Oregon Provider Enrollment - Frequently Asked Questions
Who needs to enroll in Oregon Medicaid?
Any provider who would like to receive Medicaid reimbursement for services rendered to Medicaid recipients. This includes rendering and billing providers, groups, and facilities.
How do I enroll?
Enrollment information and the Online Provider Enrollment Portal link are at Oregon Provider Enrollment.
When do I need to fill out a Provider Enrollment Agreement?
You need to complete a Provider Enrollment Agreement any time you fill out form 3108 or 3974 as a new provider or are seeking renewal and revalidation. Note: ALWAYS check your taxonomy code via the NPI registry prior to submitting your Medicaid Enrollment ID application(s). This will help you ensure your taxonomy matches the scope of care rendered and billed.
If I’m a solo provider billing with my individual NPI and a Tax ID, what type of enrollment do I need?
If you are the sole practitioner, and no other providers will be billing under your Tax ID, you will only need the Oregon Provider Medicaid ID application. If you plan to have additional providers bill under your Tax ID, you need to obtain a type 2 NPI and complete the organizational enrollment section.
If an out-of-state provider is enrolled with Medicare or their own state’s Medicaid program, but not with Oregon, is that sufficient? Is there any kind of streamlined process at least?
There is no streamlined process for providers already enrolled in other states or programs. Every state has the same enrollment requirements and providers must be enrolled in each state for claims to properly adjudicate. There is no national database for provider enrollment.a
Who should I contact with further questions?
Please call Provider Enrollment at 800-336-6016 (Option 6) for questions about prescriber enrollment. For questions concerning why Envolve requires providers to take this action, please contact Envolve Customer Service at (844) 353-6874.