CareOregon contracts with more than 5,000 providers in Oregon. Learn about the benefits of becoming a provider. Call 503-416-4100.
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What’s New for Providers Regular updates for provider resources will be available on this page.
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February 03, 2012
CareOregon requires the NDC for all outpatient drugs that are part of the Medicaid Drug Rebate Program and administered in the
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January 10, 2012
CareOregon is pleased to announce that we will no longer require authorizations for diabetic supplies billed within allowable
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December 28, 2011
Governor Kitzhaber has proclaimed January as Cervical Health Awareness Month in Oregon. His proclamation cites the more than
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December 27, 2011
Beginning January 1, 2012, CareOregon will require prior authorization for Procrit (J0885) and Aranesp (J0881) when billed and
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December 27, 2011
Beginning January 1, 2012, CareOregon will require prior authorization for specific injectable/infused chemotherapeutic agents.
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December 12, 2011
Effective January 1, 2012, all ambulance claims will require a diagnosis code in order to be considered for reimbursement whether
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December 02, 2011
ACHP's Care Management Handbook highlights health plans that are innovators in patient-centered care, including CareOregon.
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December 01, 2011
CareOregon has a new prior authorization form specifically designed for prosthetic limbs. This new form captures information such
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November 23, 2011
In preparation for the CMS mandatory implementation deadline of 1/1/2012, CareOregon is testing HIPAA transaction version 5010.
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November 21, 2011
Lipitor's grip on atorvastatin has come to an end and the popular heart medicine is going generic. What does this mean for the
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November 17, 2011
Effective January 1, 2012, several drugs will be removed from CareOregon Advantage (Medicare) formulary. The table includes some
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November 03, 2011
CareOregon is sponsoring the satellite broadcast of The Institute for Healthcare Improvement's 23rd Annual National Forum on
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October 14, 2011
Walgreens has announced that their stores will no longer contract with Express Scripts to be a participating pharmacy in the
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October 13, 2011
CareOregon has made changes to its OHP (Medicaid) Drug Formulary that take effect November 14, 2011. Providers will be receiving
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October 10, 2011
CareOregon serves a unique population: Medicaid and Medicare. Most of our members are low-income, and many have the associated
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September 07, 2011
The Oregon Health Authority is asking for nominations for a Medicare-Medicaid Integration of Care and Services Client Advisory
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September 01, 2011
CareOregon Medicaid and CareOregon Medicare Advantage formularies are available on ePocrates. You can search online or download
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August 31, 2011
Effective September 1, 2011 CareOregon is transitioning the mental health network management operations, care coordination and
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August 19, 2011
PCP’s –did you know you can get your member rosters online?
If you use our new provider portal, CareOregon Connect you can have
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August 08, 2011
The utilization limitations for incontinence supplies have changed in accordance with the Department of Medical Assistance
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July 06, 2011
Trudy Lieberman, reporter for the Columbia Journalism Review, recently visited England and met with representatives of the NHS
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June 29, 2011
CareOregon’s Laura Brennan recently helped create a guide designed to help improve the system by which at-risk individuals within
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June 28, 2011
As a provider, you know that some families need additional help. Meeting the challenges of today’s modern life and the needs of
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June 24, 2011
For many children, school meals are their main source of healthy food. That's why the Summer Meals program exists in Oregon. To
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June 22, 2011
Effective July 15, 2011, CareOregon will have an exclusive relationship with Passport to Languages (PTL) to provide
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June 17, 2011
CareOregon has made changes to its OHP (Medicaid) Drug Formulary that take effect August 1, 2011. Providers will be receiving a
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June 06, 2011
When billing for physician-administered drugs (J-codes and HCPCS codes) administered in the office setting or outpatient
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June 06, 2011
CareOregon has a new provider portal called CareOregon Connect. Our previous system, QVIEW, will be disabled effective 6/13/2011.
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May 18, 2011
Effective May 15, 2011, hospice no longer requires an authorization for Oregon providers. Services are subject to the members
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May 10, 2011
One of the values of contracting with CareOregon is that you have your own assigned Network Relations Associate (NRA) available
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April 13, 2011
We recently sent a notice to our PCP and Specialist network announcing the implementation of a new authorization form for office
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April 01, 2011
CareOregon has updated our information regarding hospitals that perform bariatric surgeries due to DMAP’s new criteria effective
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March 24, 2011
The 6th Annual Care Support and System Innovation (CSSI)
Conference on May 5, 2011 will be a showcase of improvement
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March 07, 2011
Partner for Quality Care is a statewide collaborative effort to measure and improve the quality of health care in Oregon. In
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February 24, 2011
This spring, CareOregon is replacing our QNXT View provider portal with a new enhanced one.
The CareOregon Connect provider
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January 13, 2011
We recently sent a notice to our PCP network reminding them of
CareOregon’s billing policy on vaccines for children. CareOregon
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January 12, 2011
The Department of Health and Human Services has mandated that the United
States will convert fully from ICD-9 diagnosis codes
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January 01, 2011
The CSSI Program seeks to support provider organizations that identify and support teams to lead projects and initiatives that
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January 01, 2011
CareOregon is joining with OneHealthPort to provide free, secure access to participating Oregon Health Plan, Medicare Advantage
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December 31, 2010
Beginning January 1, 2011, CareOregon Advantage (COA) Plus and COA Star will offer a Point of Service (POS) benefit that allows
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November 22, 2010
CareOregon has decided not to implement copays for CareOregon OHP Plus members on January 1, 2011. Instead, at this time, we will
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December 31, 2009
The CareSupport Program provides multidisciplinary, person-centered case management services to CareOregon members who: (1) are
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