Provider Application
Search for the "Practitioner" Danyelle Peters.
How many PIDs were found?
2
Use ID YC800M0J
Is this member active?
No
Where is the first place we should look to see if prior authorization is required?
The Focus Chart
What 2 Oregon Medicaid groups does Moda administrate?
EOCCO & OHSU IDS
What is the name of the PERS gym benefit for 2026?
OnePass
How many practitioners practice at "Provider Group" P00001300404?
3
Use ID K22373015
What group does this member belong to?
PERS
Per the Focus Chart, who reviews PAs for CPT 0692T?
RN - The provider will need to submit the request to us and one of our RNs will review it.
Is Wheeler County part of EOCCO?
Yes
What is the Part B deductible for 2026?
$283
Search for a "Practitioner" with NPI 1659831386.
What is their Provider ID?
P00001580613
Use ID AV11146B
Under which category would you find "Wheelchair?"
Professional Services, DME, & Supplies
What is the expedited turnaround time for a PA?
72 hours
Which 3 Oregon Counties do OHSU IDS members live in?
Clackamas
Multnomah
Washington
True or False:
Plan G members are responsible for paying their Part B deductible?
True
Search for the "Practitioner" P00001387139.
When did they become INN with our EOCCO plan?
01/20/2022
Use ID XAA8987E
Is prior authorization required for Acupuncture?
Yes
Acupuncture and Chiropractic: EOCCO requires prior authorization and medical necessity review for all visits.
Is N12 a funded diagnosis?
Yes. DX code is found on line 273 which is Above the Line (470.)
How would you place a request for an OHSU IDS member to receive a handbook?
What is the phone number for Choose Healthy?
877-335-2746
Search for the "Practitioner" David Mehr whose primary address is 557 W Washington St. Burns, OR 97720.
What Provider Group does this Practitioner belong to?
Harney District Hospital
Use ID KP001W9J
Is this member eligible for a vision exam?
Yes
Is this a funded pairing?
CPT: 40650
DX: K14.0
No - Codes pair on line 563 which is Below the Line of coverage (470.)
Which 5 plans make up the Health Share CCO?
OHSU (That's us!)
Kaiser Permanente
Care Oregon
Providence Health Assurance
Legacy Health / Pacific Source
When can Oregon Community Supplement members add a Vision and Hearing Rider to their policy?
During the annual renewal period (11/30 — 12/31).
Application must be post-marked before January 1st.