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@OHAOregon
November 11, 2020
Contact: Robb Cowie, 503-421-7684; robb.cowie@dhsoha.state.or.us
Oregon Health Plan (OHP) members in 5 counties will be reassigned to different coordinated care organizations (CCOs), when new contracts for Medicaid health plans begin on January 1, 2020. The Oregon Health Authority (OHA) is moving members because the CCOs to which some OHP members were originally assigned (or members had chosen during the current member choice period) do not have health care provider contracts in place to serve them.
The changes include:
OHA will notify all affected members of changes in their enrollment in coming weeks, before new CCO contracts take effect on January 1, 2020.
OHA Director Patrick Allen said, “Our top priority during the transition to new CCO contracts has been to make sure OHP members continue to have access to high-quality, well-coordinated health care. OHP members depend on their CCOs to offer the doctors, counselors and other providers they need to ensure health and well-being for themselves, their families and their communities. We are doing everything we can to make sure nothing disrupts those vital provider relationships.”
On July 9, 2019, the Oregon Health Authority (OHA) announced its intent to award 15 organizations contracts to serve as coordinated care organizations (CCOs) for the Oregon Health Plan’s nearly 1 million members. CCOs have been undergoing “readiness review,” which includes examination of their updated provider networks, since the summer. CCOs signed new contracts, totaling more than $6 billion for the 2020 contract year, prior to October 1, 2020. Contracts remain contingent on successful completion of the readiness review process.
About coordinated care organizations: Oregon first established CCOs in 2012 to transform health care delivery in the state. CCOs bring together physical, behavioral, and oral health providers to coordinate care for people on the Oregon Health Plan. They improve health and reduce costs by providing more coordinated, flexible and innovative services. CCOs are rewarded for achieving specific health outcomes and quality measures.