Provider support

As a Jackson Care Connect provider, you may have specific questions for us. Below, you’ll find contact and procedural information for providers. If you are looking for specific forms and policies, visit our provider page and select your area. Please click on a topic below to get started.

Contact Us 

Find the most convenient way to contact us, update your clinic information and sign up for updates from Jackson Care Connect.

• Acupuncture guide
• Continuous Glucose Monitors and Supplies guide
• Ketamine Spravato for Mental Health guide
• Modifier 25 guide
• CLIA QW guide
• Prolonged services coding guide
• 90899 billing and coding guide
• Billing for Bilateral Services Guide
• Comanagement of Surgical Care use of Modifiers 54, 55 and 56
• Limited Coverage for Major Surgeries in a non-facility setting
• Global Period for Minor and Major Surgeries
• Clinical Trials Studies Registry Claims
• Emergency Department Outpatient Facility Evaluation and Management Coding Policies
• Provider-administered drug pricing guide
• COVID-19 vaccine guide
• Sepsis coding guide
• High day billing of psychotherapy
• Visit Complexity G2211
• Global radiology procedure billing guide
• HCPCS Code H0004 -Behavioral Health Counseling and Therapy (per 15 minutes)
• Required Use of HQ Modifier for Group Services coding guide
• Global billing guide
• Global Maternity Billing Guide

Becoming a Jackson Care Connect provider 

Thank you for your interest in joining Jackson Care Connect’s provider panel!

CareOregon administers plan services for three Coordinated Care Organizations (CCO), including Jackson Care Connect, and a Medicare Advantage plan (D-SNP), supporting and enhancing sensible, localized, coordinated care. 

• Acupuncture guide
• Continuous Glucose Monitors and Supplies guide
• Ketamine Spravato for Mental Health guide
• Modifier 25 guide
• CLIA QW guide
• Prolonged services coding guide
• 90899 billing and coding guide
• Billing for Bilateral Services Guide
• Comanagement of Surgical Care use of Modifiers 54, 55 and 56
• Limited Coverage for Major Surgeries in a non-facility setting
• Global Period for Minor and Major Surgeries
• Clinical Trials Studies Registry Claims
• Emergency Department Outpatient Facility Evaluation and Management Coding Policies
• Provider-administered drug pricing guide
• COVID-19 vaccine guide
• Sepsis coding guide
• High day billing of psychotherapy
• Visit Complexity G2211
• Global radiology procedure billing guide
• HCPCS Code H0004 -Behavioral Health Counseling and Therapy (per 15 minutes)
• Required Use of HQ Modifier for Group Services coding guide
• Global billing guide
• Global Maternity Billing Guide

Member Resources

Help our members and potential members get the right care and service they deserve, in a language they understand. From signing up eligible candidates to finding them a free air conditioner when it gets hot, you can find resources to provide the best service in the menus below.

• Acupuncture guide
• Continuous Glucose Monitors and Supplies guide
• Ketamine Spravato for Mental Health guide
• Modifier 25 guide
• CLIA QW guide
• Prolonged services coding guide
• 90899 billing and coding guide
• Billing for Bilateral Services Guide
• Comanagement of Surgical Care use of Modifiers 54, 55 and 56
• Limited Coverage for Major Surgeries in a non-facility setting
• Global Period for Minor and Major Surgeries
• Clinical Trials Studies Registry Claims
• Emergency Department Outpatient Facility Evaluation and Management Coding Policies
• Provider-administered drug pricing guide
• COVID-19 vaccine guide
• Sepsis coding guide
• High day billing of psychotherapy
• Visit Complexity G2211
• Global radiology procedure billing guide
• HCPCS Code H0004 -Behavioral Health Counseling and Therapy (per 15 minutes)
• Required Use of HQ Modifier for Group Services coding guide
• Global billing guide
• Global Maternity Billing Guide

Submitting claims and receiving payment 

You can find instructions and options for various methods of submitting claims, receiving payments and remittance advices. 

• Acupuncture guide
• Continuous Glucose Monitors and Supplies guide
• Ketamine Spravato for Mental Health guide
• Modifier 25 guide
• CLIA QW guide
• Prolonged services coding guide
• 90899 billing and coding guide
• Billing for Bilateral Services Guide
• Comanagement of Surgical Care use of Modifiers 54, 55 and 56
• Limited Coverage for Major Surgeries in a non-facility setting
• Global Period for Minor and Major Surgeries
• Clinical Trials Studies Registry Claims
• Emergency Department Outpatient Facility Evaluation and Management Coding Policies
• Provider-administered drug pricing guide
• COVID-19 vaccine guide
• Sepsis coding guide
• High day billing of psychotherapy
• Visit Complexity G2211
• Global radiology procedure billing guide
• HCPCS Code H0004 -Behavioral Health Counseling and Therapy (per 15 minutes)
• Required Use of HQ Modifier for Group Services coding guide
• Global billing guide
• Global Maternity Billing Guide

Provider Training

Stay up-to-date on quality metrics, fraud waste and abuse policies, and Model of Care training with the following tools.

• Acupuncture guide
• Continuous Glucose Monitors and Supplies guide
• Ketamine Spravato for Mental Health guide
• Modifier 25 guide
• CLIA QW guide
• Prolonged services coding guide
• 90899 billing and coding guide
• Billing for Bilateral Services Guide
• Comanagement of Surgical Care use of Modifiers 54, 55 and 56
• Limited Coverage for Major Surgeries in a non-facility setting
• Global Period for Minor and Major Surgeries
• Clinical Trials Studies Registry Claims
• Emergency Department Outpatient Facility Evaluation and Management Coding Policies
• Provider-administered drug pricing guide
• COVID-19 vaccine guide
• Sepsis coding guide
• High day billing of psychotherapy
• Visit Complexity G2211
• Global radiology procedure billing guide
• HCPCS Code H0004 -Behavioral Health Counseling and Therapy (per 15 minutes)
• Required Use of HQ Modifier for Group Services coding guide
• Global billing guide
• Global Maternity Billing Guide

Other Provider Resources

• Acupuncture guide
• Continuous Glucose Monitors and Supplies guide
• Ketamine Spravato for Mental Health guide
• Modifier 25 guide
• CLIA QW guide
• Prolonged services coding guide
• 90899 billing and coding guide
• Billing for Bilateral Services Guide
• Comanagement of Surgical Care use of Modifiers 54, 55 and 56
• Limited Coverage for Major Surgeries in a non-facility setting
• Global Period for Minor and Major Surgeries
• Clinical Trials Studies Registry Claims
• Emergency Department Outpatient Facility Evaluation and Management Coding Policies
• Provider-administered drug pricing guide
• COVID-19 vaccine guide
• Sepsis coding guide
• High day billing of psychotherapy
• Visit Complexity G2211
• Global radiology procedure billing guide
• HCPCS Code H0004 -Behavioral Health Counseling and Therapy (per 15 minutes)
• Required Use of HQ Modifier for Group Services coding guide
• Global billing guide
• Global Maternity Billing Guide