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Umpqua Health Providers

Documents & Forms

If you can’t find what you’re looking for below, our Customer Care team can help.

Provider Guidance – Asthma and COPD

Prior Authorization Grid – Behavioral Health (MH/SUD)

Prior Authorization Grid – Imaging

DME Vendor Grid

A list of DME vendors contracted with Umpqua Health.

Prior Authorization Grid – DME

Prior Authorization – Overview

Prior Authorization Grid – Therapies

Behavioral Health Prior Authorization Provider FAQ

Find answers to frequently asked questions about behavioral health PAs.

Medical, Behavioral and SUD Prior Authorization Form

Medication Management Referral Form

Pharmacy Prior Authorization Criteria