Become a provider

EOCCO is a managed care plan contracted with the State of Oregon to provide services to Medicaid members.

Register with DMAP

Effective March 25, 2011, DMAP is requiring all healthcare providers and suppliers to submit both Social Security numbers and date of birth information when they are initially enrolling or revalidating their enrollment with DHS/OHA. This requirement applies to providers contracting with managed care plans or as a non-participating managed care plan provider.

DMAP is taking this action as required under Section 6401 of the Patient Protection and Affordable Care Act (PPACA), signed into law on March 23, 2010. The CMS final rule addressing Section 6401 of the PPACA is CMS-6028-FC, which can be found at: edocket.access.gpo.gov/2011/2011-1686.htm.

This requirement applies equally to each provider or supplier, each person with ownership or control interest in the provider or supplier, any subcontractor in which the provider or supplier directly or indirectly has a five percent (5%) or more ownership interest, and any managing employees including directors and officers of corporations, non-profit organizations and charities.

If you are not registered with DMAP, please complete the Managed care plan rendering provider application and the Managed care plan facility clinic application below. These forms can be faxed back to 503-265-4790 or email to ProviderDMAPApps@modahealth.com.

EOCCO will deny claims for providers who are not registered with DMAP.

Contracting with EOCCO

I want to join the panel and initiate a contract as a new provider:

I am an existing provider and I want to renew my contract:

I need a copy of my current contract:

Credentialing information:

Updating demographic information:

Pricing and allowables:

Claim review:

Adjustment requests:

Billing policy information: