This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of Form OHP720?
A: The purpose of Form OHP720 is to request a change in enrollment status for American Indian/Alaska Native individuals on the Oregon Health Plan.
Q: Who can use Form OHP720?
A: Form OHP720 can be used by American Indian/Alaska Native individuals on the Oregon Health Plan who want to make a change in their enrollment status.
Q: What changes can be requested using Form OHP720?
A: Form OHP720 can be used to request changes such as adding or removing household members, updating contact information, or changing the tribe affiliation.
Q: How should I fill out Form OHP720?
A: You should carefully fill out all the required sections of Form OHP720, providing accurate and up-to-date information.
Q: Are there any fees associated with submitting Form OHP720?
A: No, there are no fees associated with submitting Form OHP720.
Q: What if I need help filling out Form OHP720?
A: If you need assistance or have any questions while filling out Form OHP720, you can contact your local Oregon Health Plan office for guidance.
Q: How long does it take to process Form OHP720?
A: The processing time for Form OHP720 may vary, but you can expect a response within a few weeks of submission.
Q: Can I make changes to my enrollment status without using Form OHP720?
A: No, changes to enrollment status for American Indian/Alaska Native individuals on the Oregon Health Plan must be requested using Form OHP720.
Form Details:
Download a fillable version of Form OHP720 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.