OHSU Health Services for Providers and Clinics

Provider information and benefit tracker

Information about medical eligibility, benefits, claims and referral information.

Provider login

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Information and resources

How to use the Auto Auth Application

Use the Auto Auth Application How-to Guide to navigate the new program. If you have a question not covered in the FAQ, call Medical Customer Service for further assistance at 844-827-6572.

Prior Authorization Guidelines

Provider resources

Birth doula services and traditional health workers

Doula care is a covered benefit for OHP members. The benefit package covers two visits before delivery, support during delivery, and two visits post-delivery. OHSU Health Service OHP members can use: 

OHSU Health IDS promotes the use and inclusion of licensed/certified traditional health workers, including peer support specialists, peer wellness specialists, personal health navigators and community health workers. OHP members do not need a referral to work with a traditional health worker. 

Ride to Care information

Pharmacy prior authorization and formulary

Prior authorization for provider-administered drugs

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Pre-payment claims edit to diagnosis criteria and criteria for maximum units. Prior authorizations do not apply for this policy.

UM Criteria

Evidence-based practice guidelines

Health Related Social Needs (HRSN) Benefits

OHSU Health Service members going through specific life transitions may qualify for free devices and housing supports to help enhance healthy living environments. 

Who is eligible for the HRSN benefits?
This HRSN benefit targets specific populations among OHP members experiencing life transitions. They must also have a qualifying medical need. Visit Oregon Health Authority’s website for details about qualifications. Not all OHP members will be eligible.

What does the HRSN Housing Benefit provide? 

  • Rental assistance, like rental payments, deposits, utility assistance for up to 6 months 
  • Medically necessary home modifications, like ramps, handrails, environmental remediation
  • Tenancy support services, like eviction prevention, housing case management 

What does the HRSN Housing Benefit NOT offer?

  • Temporary or other housing for people who are currently houseless or experiencing homelessness
  • Emergency shelter needs
  • Mortgage support

What does the HRSN Climate Devices provide?

  • Air conditioners
  • Air filtration devices
  • Mini refrigeration units
  • Portable power supply
  • Portable/space heaters

To apply for HRSN benefits:

More information:

Advance directives

Visit OHA's website for forms in multiple languages and an overview of advance directives.

Oregon State Agency Requested Medical Records:

Anytime an Oregon state agency is requesting medical records, they will provide one of two forms to providers. If the patient is an Oregon Health Plan member on the date of service, the agency will provide Form 729 which allows the provider to bill the Division of Medical Assistance Programs for the cost of medical record copying charges (and mailing if applicable).

In order to be paid by DMAP, the provider must complete an HCFCS 1500 and attach Form 729 for the claim to be processed by DMAP.

While the form offers a physical mailing address as a means to submit these forms, it is more efficient (and trackable) to submit using the EDI portal (the same portal used to process Open Card submissions).

Questions about the portal should be directed to DMAP Provider Relations at 800-336-6016.

If the patient is not an Oregon Health Plan eligible member on the date of service, the agency will provide Form 501A which allows the cost of the medical record copying charges (and mailing if applicable) to the Oregon General Fund (through the agency requesting the records).

Contact Provider Relations

Compliance guides and attestation forms

Cultural Competency

Effective July 1, 2021, the Oregon Medical Board requires cultural competency training for all new medical licenses and for all renewing providers. Starting in October 2021, providers must demonstrate on initial and renewal application for credentialing that they meet the state requirements by submitting proof of completion of the training in cultural competency.

Many different types of courses and experiences meet the cultural competency continuing education requirement including experiential or service learning, cultural or linguistic immersion, volunteering in a rural clinic, courses approved by the Oregon Health Authority and more.

Cultural Competency training discount for OHSU Health IDS network providers through Oregon State University College of Pharmacy

OHSU Health IDS providers can receive a 25% discount for this Oregon Health Authority-approved training, regularly priced at $60 per student. Find details in this letter.

  • All Healthcare Providers - $15 off - use promo code OHSUCCALL15 (All-Providers)
  • OBMI/ARRT - $15 off - use promo code OHSUCCOBMI15 (OBMI/ARRT)
  • Pharmacist/Technician -  $15 off - use promo code OHSUCCACPE15 (ACPE)
  • CME  - $10 off -  use promo code OHSUCCCME10 (ACCME)

Below are some additional resources to help you locate cultural competency continuing education opportunities. For questions regarding the cultural competency requirements, email OHSUHealthPrvRelations@ohsu.edu.

Coding and documentation education resources

OHSU Health 2024 Coding Education Webinars

2024 dates: Jan. 16, Feb. 20, March 19, April 16, May 21, June 18, July 16, Aug. 20, Sept. 17, Oct. 15, Nov. 19, Dec. 17. All meetings 8 - 9 a.m.

  • To sign up for webinars, please contact Lynn Stachlowski, CPC, CRC, CPC-I, CPEDC Email: stachlow@ohsu.edu Phone: 503-418-7755

Z codes

OHP and OHSU Health forms

Below are forms and links you may need.