Oregon Health Plan
Oregon Dental Service is always welcoming additional Oregon Health Plan providers.
- As an OHP provider, you can limit the number of patients you accept or adjust the number of patients you currently accept into your practice.
- Providers can request that their name be excluded from the directory.
- Please notify us when limiting your practice for new OHP patients.
MMIS eligibility system and training
OHP provider announcements
Member Handbook
OHP Provider Handbook
ODS Oregon Health Plan offers language translation services for OHP members. Notification of two business days before an appointment is requested for language translation and two weeks’ notice for sign interpretation. Please call ODS Customer Service and provide the following information:
- Date, time and length of appointment
- Type of appointment
- Dentist name, contact name and address
- Patient name, ID number and contact telephone number
- Language needed
If your patient requires a referral to a specialist, the following information is needed:
- Service type (endodontics, oral surgery, pediatric or special needs) — to ensure that the patient is referred to the appropriate specialist, please indicate any special needs or concerns that he or she has
- Current dentist name and telephone number
- Patient's name, ID number and phone number
- Travel times
- Sedentary limits
ODS Oregon Health Plan no longer allows benefits for services that are “buy-ups” from allowed services. For example, an additional client payment to obtain a gold crown (not covered) instead of the stainless steel crown (covered). Exception: Composite or similar restorations on posterior teeth will be allowed at the amalgam fee.
Since ODS Oregon Health Plan patients can change dentists, we recommend you contact Customer Service for limitations.
If there is a delay in claim payment, please call Customer Service before resubmitting the claim.
A clinical narrative and/or X-rays may be requested for some services. It is recommended that you do not submit X-rays unless requested.
Log in to Benefit Tracker
Check benefits and eligibility
Log in to Benefit Tracker
Check benefits and eligibility
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