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Regular updates for provider resources will be available on this page.
January 10, 2012
CareOregon is pleased to announce that we will no longer require authorizations for diabetic supplies billed within allowable quantity limits effective January 15, 2012.
You now have the convenience of rendering these services without waiting for approval from CareOregon. Services are subject to the member’s eligibility, benefit plan limitations and quantity limits.
We are continually striving to remove barriers for our providers and improve member access to care in a timely manner. After careful review we found that diabetic supplies within allowable quantities are rarely denied. These findings have enabled us to remove the authorization guidelines.
Quantity limits are determined by the Oregon Health Plan (OHP) and Centers for Medicare & Medicaid Services (CMS). Attached is a current list of the allowable quantities that can be provided without authorization.
Please note: Non contracted providers will need to continue to request authorizations for our CareOregon Advantage (COA) members.
Please feel free to contact me with any questions. Download letter >>
Additional Resources for Providers
Best Practices and Health Promotions
Provider Forms and Policies
Medicaid Management Information System (MMIS) through the DHS
Formulary Updates
Quality Improvement Program Summary 2010
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Care Support and System Innovation (CSSI)
Primary Care Renewal
