- (1) If the client has not enrolled in a CCO or PHP, bill with the appropriate Division unique procedure codes and follow the instructions on how to complete the CMS-1500.
- (2) Client copayments may be required for certain services. See OAR 410-120-1230 for specific details.
- (3) Claims shall be submitted on a CMS-1500, electronically or on paper. Paper claims shall be sent to the Division.
- (4) Contact the Division’s Electronic Billing Representative for information about electronic billing.
- (5) Bill on a CMS-1500 and enter the appropriate TPR Explanation Code in Field 9 when billing for clients with Medicare.
Statutory/Other Authority
ORS 413.042
Statutes/Other Implemented
ORS 414.065
History
DMAP 45-2015, f. & cert. ef. 8-25-15
OMAP 54-2002, f. & cert. ef. 10-1-02
HR 6-1997, f. & cert. ef. 2-19-97
HR 9-1991, f. 1-28-91, cert. ef. 3-1-91