For treatment and recovery support providers that are contracted under Multnomah Other.

Provider Manual

Manual (183.39 KB)
CIM Quick Guide (452.63 KB)
Common Claim Denial Reasons (97.49 KB)
Eligibility and Enrollment (152.35 KB)

Updated 2021 Federal Poverty Guidelines
Annual and Monthly Federal Income Guidelines 2021 (39.67 KB)

Rate Sheet & Billing Updates

Multnomah Other Fee Schedule (172.86 KB)
Multnomah Other Fee Schedule (33.15 KB)
Summary of Billing Changes - July 1, 2021 (101.38 KB)
Secondary Payer Changes - July 1, 2021 (97.92 KB)
 

Covid-19 and Telehealth Services (102.68 KB)
Correct Claims Filing Cut Off Date (98.7 KB)
Retroactive Oregon Health Plan Coverage (79.64 KB)

Forms

New Client Request
SUD Client Housing

Timely Filing Waiver Request (100.88 KB)
Indigent Services Eligibility & Recertification (349.24 KB)
Indigent Services Eligibility & Recertification - Spanish (274.59 KB)
SUD Residential Treatment Request & Reauthorization (240.58 KB)
Non-Formulary Medication Assisted Treatment Request (300.01 KB)

Treatment Authorization Guidelines

DUII Minor in Possession - Non-Substance Use Disorder Diagnosis (99.3 KB)
Concurrent DUII and Medication Assisted Treatment Services (90.43 KB)
Residential Treatment - Substance Use Disorders (97.92 KB)
Withdrawal Management (94.69 KB)
Peer Support Services (96.25 KB)

Child Room & Board

Eligibility Changes (86.64 KB)
Reporting Requirements (92.12 KB)

Fiscal Requirements

FY21 Monthly Expenditure Form (Cost Reimbursement Invoice Template) - Exhibit 6A (81.32 KB)
FY21 Quarterly Budget Comparison Report - Exhibit 6B (Only required if you have Monthly Allotment payment method with Cost Reimbursement payment basis) (35.88 KB)
FY21 Contractor Annual Budget - Exhibit 6C (46.85 KB)
FY21 Fee-for-Service Invoice Template (Non-Treatment) - Exhibit 6D (59 KB)
FY21 Fee-for-Service Invoice Template (Treatment) - Exhibit 6D (60 KB)

Provider Meetings

Annual CIM / MultOther Training video (2020)

Billing Meeting Minutes - June 24, 2021 (63.53 KB)
Minutes - May 27, 2021 (107.22 KB)
Minutes - April 22, 2021 (45.69 KB)
Minutes - February 25, 2021 (113.93 KB)

Covid-19 Impact Meeting - June 16, 2021 (28.45 KB)
Covid-19 Impact Meeting - May 18, 2021 (28.98 KB)
Covid-19 Impact Meeting - May 5, 2021 (26.94 KB)
Covid-19 Impact Meeting - February 24, 2021 (93.13 KB)
Covid-19 Impact Meeting - February 10, 2021 (61.71 KB)
Covid-19 Impact Meeting - January 27, 2021 (29.66 KB)
Covid-19 Impact Meeting - January 13, 2021 (140.8 KB)

Client Emergency/Basic Needs Funds (CEBN)

CEBN Procedures (323.58 KB)
CEBN Representative Contact Info (28.93 KB)


State-County Contract

2019-2021 Intergovernmental Agreement for MH, SUD, & Problem Gambling Services (6.21 MB)
2017-2019 Intergovernmental Agreement for MH, SUD, & Problem Gambling Services (2.02 MB)

Contact Us

Contact List (431.89 KB)