OHP Provider Enrollment Agreement Notice
If you are already actively enrolled with OHA, there is no action needed at this time. However, if you are requiring enrollment or have a new provider requiring enrollment, this agreement must be submitted prior to the provider being eligible to receive Medicaid funds. You can find a stand-alone copy of the newly required form on OHA’s website here, or you may use CareOregon’s practitioner or organizational applications to complete the agreement.