Thank you for all you are doing to keep our members healthy. CareOregon has been actively monitoring this situation and working in coordination with local and state public health bodies. We are committed to supporting you and making sure our members get the care they need.

The Oregon Health Authority is holding regular webinars for providers. For information on future webinars, visit this page.

These additional webinars may also be useful to you:

  • Oregon Health Authority telehealth provider webinar:
  • COVID-19 Conversations for Clinicians #2: Recommendations for staff wellbeing:

For guidance on test ordering, specimen collection and processing please consult your contracted lab, hospital or the OHA for the state lab. Medicare and the AMA have released the following codes for use when testing of COVID-19:

  • Medicare:
    • U0001 for SARS-CoV-2 diagnostic tests performed specifically at CDC testing laboratories.
    • U0002 for SARS-CoV-2/2019-nCoV diagnostic tests performed at non-CDC testing laboratories, otherwise known as the novel coronavirus or COVID-19.
  • AMA
    • 87635 for severe acute respiratory syndrome coronavirus 2 (SARS-2-CoV-2) (coronavirus disease [COVID-19]).

OHA and CMS are continually updating coding requirements in response to COVID-19. CareOregon will follow all state and federal coding updates. For the most up-to-date coding information, refer to OHA and CMS guidelines. You’ll find some helpful links below.

Current codes and guidance for telephone and/or video appointments

Pharmacy updates 

Telehealth reference material

General Resources:

COVID-19 coding

Currently, we are encouraging members to follow these guidelines:

  • If a member has symptoms of COVID-19, CareOregon is recommending they call their primary care provider. You can best advise members on the next steps, including how to get tested.

  • We are encouraging members to stay at home and practice social distancing whenever possible. We are reinforcing that this is the most effective way to help prevent the spread of COVID-19.

  • Except in an emergency, we are urging members not to go to the doctor or the dentist. You should notify members about canceling or postponing any non-urgent appointments to protect your staff. We are reminding members that the Oregon Health Authority and the Governor’s office are asking people to avoid going to providers’ offices, urgent care facilities or hospital emergency rooms, in order to keep the staff members at those facilities safe.

  • We are urging clients receiving mental health and substance use treatment services to contact their providers directly to learn how to access services. Many providers are shifting to offering services by phone. Please see the telehealth and phone-based services guidelines for behavioral health included above.

  • Most, if not all, elective procedures are being postponed until COVID-19 precautions are over. To reduce the administrative burden on providers and reassure members, authorizations for elective procedures are being extended until January 1, 2021.

  • Members still have access to CareOregon’s provider network. None of their benefits have changed, and CareOregon is still committed to helping members meet their physical, dental, mental health and addition-related care needs.

  • You may be able to set up a telephone or online video call with your patients. We know our provider network is working to use these methods when appropriate and possible. We’ve encouraged members to call their provider to ask if these options are available. See above for an update on telehealth codes.

  • If members need medication, they can still get it. If members get their prescription refilled, we will extend their prescription to 90 days’ worth of medication. They can refill their prescriptions early. They also have the option to receive prescriptions from a mail-order pharmacy. If a member has an approved pre-authorization that expires before the end of the year, we are automatically extending the expiration date by six months.

  • Members and providers still have access to interpretation services. CareOregon’s approved interpretation vendors are Passport to Languages and Linguava. To arrange for an interpreter to be present during an appointment — whether by phone or in-person — complete the CareOregon Interpreter request form found on our Provider Policies and Forms webpage. You can also access our vendors’ online systems to request and confirm an interpreter:
  • Some rides to appointments are still available for members. Due to COVID-19, ride availability may be limited. Members should call Ride to Care at 855-321-4899 to ask about service availability.

We’ve provided answers to other common questions below. This page will continue to be updated with more information as it becomes available. 

Click here to download this FAQ as a PDF

Coronavirus (COVID-19) FAQ for Providers

  • Q: What is the coronavirus?

  • Q: What are the symptoms of the coronavirus?

  • Q: What should members do if they have these symptoms?

  • Q: Who is at risk of getting the coronavirus?

  • Q: How can members prevent the coronavirus?

  • Q: Do members need facemasks?

  • Q: Can members get extra medicine if they can’t make it to the pharmacy?

  • Q: Are there medication treatments for the coronavirus that are covered?

  • Q: What should members do if they have more questions or want to learn more?

  • Q: Is CareOregon providing tissues, hand sanitizer, disinfecting wipes or other supplies to their partners?

  • Q: How is CareOregon handling embedded staff, e.g., care coordinators, panel coordinators, etc.?

  • Q: Who is CareOregon following for guidance?

  • Q: Will interpreters still be available for member appointments?

What should clinic staff do if they suspect someone in their care has the coronavirus?

Please reach out to the CDC, OHA or Multnomah County. They can help you with any suspected cases and suggest the appropriate next steps.

Resources for health care staff:

Who should we call if we have questions?

If providers or clinic staff have other questions about COVID-19, they should reach out to OHA directly.

If there are any questions about CareOregon’s policies during this situation, please reach out to Provider Customer Service at 503-416-4100, option 3. They can help point you to the right resource.