Oregon organizes Medicaid around coordinated care organizations (CCOs), so most therapists deal with two layers: Oregon Health Authority enrollment and then each CCO. This guide explains the pieces and the order to tackle them.
Licensing: the Board of Licensed Professional Counselors and Therapists
The Oregon Board of Licensed Professional Counselors and Therapists covers licensed professional counselors (LPCs), licensed marriage and family therapists (LMFTs), and registered associates, including professional counselor associates and marriage and family therapist associates. The board runs an online license verification tool, which payers and enrollment teams commonly use to confirm your status.
Oregon Health Plan enrollment through OHA
Oregon Health Authority (OHA) enrolls providers through its MMIS Provider Portal. Before you start, you need a 10-digit NPI, since OHA cannot enroll new providers without one. You choose a path:
- Non-payable provider: for individuals whose services are billed by an organization. Each record allows one service location.
- Payable individual: for individuals who bill directly.
- Organizations: apply with OHA forms 3972, 3974 and 3975, and some provider types need extra forms.
OHA offers an online tool to check whether you are already enrolled by NPI, and you can check application status with your Application Tracking Number. Use only the currently posted forms. Updates are due within 30 days of a change, and providers must be revalidated at least every five years.
CCOs: where most Oregon members are
CCOs are the Medicaid health plans serving over 90 percent of OHP members. OHA's enrollment lists exclude providers who serve only CCO members, and OHA directs providers to contact each CCO for its own enrollment and credentialing requirements. In practice that means a separate application and timeline per CCO in the region where you see members.
Where Oregon applications tend to stall
- Choosing the wrong path, for example enrolling as non-payable when you actually bill directly.
- Filing an outdated form. OHA says to use only the currently posted forms.
- Assuming OHA enrollment covers the CCOs. It does not replace CCO credentialing.
- Missing the five-year revalidation or the 30-day change window.
We confirm the current CCOs and requirements for your region when we scope your work, since plan networks change.
Common questions
Does OHA enrollment cover CCO credentialing too?
No. OHA directs providers to contact each CCO for its enrollment and credentialing requirements.
What is the difference between non-payable and payable provider enrollment?
Non-payable is for individuals whose services are billed by an organization, with one service location per record. Payable individual is for those who bill directly.
How often must I revalidate with OHA?
OHA says providers must be revalidated at least once every five years.
Official sources we used
- OHA: Provider enrollment
- OHA: Coordinated care organizations
- Oregon Board of Licensed Professional Counselors and Therapists
Checked against these pages on November 2, 2026. Rules and forms change, so confirm with the board, agency or plan before you file. This page is general information, not legal advice, and we do not guarantee approvals or timelines. Please do not send patient information through this site.
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