Care Oregon Behavioral Health Fee Schedule

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Oregon Health Authority : OHP Fee-for-Service Fee Schedule : …

(8 days ago) These apply only to services billed fee-for-service to the Oregon Health Authority (OHA). For services billed to coordinated care organizations (CCOs), contact … See more

https://www.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx

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Non-Contracted MH & SUD Fee Schedule - CareOregon

(4 days ago) WebNon-contracted SUD fee schedule CareOregon Fee Schedule - for Substance Use Disorder Services Provided to Health Share of Oregon Members Last published 03/01/2023 This fee schedule is applicable to noncontracted providers. For more information on billing out-of-network, please review our Provider Guide to Billing Out-of-Network

https://www.careoregon.org/docs/default-source/providers/behavioral-health/noncontracted-mh-and-sud-fee-schedule.pdf?sfvrsn=136d69d2_7

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OHP Fee-For-Service Behavioral Health Fee Schedule

(1 days ago) WebOregon’s Medicaid State Plan indicates that the behavioral health fee schedule is the FFS rate methodology, so any changes to the fee schedule must be approved by the Centers for Medicare & Medicaid Services (CMS) through a State Plan Amendment. This differs from the medical-dental fee schedule which uses rates …

https://www.oregon.gov/oha/HSD/OHP/Tools/BH-Fee-Schedule-Fact-Sheet.pdf

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CareOregon - Metro area behavioral health providers

(5 days ago) WebResources for CareOregon contracted Behavioral Health providers. Read more: Noncontracted MH & SUD Fee Schedule for Post 10-1-23 claims . Provider Data Management Forms (post 10/1/23 only) You can get help from a certified and qualified health care interpreter. To file a report on fraud, waste or abuse,

https://www.careoregon.org/providers/metro-area-behavioral-health-providers

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Behavioral Health Qualified Directed Payments

(1 days ago) WebRegardless of a provider’s contract status with a CCO, effective January 1, 2023, the Oregon Health Authority requires CCOs to reimburse qualified providers of Substance Use Disorders (SUD) Residential services, Applied Behavior Analysis (ABA) and Mental Health Children’s Wraparound services at rates that are no less than OHA’s Medicaid FFS …

https://www.careoregon.org/providers/metro-area-behavioral-health-providers/behavioral-health-qualified-directed-payments

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BH Provider Manual - CareOregon

(5 days ago) WebMental health providers are required to address complaints consistent with Grievances and Appeals sections as required by Oregon Administrative Rules 309-019 and 309-022. If a member remains dissatisfied with the provider’s response to the complaint, the member should contact their CCO’s Customer Service Department.

https://www.careoregon.org/docs/default-source/providers/behavioral-health/bh-provider-manual.pdf?sfvrsn=ed1827b5_5

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www.careoregon.org

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https://www.careoregon.org/docs/default-source/providers/behavioral-health/post-10-1-forms-and-docs/hso-noncontracted-careoregon-hso-fee-schedule.pdf?sfvrsn=7dd8442f_7

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BH Qualified Directed Payments (BH QDP) - careoregon.org

(5 days ago) WebAll support needs can be directed to our Customer Service Team at (503)416-4100 or 800-224-4840, option 3 for providers. The Provider Customer Service Team is staffing up and providing additional training to team members in advance of the 10/1 go live.

https://www.careoregon.org/docs/default-source/providers/behavioral-health/billing-and-admin-presentation-june-29.pdf?sfvrsn=3af32ca1_1

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Behavioral Health Qualified Directed Payments (BH QDP) …

(3 days ago) Webo Any providers that were on fee schedule B prior to January 1st, 2023, do not need to submit an attestation to receive tier 2 rates in 2023. o All SUD providers will receive tier 2 rates and do not need to submit an attestation. o Any non-SUD providers or providers not on fee schedule B who meet the criteria set forth by

https://www.careoregon.org/docs/default-source/providers/behavioral-health/qdp-faqs-(metro).pdf?sfvrsn=f8894666_1

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Behavioral Health Fee Schedule Updates October 2021

(2 days ago) WebBehavioral Health Fee Schedule Changes. Last updated 10/19/2021. Added a note stating that authorizations for residential per diem services will only be approved through the last full 24 hours. Oregon Administrative Rule 410-172-0730 (Payment Limitations for Behavioral Health Services) states that OHA may not pay for …

https://www.oregon.gov/oha/HSD/OHP/DataReportsDocs/BH-Fee-Schedule-Updates1021.pdf

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Provider Guide to Billing Out-of-Network - CareOregon

(8 days ago) WebThe document is a resource for: Out-of-network providers that would like to be reimbursed for services. For questions, contact CareOregon Provider Customer Service at 503-416-4100. To support your clinic and members’ access to care, CareOregon’s out-of-network policy pays qualified providers for behavioral health services provided to

https://www.careoregon.org/docs/default-source/providers/behavioral-health/bh-forms/provider-guide-to-billing-out-of-network.pdf

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Behavioral Health Services Rules and Guidelines - Oregon.gov

(6 days ago) WebOregon Administrative Rules and supplemental information for the Oregon Health Plan Behavioral Health Services Program (Chapter 410 Division 172) OHP 531- 20-Hour Service Plan for Mental Health Services. Oregon Home Care Commission Behavioral Health fee schedule.

https://www.oregon.gov/oha/HSD/OHP/Pages/Policy-BHS.aspx

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External Peer Billing Guide - CareOregon

