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Provider Services

At FamilyCare, we believe that great care begins
with giving you the information you need
to make smart, informed choices.
Home > Provider Services > Forms

Forms


Claims Review Request Form  - online form

Interpreter Request Form - online form

OPCA 2009 - Credentialing

OPRCA 2009 - Recredential 

Oregon Medicaid Number Application Information Form

Organizational Provider Credentialnig Application

Prospective Provider Survey - fax to 503-734-3188

Request to Add Code(s) to Medicaid List of Services Not Requiring Authorization