Medicaid Members Documents

• Central Oregon Enrollment Assistors
  
• Traditional Health Workers
  
• Potential Member FAQ
  
• On-boarding Guide
  
• Medical Ride Program Guide
  

Medicaid Members Forms

• Primary Care Provider (PCP) Change Form
  
• CVS Pharmacy Mail Order Form
  
• Member Appeal and Hearing Request Form
  
• Blank W9
  
• Authorization To Release Information
  
• Member Pharmacy Claim Reimbursement Request Form
  
• Advance Directive Form
  
• Appointing Healthcare Representative
  
• Authorization To Release Information - Spanish
  
• Flexible Services Member Request Form
  
• OHP Complaint Form