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ABA Referral Form B:
Request for Treatment
This form is to be completed by Board Certified Applied Behavioral Analysis (ABA) providers to
request an initial authorization or reauthorization for ABA
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What is health share of oregon?
Health Share of Oregon is a coordinated care organization (CCO) responsible for providing Medicaid benefits to Oregonians.
Who is required to file health share of oregon?
Health care providers and organizations that participate in the Medicaid program in Oregon are required to file health share of Oregon.
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Health Share of Oregon can be filled out online through the Health Share of Oregon website or through the Oregon Medicaid Provider Enrollment Portal.
What is the purpose of health share of oregon?
The purpose of Health Share of Oregon is to improve health outcomes, reduce health disparities, and control costs for Oregonians enrolled in Medicaid.
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Health care providers must report patient demographics, services provided, diagnoses, and billing information on Health Share of Oregon.
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