Machine-Readable Formulary
Machine-readable formulary data file (effective April 2026) for Umpqua Health Alliance’s Oregon Medicaid plan, listing covered medications with NDC codes, drug tier assignments, prior authorization requirements, step therapy, and quantity limits in a structured JSON format for interoperability.
UHA Comprehensive Formulary
Umpqua Health Alliance Formulary (Preferred Drug List) provides information on covered medications, coverage rules, and formulary status to help members and providers make informed pharmacy decisions.
NOABD FAQs (Spanish)
Encuentre respuestas a preguntas frecuentes sobre determinaciones adversas de beneficios.
NOABD FAQs
Find answers to frequently asked questions about adverse benefit determinations.
Appeals & Hearing Request (Spanish)
Utilice este formulario para enviar una solicitud de audiencia a la Autoridad de Salud de Oregón (OHA).
Appeals & Hearing Request
Use this form to submit a hearing request to the Oregon Health Authority (OHA).
UHA Complaint Form (Spanish)
Utilice este formulario para enviar una queja por escrito a Umpqua Health.
UHA Complaint Form
Use this form to submit a written complaint to Umpqua Health.
HRSN Nutrition Service Request Form
Fully fillable Nutrition Request Form for members and providers requesting Health-Related Social Needs (HRSN) nutrition services and related benefits.
HRSN Housing Service Request Form
Use this form to request housing assistance services.
HRSN Home Changes For Health Request Form
Use this form to request a HRSN Home Changes For Health (such as an air conditioner or portable heater).
UHA Information Sharing Authorization Form
This form gives us permission to send details about your HRSN service request to one of our partners.