Resources and Tools

Resources and Tools

Forms Provider referral directories
Looking up member eligibility or claims Linking to other resources
Reviewing member benefits Common acronyms translated
Requesting training HIPAA policy


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Forms

F O R   A L L   P L A N S
Prior authorization: Request prior authorization for services. See Medical Management for current prior authorization lists for all plans.
Imaging authorization: Request prior authorization for imaging services.
Rx exception/prior authorization: Request exception to prescription drug coverage rules.

Samaritan InterCommunity Health Network (IHN)
IHN-PCP100 - Request form for member to change PCP
DMAP 741 Hysterectomy Consent
DMAP 741 Hysterectomy Consent: Spanish
DMAP 742A Consent to Sterilization-Adult 
DMAP 742A Consent to Sterilization-Spanish Adult  
DMAP 742B-Consent to Sterilization-Minor  
DMAP 742B Consent to Sterilization-Spanish Minor

Samaritan Choice Plans
 
Disabled Dependent Determination: Fax or mail to Samaritan Choice Plans’ for the Medical Director to review and determine patient disability.
Fax Rx for MAIL ORDER: Transfer member prescription drugs to Samaritan Health Services Pharmacy for mail order.

Samaritan Advantage Health Plan HMO
Fax Rx for MAIL ORDER: Transfer member prescription drugs to Samaritan Health Services Pharmacy for mail order.
Medicare Part D Coverage Determination Request Form: Request Medicare Part D prescription drug coverage determination.

Samaritan Healthy KidsConnect
Fax Rx for MAIL ORDER: Transfer member prescription drugs to Samaritan Health Services Pharmacy for mail order.

COHO Benefits of CTSI
There currently are no forms specifically for COHO providers to use at this time.  Please see forms created and available that are appropriate to use for All Plans.

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Looking up member eligibility or claims status:

Register for He@lthWeb: get 24/7 online access to Samaritan Health Plans' eligibility and claims information 
Login to He@lthWeb: for registered users
VIEW He@lthWeb tutorial 
Samaritan InterCommunity Health Network (IHN)-State DMAP MMIS web portal

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Reviewing member benefits

Samaritan Advantage Health Plan HMO; for enrollment information, visit our Medicare section
Samaritan Choice Plans
Samaritan InterCommunity Health Network (IHN)
Samaritan Healthy KidsConnect
COHO Benefits of CTSI

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Requesting training

Training request form

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Provider referral directories

Samaritan Health Plans offer Provider Directories that make referring and collaboration of care much easier for you and your staff.  Below, Provider Directories are listed by plan for your convenience.

Samaritan Advantage Health Plan HMO (Medicare)
Primary Care Provider Directory
Specialties Directory 


Samaritan Choice Plans (Samaritan employee plan)
Primary Care Provider Directory
Specialties Directory 


Samaritan InterCommunity Health Network (IHN) (Oregon Health Plan)
Primary Care Provider Directory 
Specialties Directory

Samaritan Healthy KidsConnect
Primary Care Provider Directory
Specialties Directory

COHO (Confederated Tribes of Siletz Indians’ members and employees)
Provider Directory 

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L I N K I N G   T O   O T H E R   R E S O U R C E S :
Medicare
CMS Medicare Manuals
CMS home   
Social Security Administration 
Senior Health Insurance Benefits Assistance Program (SHIBA) 

Oregon Health Plan (Medicaid)
Division of of Medical Assistance Programs (DMAP) Fee Schedule
DMAP Prescription Drug Plan
Oregon Administrative Rules
Oregon Health Plan (OHP) Member Benefit Guide 
OHP Prioritized List currently covers lines 502 and above   
OHP Provider Tools 

Oregon Healthy Kids
Oregon Healthy Kids
Office of Private Health Partnerships
Oregon Health Authority
Oregon Insurance Division
Department of Human Services

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Common acronyms translated

COHO - Confederated Tribes of Siletz Indians' members and employees
DMAP - Division of Medical Assistance Programs
IHN - Samaritan InterCommunity Health Network
OHP - Oregon Health Plan
SAHP - Samaritan Advantage Health Plan HMO
SCP - Samaritan Choice Plans

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HIPAA Policy

(Health Insurance Portability and Accountability Act)
View policy


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