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  • Care Oregon Prior Authorization Form

Get Care Oregon Prior Authorization Form

DMEPOS - HH - EPIV Prior Authorization Form For OHMS providers only Fax this completed form to 541-956-5460. Date / / Tax ID # Contact Person Member Name Address Phone DOB / / DMAP ID# City Zip Code.

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Related links form

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The Oregon Health Plan (OHP) is Oregon's Medicaid program. There are several health care programs available for low-income Oregonians through OHP.

CareOregon is a 501(c)(3) public benefit nonprofit organization that draws nearly all its revenue from public programs. These programs include Medicaid (the Oregon Health Plan), Medicare and the State Children's Health Insurance Program (SCHIP).

Oregon Health Authority : Oregon Health Plan (OHP) Benefits : Oregon Health Plan : State of Oregon. If you or someone you know is struggling or in crisis, help is available.

Find out here or call our Customer Services at 503-416-4100 or toll-free 800-224-4840.

Effective January 2014, the OHP Standard package was transitioned into OHP Plus as part of the state's implementation of the federal Patient Protection and Affordable Care Act.

For more than 25 years, CareOregon has served Oregonians who qualify for Medicaid by providing health insurance and much more. We believe that by making individuals and families healthier, we make entire communities healthier too.

Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP). Enter our Members section to find out if you're eligible, search for providers, learn about CareOregon benefits, and more.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232