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Addictions and Mental Health Services

2007 Mental Health Organization (MHO) Agreement

The following files are in PDF format.

 

2007 Oregon Health Plan Mental Health Organization Agreement (complete document)

Amendment to the 2007 MHO Agreement (PDF)

 

Table of Contents

 

Part I: Contractor Data, Approvals and Signatures

Part II-1: Statement of work, terms and conditions

Part II-2: Statement of work, terms and conditions

 

 

Exhibit A: Mental Health Services Practitioner Report


Exhibit B: Mental Health Organization (MHO) Grievance Log
 

Exhibit C: Solvency Plan and Financial Reporting

Report C-2: Current OHP Members with Third Party Resources (Quarterly Report)  

Report C-3: Quarterly Balance Sheet

Report C-4: MHO Contractor's Quarterly Statement of Revenue and Expenses Insturctions

Report C-4: MHO Contractor's Quarterly Statement of Revenue and Expenses Form

Report C-4a: Health Care Expenses by Service Type

Report C-4b: Prevention/Education/Outreach Activities

Report C-5: Fiscal Year Cash Flow Analysis for Corporate Activity- Indirect Method

 

Exhibit D: Encounter Minimum Data Set Requirements

Exhibit D-1: Data Certification and Validation Signature Form

Exhibit D-2: Data Certification Form


Exhibit E: Client Process Monitoring System


Exhibit F: Oregon Patient/Resident Care System  


Exhibit G: Client Notices, Grievances, Appeals and Hearings Process  


Exhibit H: Procedure for Long-Term Psychiatric Care Determinations for OHP Members


Exhibit I: Practitioner Incentive Plans


Exhibit J: Prevention/Detection of Fraud and Abuse


Exhibit K: Definitions

 

Exhibit L: Contractor-specific


Exhibit M: Reserved


Exhibit N: Level of Need Determination Data

 

 

 

Exhibit O: Third Party Resources and Personal Injury Liens