Forms and Policies

Provider forms, policies and documents

This page includes CareOregon’s medical policies, forms and medical management guidelines for both Medicare and Medicaid lines of business.

Policies – General


Policies: Pharmacy

Forms: Pharmacy

Policy updates and other forms: Pharmacy

Authorization guidelines and forms

Eligibility

Use the Provider Portal to verify a member's eligibility with CareOregon Advantage.

Authorization guidelines

Changes are posted on the 15th day of the calendar month (or the next business day).

Diagnostic and treatment procedures: CPT code grid

Authorization guidelines by CPT code for all CareOregon Medicaid plans and the CareOregon Advantage Plus plan.


DME: Authorization and code lists

Frequently asked questions (FAQs)

Authorization request forms

Miscellaneous policies and forms

 

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