME providers |
| 01/01/2009 |
FFS COLA increase and RVU |
DHS Medicaid providers |
| 12/22/2008 |
New Medical Care ID cards delayed - how to verify eligibility |
All providers |
| 12/16/2008 |
MMIS Go Live Updates |
All providers |
| 12/6/2008 |
Required changes to pharmacy Point of Sale transactions |
Pharmacy providers |
| 12/9/2008 |
Nutritional Supplements & Universal Claim Form 5.1 |
DME providers |
| 1/1/2009 |
PA no longer required for incontinent supplies |
DME providers |
| 12/9/2008 |
Provider guide to the new MMIS |
All providers |
| 12/1/2008 |
Admin Rule Revisions Nov. and Dec. 08 and Jan. 09 |
All providers |
| 11/28/2008 |
Important billing info re Medicare crossover claims |
Providers who bill Medicare |
| 12/9/2008 |
Assigning Access to new Provider Web Portal |
Providers who will be using the new Web Portal and AVR |
| 11/24/2008 |
MMIS Insider: Volume 2, Issue 7 |
All Providers |
| 12/6/2008 |
Billing changes for Oregon Health Plan |
Pharmacy providers |
| 10/30/2008 |
Time is running out for MMIS provider training! |
All providers |
| 10/29/2008 |
Additional MMIS training scheduled for pharmacies - 12/2/08 |
All pharmacies |
| 11/28/2008 |
Pharmacy Benefit Manager Conversion |
Pharmacy providers |
| 10/13/08 |
Only one free MMIS pharmacy training left! Sunday, Nov. 2, 1-5 p.m., Salem |
Pharmacies and pharmacy providers |
| 9/15, 10/1 & 2/2008 |
Administrative Rule revisions, effective September and October, 2008 |
All providers |
| 9/20/2008 |
Pharmacies - Register for free MMIS training |
Pharmacies |
| 10/1/2008 |
Requirements for Tamper Resistant Prescription Pads |
Prescribing providers and pharmacies |
| 9/10/2008 |
MMIS Insider: Volume 2, Issue 5 |
All providers |
| 10/1/2008 |
Tamper-resistant prescription requirements |
Prescribing providers and pharmacies |
| 8/15/2008 |
MMIS Insider: Volume 2, Issue 4 |
All providers |
| 8/31/2008 |
Eligibility Verification Updates - Changes to EEVS and EDI Services |
All providers |
| 7/21/08 |
MMIS Insider: Volume 2, Issue 3 |
All Providers |
| 7/16/2008 |
Drug paper claims, use of NPIs and timely filing |
Selected Pharmacy and EPIV providers |
| 7/2/2008 |
Point of Sale network connection |
Pharmacy providers |
| 7/1/2008 |
Administrative Rule Revisions, effective July 2008 |
All providers |
| 9/2008 |
Upcoming changes to Medical Care IDs and the eligibility verification process |
All providers |
| 6/30/08 |
MMIS Insider - Focus on EDI |
Electronic billers |
| 6/13/08 |
Summer staff shortage, call center |
All providers |
| 5/23/08 |
NPI & POS, MMIS, TRPP
|
Pharmacy providers
|
| 5/29/08 |
MMIS Insider: Volume 2, Issue 2
|
DMAP, SPD & AMH providers
|
| 5/19/08 |
Have you registered for replacement MMIS training?
|
All providers
|
| 5/12/08 |
MMIS training sessions for pharmacy providers
|
Pharmacy Providers
|
| 5/1/08 |
Administrative rule revisions, May 2008
|
All Providers
|
| 4/30/08 |
MMIS Insider: Volume 2, Issue 1
|
All Providers
|
| 5/23/08 |
EDI bulletin 19
|
All Providers
|
| 4/1/08 |
CAWEM prenatal program/OHP-plus coverage information
|
All Providers
|
| March 14 and 27; April 1, 2008 |
Administrative Rule Revisions/Rulebook Updates
|
All Providers
|
| 4/1/2008 |
Reminder about tamper-resistant prescription pad requirements
|
Prescribing Providers
|
| 4/1/2008 |
Revised MMIS implementation and training schedule
|
All Providers
|
| 4/1/2008 |
15-Month CAWEM Prenatal Expansion Pilot
|
All Providers
|
| 4/1/2008 |
Changes to pharmacy reimbursements
|
Pharmacies
|
| 3/1/2008 |
Administrative Rule Revisions, March, 2008
|
All providers
|
| 4/1/2008 |
Reminder about tamper-resistant prescription pad requirements
|
Prescribing providers and pharmacies
|
| 3/1/08 |
OHP copayments reduced on some prescription drugs |
All prescribing providers
|
| 1/24/08 |
DMAP requires PA on OTC drugs
Update: The comment period for the proposed change to pharmacy copayments has been extended to Monday, February 4, 2008.
|
Prescribing providers and pharmacies
|
| 2/1/08 |
DMAP Admin rule revisions - Feb. 2008 |
All providers
|
| 12/31/07 |
EDI Bulletin 17 |
All providers
|
| 1/1/08 |
OHP Pharmacy Management Program |
Pharmacies and prescribing Providers |
| 12/5/07 |
Administrative Rule Revisions |
All Providers |
| 11/16/07 |
MMIS Insider, Volume 1, Issue 3 |
All providers |
| 11/15/07 |
COB claim errors |
All Pharmacies |
| 11/09/07 |
DMEPOS "Selective Cuts" Survey |
DMEPOS providers |
| 10/12/07 |
MMIS Insider - Focus on EDI |
Electronic billers |
| 10/8/2007 |
Columbus Day holiday delays EFT payments |
Providers who receive electronic funds transfer (EFT, or direct deposit) payments from DHS |
| 10/1/2007 |
6-month delay in tamper-resistant prescription pad requirement |
Pharmacies and prescribing providers |
| 9/7/2007 |
Reminder to send paper claims to PO boxes |
All providers |
| 10/1/2007 |
PA policy for sedative hypnotic drugs |
Prescribing providers and pharmacies |
| 10/1/2007 |
Tamper resistant prescription pads |
Pharmacies and Prescribing Providers |
| 9/1/2007 |
Oregon NPI Authentication Repository Project |
All Providers |
