Provider Manual
Manual (248.8 KB)
CIM Quick Guide (452.63 KB)
Common Claim Denial Reasons (480.03 KB)
Eligibility and Enrollment (204.71 KB)
Updated 2021 Federal Poverty Guidelines
Annual and Monthly Federal Income Guidelines 2021 (39.67 KB)
Rate Sheet & Billing Updates
Multnomah Other Fee Schedule (Effective 7-1-2022) (362.47 KB)
Multnomah Other Fee Schedule (Effective 7-1-2022) (184.53 KB)
Summary of Billing Changes - January 1, 2022 (93.74 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
SUD Client Housing
SUD Emergency Housing Instructions (125.52 KB)
Timely Filing Waiver Request (130.18 KB)
Indigent Services Eligibility & Recertification (710.31 KB)
Indigent Services Eligibility & Recertification - Spanish (721.92 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
Monthly Invoicing Process (1.43 MB)
Fiscal Year 2024
Monthly Expenditure Form (Cost Reimbursement Invoice Template) - Exhibit 6A (90.29 KB)
Quarterly Budget Comparison Report (44.9 KB)
Contractor Annual Budget - Exhibit 6C (59.46 KB)
Contractor Annual Budget (Prevention) - Exhibit 6C (59.53 KB)
Fee-for-Service Invoice Template (Non-Treatment) - Exhibit 6D (59 KB)
Fee-for-Service Invoice Template (Treatment) - Exhibit 6D (60 KB)
Provider Meetings
Annual CIM / MultOther Training video (2020)
Minutes - March 22, 2022 (559.45 KB)
Minutes - February 24, 2022 (114.53 KB)
Minutes - January 27, 2022 (119.49 KB)
Minutes - December 2, 2021 (555.31 KB)
Minutes - October 28, 2021 (93.58 KB)
Minutes - September 3, 2021 (95.75 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
2022 Intergovernmental Agreement for MH, SUD, & Problem Gambling Services (2.82 MB)
2021 Intergovernmental Agreement for MH, SUD, & Problem Gambling Services (1.76 MB)
Contact Us
- Billing Support, billing.multother@multco.us
- Utilization Review, ur.multother@multco.us
Contact List (103.79 KB)
