Read more: Members may have trouble getting meds at some pharmacies.

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Policies and forms

Click here to learn more about BH Qualified Directed Payments (BH QDP)

This section includes medical policies, forms and medical management guidelines for physical and behavioral health. Some documents are provided by CareOregon, the health insurance provider that works with Columbia Pacific. For dental health information, visit the provider page of the appropriate plan:

Opioid prescribing guidelines

Policies: Pharmacy

Forms: Pharmacy

Policy updates and other forms: Pharmacy

Electronic prior authorization Q&As

Treatment Pathways


Authorization guidelines and forms


Use the Provider Portal to verify a member’s eligibility with Columbia Pacific CCO.

Authorization guidelines 

Changes are posted on the 15th day of the calendar month (or the next business day).

Diagnostic and treatment procedures: CPT code grid

Miscellaneous policies and forms

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