Get the free OHP 3108. Managed Care Plan/CCO Provider Enrollment Request
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PrintClearProvider Enrollment Request
For Managed Care Plan and
Coordinated Care Organization (CCO) ProvidersHEALTH SYSTEMS DIVISION
Claims and Encounter DataContracted Managed Care Plans and CCS
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How to fill out ohp 3108 managed care
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01
To fill out OHP 3108 Managed Care form, follow these steps:
02
Start by providing your personal information such as name, date of birth, address, and contact details.
03
Indicate whether you are applying for yourself or on behalf of a dependent.
04
Provide information about your income, including wages, tips, and self-employment earnings.
05
Specify the type of coverage you are applying for and if there are any other insurance plans you are currently enrolled in.
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Answer all the eligibility questions honestly and accurately.
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Sign and date the form, and make sure to review all the information before submitting it.
Who needs ohp 3108 managed care?
01
OHP 3108 Managed Care is needed by individuals or families who are seeking healthcare coverage through the Oregon Health Plan (OHP) and wish to enroll in a managed care plan.
02
This form is specifically for those who qualify for OHP and want to choose a managed care organization to coordinate their healthcare services and access a network of healthcare providers.
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It is important for individuals who need comprehensive healthcare coverage and want the benefits of managed care to fill out OHP 3108 Managed Care form.
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What is ohp 3108 managed care?
OHP 3108 Managed Care is a form used by managed care organizations in Oregon to report data regarding the services they provide to members within the Oregon Health Plan (OHP).
Who is required to file ohp 3108 managed care?
Managed care organizations (MCOs) that provide services under the Oregon Health Plan are required to file the OHP 3108 Managed Care form.
How to fill out ohp 3108 managed care?
To fill out the OHP 3108 Managed Care form, organizations must provide accurate and complete information regarding the services provided, member demographics, and financial data as specified in the instructions accompanying the form.
What is the purpose of ohp 3108 managed care?
The purpose of the OHP 3108 Managed Care form is to collect data that supports the evaluation and oversight of managed care organizations, ensuring compliance with state and federal regulations and improving health outcomes for OHP members.
What information must be reported on ohp 3108 managed care?
The OHP 3108 Managed Care form requires reporting information such as member enrollment numbers, service utilization statistics, financial performance, and quality measures.
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