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Get Oregon Statewide Processing Center 005

Statewide Processing Center 005 PO Box 14015 Salem, OR 97309Date of letterP.O. Box 14015, Salem, OR 97309 Voice: 18006999075 FAX: 5033785628 TTY: 711 www.OHP.oregon.govCase Name Street Address City,.

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How to use or fill out the Oregon Statewide Processing Center 005 online

Filling out the Oregon Statewide Processing Center 005 form online is an essential step for managing your health coverage eligibility. This guide provides a detailed overview of the form's components and instructions to help users complete the form confidently.

Follow the steps to successfully complete your form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. Fill in the case name, street address, city, state, and ZIP code in the designated fields. Ensure that all information is accurate and matches the records.
  3. Enter the case ID number in the provided section. This number is important for tracking your application.
  4. Review the eligibility notice section carefully. It informs you of any decisions regarding your household's eligibility for health coverage. Ensure you understand what decisions apply to you.
  5. If applicable, check the section that lists household members who have been approved for coverage or renewal. Verify that their names and program details are correct.
  6. Look for information regarding coverage ending. If any household members' coverage is ending, make note of their names, program, and end date.
  7. Read the reporting changes section and ensure you understand the information you are required to report about your household within 30 days.
  8. Once all fields are filled out correctly, save your changes, download the form, and print or share it as necessary.

Complete your documents online today to ensure your health coverage is managed effectively.

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DMAP Provider Services* at 800-336-6016 (fax 503-945-6873) DMAP Reception at 800-527-5772 (fax 503-373-7689) EDI Support Services* at 888-690-9888 (fax 503-945-6898) OHP Client Services at 800-273-0557 (fax 503-945-6898)

The ONE Eligibility system provides choice and convenience in how people in Oregon apply for and manage their medical, food, cash and child care benefits. People can apply for medical, food, cash and child care benefits online, by phone or in person with one application.

Call customer service toll-free at 888-997-4447. If you have the ebtEDGE ​mobile app, you can check your balance there.

Call Oregon Eligibility (ONE) Customer Service at 800-699-9075 (TTY 711) if you: Have questions about eligibility. Become pregnant or your pregnancy ends. Need help using the ONE system.

If you're making an extension payment by mail, send the payment to: Oregon Department of Revenue, PO Box 14950, Salem OR 97309-0950. Include on your check: ○ Designated CAT entity.

The Replacement line is open Monday through Friday from 8:30am-4:30pm. If your card is lost or stolen outside of business hours, call the toll free Oregon EBT Customer Service Help Line at 1-888-997-4447 to cancel your card and protect your remaining benefits.

Complete all required pages, then SIGN your application and send it to: Mail: OHP Customer Service, P.O. Box 14015, Salem, OR 97309-5032 Fax: Use the yellow coversheet in this packet to fax your documents to 503-378-5628.

Medical benefits / lost medical card Call the ONE Customer Service Center at 800-699-9075 (Monday to Friday from 7 a.m. to 6 p.m. Pacific Time). Call your Coordinated Care Organization (CCO) for ​help with appointments, finding a provider or questions about your coverage.

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