(1 days ago) Webcontract, CareOregon will reimburse according to the CareOregon’s Metro Behavioral Health Fee Schedule in effect on the date of service (accessible via the CIM portal). 315 SW Fifth Ave, Portland, OR 97204 • 800-224-4840 • TTY 711 • careoregon.org

https://www.careoregon.org/docs/default-source/providers/thws/hso-thw-external-peer-billing-guide.pdf

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Medicare and Medicaid online resources - CareOregon

(6 days ago) WebCareOregon calculates fees based on Medicaid and/or Medicare’s current pricing guidelines and the provider’s contract on file for the service date(s) billed. Base pricing guidelines are published on the Centers for Medicare and Medicaid Services (CMS) and the Oregon Division of Medical Assistance (DMAP) web sites.

https://www.careoregon.org/docs/default-source/providers/provider-support/ehipaa/billing_pricing_resources-medicare-medicaid.pdf?sfvrsn=d406827c_1

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Behavioral Health

(4 days ago) WebBehavioral Health Urgent behavioral health treatment appointments should be scheduled within 24 hours. For ur-gent/emergent situations, other appropriate services may include referral to the local county crisis service or to a hospital emergency department as necessary to prevent injury or serious harm. In

https://www.careoregon.org/docs/default-source/providers/behavioral-health/post-10-1-forms-and-docs/behavioral-health-provider-manual.pdf?sfvrsn=dfcac6c_2

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OAR 410-172-0640 – Behavioral Health Services Fee Schedule

(8 days ago) WebThe Division shall pay providers based on the Behavioral Health Services Fee Schedule (fee-for-service (FFS) payment rates for behavioral health services) posted on the Authority web site. (2) Payment shall be made at each provider’s usual and customary charge or the Division’s published reimbursement upper payment limit, whichever is less

https://oregon.public.law/rules/oar_410-172-0640

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BEHAVIORAL HEALTH DIRECTED PAYMENT FREQUENTLY …

(1 days ago) Web─ Minimum fee schedule base payment: = State plan FFS fee schedule rate as of January 1, 2023 $910.00 ─ COD Increase: State plan FFS fee schedule rate as of January 1, 2024 * Residential COD increase = $910.00 * 15% = $136.50 ─ Total CCO payment = Minimum fee schedule base payment + COD Increase = $910.00 + $136.50 = $1,046.50

https://www.oregon.gov/oha/HSD/OHP/CCO/BH-Directed-Payment-FAQ-2024.pdf

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Health Share of Oregon Behavioral Health Resources

(Just Now) WebBehavioral Health Qualified Directed Payment (QDP/BHDPs) overview. Effective January 1, 2023, the Oregon Health Authority (OHA) implemented a statewide rate increase for the Medicaid Behavioral Health provider network. Based on the CCO contracts, the increased rates are to be implemented through four Behavioral Health Directed Payments (BHDPs

https://www.healthshareoregon.org/providers/provider-resources/behavioral-health-resources

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External Peer Billing Guide - CareOregon

(9 days ago) WebPeer services are a covered benefit for all Oregon Health Plan members when provided at a behavioral health facility with a Certificate of Approval (COA), and as prescribed in a service/treatment plan. This includes services provided by Family Support Specialists (FSS) and Youth Support Specialists (YSS). Below is information outlining the

https://www.careoregon.org/docs/default-source/providers/thws/cpc-thw-external-peer-billing-guide.pdf?sfvrsn=bfb00039_1

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OHP.Oregon.gov: Learn more about the Oregon Health Plan (OHP)

(2 days ago) WebAsk for (or keep getting) fee-for-service ("open card") OHP; Get a Certificate of Creditable Coverage; Find my member handbook; Report a change or cancel your OHP; Get help with travel for OHP-covered services; Get care if I have both OHP and Medicare; Get behavioral health, mental health and addiction treatment services

https://www.ohp.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx

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Kate Brown, Governor - Oregon.gov

(4 days ago) Webinvestment for Oregon to treat people with SUD and help them sustain long-term recovery. What should you do? Fee-for-service providers . may provide the new services identified on the . Behavioral Health Fee . Schedule. For existing services with new rates effective Jan. 1, 2022, OHA will adjust claims submitted before April 4 to pay …

https://www.oregon.gov/oha/HSD/OHP/Announcements/SUD-Reimbursement0422.pdf

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Oregon Health Authority : Behavioral Health Rate Increase : …

(2 days ago) WebFee-for-service claim adjustment pause and reprocessing to apply the October 1, 2023, behavioral health 3.4% rate increase (3/25/2024) Submitting claims to apply the October 1, 2023 rate increase (3/11/2024) Fee-for-service rate increase for Medicaid behavioral health services effective October 1, 2023 (2/22/2024) Plan of care rate increases

https://www.oregon.gov/oha/HSD/OHP/Pages/BH-Rate-Increase.aspx

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CareOregon - Home

(7 days ago) WebWe serve more Oregon Health Plan members than any other health plan — more than 500,000 people. We work with legislators to make sure Oregonians have access to quality health care. We’ve given more than $20 million in the last 10 years to local organizations. That’s the CareOregon Effect in action.

https://www.careoregon.org/

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Oregonians face rising healthcare costs, new report highlights

(1 days ago) Web2. PORTLAND, Ore. (KATU) — Healthcare costs are going up for Oregonians according to a new report from the Oregon Health Authority. The reports say the health cost jumped more than 3 and a half

https://katu.com/news/local/oregonians-face-rising-healthcare-costs-new-report-highlights-main-causes

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