Provider Forms, Policies & Documents

This page includes CareOregon’s medical policies, forms and medical management guidelines.

Policies – General


Policies – Pharmacy


    Forms – Pharmacy


    Policy Updates & Other Forms - Pharmacy


    Authorization Guidelines and Forms


    Use the Provider Portal to verify a member’s eligibility with CareOregon.


    Authorization Guidelines

    Changes are posted on the 15th day of the calendar month (or the next business day).


    Diagnostic and Treatment Procedures - CPT Code Grid

    Authorization guidelines by CPT code for the CareOregon Medicaid and CareOregon Advantage plans (Plus and Star).


    DME - Authorization & Code Lists


    Frequently Asked Questions (FAQ's)


    Authorization Request Forms


      Miscellaneous Policies and Forms