Health Related Social Needs Reimbursement
Before you get started
If you need help enrolling as a HRSN Provider, verifying OHP Open Card eligibility or obtaining service authorization - please contact (888) 834-4304 for more information.
- All entities requesting reimbursement must be enrolled as an HRSN Provider with the Oregon Health Authority prior to performing services. Submissions without a valid Medicaid Provider ID will be rejected.
- Outreach & Engagement services do not require prior authorization. However, OHP Open Card eligibility must be validated prior to submission.
- All other services must be authorized in advance. Submissions without a valid authorization number will be rejected
Submitting a Reimbursement Request
- Ensure your member is enrolled in the Oregon Health Plan as an Open Card member.
- Ensure you are enrolled as an HRSN provider for the types of services you wish to submit.
- Ensure you have obtained prior authorization for the services provided. Note: This is not required for Outreach & Engagement services.
- Visit Ayin’s Online Invoicing Platform to submit your reimbursement request.
If you need step-by-step help on completing the submission, review the submission guide. For easy reminders on how to complete require fields, review the quick reference guide. Be sure you only submit claims for one member at a time and follow the instructions carefully to avoid a rejected submission.
If you have any questions about submitting a reimbursement request, please contact us at (971) 428-2516 Monday through Friday from 8am to 5pm.
