For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
Medicaid in Oregon:
The OR Health Care Authority administers the state’s Medicaid program, called Oregon Health Plan.
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.oregon.gov/DHS/Pages/index.aspx.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
Medicaid Managed Care:
Oregon Health Plan Beneficiaries Participating in Managed Care:
Managed care plans participating in Medicaid offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in Medicaid:
AllCare Health Plan
Cascade Health Alliance
Plan Website: Call 541-851-2015
Provider Enrollment: Call 541-851-2015
Columbia Pacific Coordinated Care Organization
Plan Website: http://www.colpachealth.org/
Eastern OR Coordinated Care Organization
Health Share of OR
Intercommunity Health Network Coordinated Care Organization, Samaritan Health Services
Jackson Care Connect
Pacific Source Community Solutions Coordinated Care Organization
Primary Health of Josephine County, LLC
Trillium Community Health Plan
Umpqua Health Alliance
Western OR Advanced Health, LLC
Plan Website: Call 541-269-7400
Provider Enrollment: Call 541-269-7400
Willamette Valley Community Health, LLC
Yamhill County Care Organization