Form OHP720 American Indian / Alaska Native Oregon Health Plan Enrollment Status Change Request - Oregon

Form OHP720 American Indian / Alaska Native Oregon Health Plan Enrollment Status Change Request - Oregon

What Is Form OHP720?

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.

FAQ

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.

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Form Details:

  • Released on April 1, 2016;
  • The latest edition provided by the Oregon Health Authority;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form OHP720 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.

Download Form OHP720 American Indian / Alaska Native Oregon Health Plan Enrollment Status Change Request - Oregon

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