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State of Oregon
Affordable Housing Inventory
The Affordable Housing Inventory is a statewide resource for anyone seeking affordable housing information in Oregon. The Oregon Health Authority (OHA) is not the originator of this information. The inventory has been assembled from a variety of...
Oregon Medicaid CAWEM Emergency Diagnosis Codes
List of diagnosis codes covered for emergency services billed under the Citizen-Waived Emergency Medical (CAWEM) benefit package (CWM). To learn more about CAWEM coverage, see Oregon Administrative Rule 410-120-1210(d).
Oregon Medicaid Diagnosis Codes Exempt from 30-Day Readmission Policy
Codes that are not subject to Oregon Administrative Rule 410-125-0410(2), which states that hospitals must do a single billing for patients "whose discharge and readmission to the hospital is within thirty (30) days for the same or related...
Informational Diagnosis Codes ( Diagnosis Code Group 6033)
Codes in this group are not on the Prioritized List. They are considered informational only. They may be needed for reporting purposes but they are not eligible for reimbursement by OHP's FFS program. For specific coverage information please...
Undefined Diagnosis Codes (Diagnosis Code Group 6030)
Codes in this group are not on the Prioritized List. They are not specific enough for OHP to determine coverage. As such they are not eligible for reimbursement by OHP's FFS program. Providers are directed to bill with a more definitive...
Diagnostic Procedure Codes ( Procedure Group 1119)
Most codes in this group do not appear on the Prioritized List of Health Services; however, they are covered when billed with a diagnosis code from OHP's Diagnostic Workup File (Code Group 6032). This list does not guarantee coverage. For...
Ancillary Services (Procedure Code Group 6060)
Codes in this file are considered ancillary (defined as “services supportive of or necessary for providing a primary service”). Ancillary services may be provided either before, after, or concurrent with the primary service. For example,...
Conditions Not Covered ( Diagnosis Code Group 6031)
Codes in this group are not on the Prioritized List. They are conditions that are not covered for reimbursement by OHP's FFS program. For specific coverage information please contact the Provider Services Unit at 800-336-6016.