August 5, 2020
The Oregon Health Authority (OHA) is reviewing updated application materials from Trillium Community Health Plan to expand its Oregon Health Plan (OHP) service area to include Clackamas, Multnomah and Washington counties. Trillium Community Health Plan currently serves OHP members in Lane, Douglas and Linn counties.
On November 8, 2019, the Oregon Health Authority notified Trillium Community Health Plan that the coordinated care organization (CCO) would have until June 30, 2020, to contract with a hospital and meet other network requirements. If not, the CCO would lose its ability to serve the tri-county region over the next five years.
All CCOs are required to show they have a provider network that is adequate to serve their members. Trillium submitted updated provider network information to OHA in June. OHA will make a decision on the application by mid-August. If the application is approved, Trillium would be able to start enrolling OHP members September 1, 2020.
Members in the tri-counties would be able to choose Trillium as their coordinated care organization at the time of enrollment. Members are also allowed to change CCOs once per year and when they renew their OHP. Renewals are currently paused during this national emergency to ensure members maintain access to health coverage.
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.
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