Health Authority

State of Oregon

Official Website: https://www.oregon.gov/oha/

Forms & Documents

Browse all Health Authority government forms

81 - 100 of 156 forms

Form Title Topics
MMIS Local Match Leveraging Form - Unit of government providers use this form to submit local match prepayments for claims submitted by their service providers
Newborn Notification Form
Notice of Action/Benefit Denial - English template for OHP health plans
Notice of Action (English) - Template for contracted transportation brokerages
Notice of Action - Russian template for OHP health plans
Notice of Action (Spanish) - Template for contracted transportation brokerages
Notice of Action - Spanish template for OHP health plans
Notice of Action - Vietnamese template for OHP health plans
Notice of Appeal Resolution - English template for OHP health plans
Notice of Appeal Resolution - Russian template for OHP health plans
Notice of Appeal Resolution - Spanish template for OHP health plans
Notice of Appeal Resolution - Vietnamese template for OHP health plans
Notice of Hearing Rights
Notice of Hearing Rights
Notice of Hearing Rights
Notice of Hearing Rights
Notice of Hearing Rights
Notice of Hearing Rights
OHA Provider Discrimination Review Request
OHP Client Agreement to Pay for Health Services

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