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

Forms change and are updated here on a regular basis, so please be sure to return to this page for the most up to date forms and policies.


Pharmacy Policies and Forms

Pharmacy Policies

Pharmacy Forms


Medicaid and Medicare

Medicare Only



Pharmacy Policy Updates & Other Forms





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).

CPT Code Grid - Diagnostic and Treatment Procedures

Authorization guidelines by CPT code

DME - Authorization & Code Lists

Frequently Asked Questions (FAQ's)

Authorization Request Forms

Medicare Behavioral Health Policy and Form

Miscellaneous Policies and Forms