Medicaid for Home Care in Oregon

Medicaid Certified Home Care Agency in Oregon

For claiming Oregon Medicaid claims, the homecare agency needs to be a certified HHA (Home Health Agency). Non-medical agencies will need certain certifications along with a license for being compliant. The details about the compliance are shared by the state’s Department of Human Services or Bureaus of Licensing and Certification.

Governing Body: Oregon Health Authority (OHA)

Overview:

Medicaid in Oregon is also known as the Oregon Health Plan (OHP) and covers low-income individuals, including children, pregnant women, and the elderly or disabled people.

Medicaid Programs:

  • Aged & Physically Disabled Waiver
  • Independent Choices (ICP)
  • Client-Employed Provider Program (CEP)
  • K Plan
  • Spousal Pay Program

Income Requirements:

  • For individuals, income within 138% of the FPL ($16,100 per year) for a family of one and $32,900 per year for a family of four

Application Process:

The application process for accessing Medicaid for Oregon residents is easy, and anyone can apply online for the available Medicaid programs.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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