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News Release
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Oregon Health Plan members in parts of Polk county will 'Pick a Plan' this October (Photo) - 09/18/19

September 18, 2019

Oregon Health Plan members in parts of Polk county will 'Pick a Plan' this October

Postcards from the Oregon Health Plan (OHP) will start hitting mailboxes this week to let members know an important letter will arrive in October with information about changes to the coordinated care organization (CCO) choices in their area. The postcards are a part of the Oregon Health Authority’s (OHA’s) outreach efforts and member support services for OHP members in communities with changes to their CCO choices in 2020.

CCOs are local health plans that help members use their medical, dental, and behavioral health benefits. Starting today, members will also have access to a special call center set up to support them through this transition.

"In some areas of Oregon, CCO plan choices are changing next year — and we want members to know there are resources they can access to get the help and information they need to pick the best plan for themselves and their families," said Lori Coyner, Oregon Health Authority Medicaid director.

In Polk County, members who were served by Willamette Valley Community Health that live in ZIP codes in the service areas of new CCO PacificSource Community Solutions – Marion Polk and current CCO Yamhill County Care Organization will choose between the two CCOs. OHA will provide members with a guide to help them compare CCO plans and "pick the plan" that works best for them and their families.

Nearly 87 percent of Oregon’s 1 million OHP members are enrolled in CCOs. On July 9 the Oregon Health Authority announced its intent to award 15 organizations CCO contracts. Services under the new contracts will begin on January 1, 2020. The new contracts are part of OHA’s next phase of health care transformation, known as "CCO 2.0."

More than 350,000 members will have choices to make about their CCO plans this fall. About 6,000 of them are in Polk County. Between October 16 and November 17, members can pick a plan online, over the phone, or in person with the help of an OHP-certified community partner.

Resources for OHP members:

  • Call 877-647-0027, a special number set up to help OHP members.
  • Go to OHP.Oregon.gov to find more information and local community partners who are trained to help support members during this transition.

Background

OHA heard from providers and members that keeping members with the providers they see now and not disrupting their care should be OHA’s main priority during this transition. OHP will suggest "matched" CCO plans for members based on the mental health and primary care providers they have seen in the past 24 months.

It is also important to OHA that members have the opportunity to make choices about which CCO will serve them when a choice is available in their area. Members do not have to keep their matched plans. Between Oct. 16 and Nov. 17, they can choose another plan online, over the phone, or in person with the help of an OHP-certified community partner.

If members like their matched plan, they don’t have to do anything. They will be automatically enrolled in that plan. If members do not like the CCO plan they are enrolled in, they will have another opportunity to change their plan between Jan. 1 and March 31, 2020.

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