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2 articles tagged with CCO Credentialing.
Oregon Health Plan·Medicaid Provider Enrollment
A new outpatient or substance use disorder program in Oregon can have its certificate from the Oregon Health Authority, a full clinical team, and a waiting list, and still be unable to bill the Oregon Health Plan. Medicaid enrollment is a separate application with its own federal screening, and an OHP provider number…
Saint Health Group··7 min read
Oregon Health Plan·Medicaid Billing
Most Oregon behavioral health programs don't lose Oregon Health Plan revenue on big denials. They lose it quietly, on claims that sat in a work queue a few weeks too long, or on a balance someone sent to the client that the rules never allowed. Both problems come from the same place: the team knows the clinical side…
Saint Health Group··7 min read
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