Get the free Oregon Provider Services Territory -- CityCounty Listing

Oregon Provider Services Territory City/County Listing & Special Assignments Albany Line OR Tyler Gun 5035873351 Cristina Winslow CONSULTANT PHONE 5033754312 Aloha Washington OR Nancy O 'Dell 5035256587

How to fill out oregon provider services territory

How to fill out Oregon provider services territory:

1. Obtain the necessary application form from the Oregon Health Authority (OHA) website or through other designated channels.
2. Complete the required fields on the application form accurately and thoroughly. This may include providing information such as your contact details, practice name, specialty, anticipated patient volume, and the counties or regions in Oregon where you intend to provide services.
3. Ensure that you meet all the eligibility requirements outlined by the OHA for providing services in Oregon. This may include being licensed and in good standing with the appropriate professional licensing board, having appropriate insurance coverage, and meeting any specific standards or qualifications for your particular area of practice.
4. If applicable, attach any necessary supporting documentation to the application form. This could include proof of professional credentials, licenses, certifications, or any other documents requested by the OHA.
5. Review the completed application form and supporting documentation to ensure everything is accurate and complete before submitting it to the OHA.
6. Submit the application form and any required fees to the OHA through the designated submission process, such as online or by mail.
7. Await a response from the OHA regarding your application. This may involve a review of your application and documentation, verification of your qualifications, and potentially an interview or site visit.
8. If approved, you will receive notification from the OHA with details about your provider services territory. This may include specific counties or regions where you are authorized to provide services, any limitations or requirements, and any additional instructions or conditions that apply.

Who needs Oregon provider services territory:

1. Healthcare professionals or organizations planning to provide services in Oregon. This may include physicians, nurses, dentists, psychologists, hospitals, clinics, and other healthcare entities.
2. Individuals or entities seeking to participate in Oregon's healthcare programs, such as Medicaid, coordinated care organizations (CCOs), or other state-funded healthcare initiatives. These programs may require providers to have a designated service territory.
3. Professionals or organizations looking to expand their practice or services into Oregon and require official recognition and authorization to do so.

Overall, anyone who wishes to offer healthcare services in Oregon and wants to be in compliance with the state's regulations and requirements should consider obtaining an Oregon provider services territory designation.

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What is oregon provider services territory?

Oregon Provider Services territory includes the geographical areas where the provider services are offered in the state of Oregon.

Who is required to file oregon provider services territory?

All providers offering services in the state of Oregon are required to file the provider services territory form.

How to fill out oregon provider services territory?

The provider must fill out the form with details of the geographical areas where services are offered in Oregon.

What is the purpose of oregon provider services territory?

The purpose of the provider services territory form is to accurately report the areas where services are provided in Oregon.

What information must be reported on oregon provider services territory?

Information such as the specific locations and regions where services are offered must be reported on the provider services territory form.