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Provider Notices

NEW Medicaid Provider Enrollment Form

12/18/2020 4:20:43 PM

The Oregon Health Authority has updated its Oregon Medicaid provider enrollment requirements to include an additional form called "Provider Enrollment Agreement." The attached Provider Enrollment Agreement will take effect with OHA starting January 1st. Any applications received December 14th and after, we ask that we collect the Provider Enrollment Agreement to help with a seamless transition into the new year.

As always, for any Medicaid Provider Enrollment questions or assistance, please reach out to your Provider Service team at or (541) 246-1457.