Provider Forms, Policies & Documents

This page includes CareOregon’s medical policies, forms and medical management guidelines.

Policies – General

 

Policies – Pharmacy

     

    Forms – Pharmacy

     

    Policy Updates & Other Forms - Pharmacy

     

    Authorization Guidelines and Forms

    Eligibility

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

     

    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 the CareOregon Medicaid and CareOregon Advantage plans (Plus and Star).

     

    DME - Authorization & Code Lists

     

    Frequently Asked Questions (FAQ's)

     

    Authorization Request Forms

       

      Miscellaneous Policies and Forms