Health Plan- Oregon's Medicaid Program
- Oregon Health Plan (OHP) Overview
- Medicaid Management Information System
- Medicaid Legislative Advocacy
Overview
The Oregon Health Plan (OHP) provides health care coverage to low-income Oregonians through programs administered by the Division of Medical Assistance Programs (DMAP). Currently, more than 380,000 people each month receive health care coverage through the Oregon Health Plan.
Goals:
- Increase access to health care for low-income Oregonians.
- Improve the quality of health care and receipt of preventive services by low-income Oregonians, thereby improving their health.
- Contain health care costs.
The Oregon Health Plan site has an extensive set of tools for physicians and other health care providers. Click here to view these resources.
Medicaid Management Information System
From the State of Oregon website
The Oregon Department of Human Services implemented a new Medicaid Management Information System (MMIS) in December 2008.
The new MMIS replaced a 27-year-old system that used outdated technology and could not be updated to support increasingly complex state and federal requirements. The old system was built to process 260,000 claims per month for 116,000 eligible clients. Today, Oregon's MMIS tracks approximately 430,000 clients and processes about 2 million claims each month.
The new MMIS processes claims faster and more efficiently, and helps to detect and reduce fraud and errors. In addition, the new system will ensure that Oregon is in compliance with federal Medicaid requirements.
For more information on the new MMIS system, click here.
Legislative Advocacy
The OMA has supported several legislative efforts regarding the Medicaid program in Oregon. Periodically, the OMA asks physicians to respond Action Alerts on proposed bills.