Oregon Health Plan - Mental Health Managed Care
This page provides information for and about the managed care plans that contract with the Addictions and Mental Health Division (AMH) to provide mental health services to Oregon Health Plan (OHP) clients.
OHP Stakeholder Information
This page provides information for OHP stakeholders - providers, clients, organizations and other partners interested in how the Oregon Health Plan works.
For more information about how managed care plans contribute to the success of the Oregon Health Plan, refer to the OHP Overview and OHP Annual Reports.
For information about the Division of Medical Assistance Programs (DMAP) and their contracts with Fully Capitated Health Plans (FCHPs), Dental Care Organizations (LCOs) and Physician Care Organizations (PCOs) that contract with the Addictions and Mental Health Division (AMH) to provide healthcare services, go to DMAP's Managed Care Information page.
OHP clients have contact information for their managed care plans listed on their coverage letter. Public contact information is also available in the following documents.
OHP/MHO contractors meetings are public meetings. Meeting dates and times are available on the OHP Public Meetings page. You can also access information on OHP/MHO Contractors Code Workgroup, Rules and finances, and rates on the AMH Public Meetings page. These meetings are public meetings.
Mental Health Plans by County - OHP clients use these "comparison charts" to determine what managed care plan to enroll in when they apply or reapply for OHP coverage. For information about current and past enrollment rates for all contracted plans, refer to the OHP enrollment reports.
Managed care contracts
2011 AMH Model Provider Services Contracts
2011 DMAP Model Contracts
To look at specific contracts with each managed care organization, go to the Oregon Procurement Information Network (ORPIN) Web site. Click on "Browse contracts," then do a keyword search for "organization" (check the "In Title" box).
Tools for Providers
Other helpful links
Prioritized list information
Weekly 7-11 carve-out list
Mental health drugs are "carved out" of the managed care capitation rates. This means that DMAP pays for these drugs for all clients, including those in managed care. This list is subject to change without notice.
Reports and publications
Information on this page is highly varied, ranging from technical material to the number of Oregon Health Plan enrollees statewide and by county. The Reports and Publications page also includes a history of the Oregon Health Plan, whose development began in the late 1980s and which was introduced Feb. 1, 1994.