Medical Management Policies and Forms

This page lists updates to CareOregon medical policies, forms and Medical Management guidelines.

Authorization Guidelines

Authorization Overview

The Authorization Overview provides information to determine a member’s eligibility with CareOregon benefit plans and instructions on how to use the Prioritized List.

Authorization Guidelines by Plan

Diagnostic and Treatment Procedures - CPT Code Grid

Revised to include, for all the CareOregon Health Plans, Plus, Standard and Advantage Plus and Star, the authorization guidelines by CPT code.

DME - Auth & Code lists

Frequently Asked Questions (FAQ's)

Authorization Request Forms

OHMS providers Only:

 

Miscellaneous Forms

Medicare and OHP Policies

 

 

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