Supporting Health for All through REinvestment (SHARE)

SHARE overview

SHARE comes from a legislative requirement for coordinated care organizations (CCOs) to invest some of their profits back into their communities. After meeting minimum financial standards, CCOs must spend a portion of their net income or reserves on services to address health inequities and the social determinants of health and equity (SDOH-E).

SHARE is just one way CCOs respond to SDOH-E, health inequities and the social needs of their members.

SHARE is defined by the following state law and Oregon Administrative Rule (OAR):

2018 legislative requirement: House Bill 4018, Section 3, 1(b)(C)
2019 legislation that modified minimum financial standards for CCOs, over which a portion must be dedicated to SHARE: Senate Bill 1041, Section 57, 1(b)
SHARE definitions and requirements: OAR 141-414-3735

Office hours

Nov. 6 and Dec. 4, 1:30‒2 p.m.

Join the meeting now

Meeting ID: 257 132 616 634 2
Passcode: Nz7kL35T

Audio only: +1 971-277-2343,,7511182#

SHARE requirements

A CCO’s SHARE dollars must:

Align with community priorities in the CCO's community health improvement plan;
Include any statewide priorities for SHARE spending (currently housing-related services and supports);
Include a role for the CCO’s community advisory council in spending decisions;
Involve community partnerships, with a portion of dollars going to SDOH-E partners; and
Fit into one of five SDOH-E domains: economic stability, neighborhood and built environment, education, social and community health, and health care access and quality.

2025 guidance and reporting templates

Reporting templates

2025 SHARE Attestation Template
SHARE Designation and Spend-down Reports in Exhibit L (Report L6.7 and L6.71): Due June 30
SHARE Public Posting Template (CCOs may edit the template or choose an alternate format.)

Supplemental resources

SHARE, HRS and ILOS Comparison (updated October 2025)
HRS, SHARE and ILOS Program Essentials for CCO Staff (updated October 2025) – Crosswalk of Medicaid spending program implementation guidance
HRS, SHARE and ILOS Overview for Community Partners (updated October 2025) – Basic information on CCO spending programs.
HRS, SHARE and ILOS Basics for OHA Staff (updated October 2025)
Housing and Medicaid Spending Programs (updated October 2025)
Oregon's SUD 1115 demonstration waiver (see Attachment F: Community Integration Services and Eligibility)

Community integration services fact sheet for OHP members

Oregon's 1115 Medicaid waiver, 2022-2027 (see Section 9: Health-related Social Needs)
Health and Housing: Introduction to Cross-Sector Collaboration (National Academy for State Health Policy, 2021)

CCO reports and summaries

CCO spending plans and reports are posted on the SHARE reports page.
2024 SHARE spending plan summary: English / Spanish

Summaries don't reflect any changes to partners or activities after original submission. See individual CCO reports at the link above for any updates. See the SHARE reports page for archived reports.

Webinars

2025 SHARE guidance updates: Slides / Recording (10/7/25)
Integrated funding case studies: Slides / Recording (4/17/25)
Medicaid spending programs braided funding examples: Slides / Recording (4/15/24)

Resource: Braided funding scenarios

SMARTIE goals: Slides / Recording / Handout (12/2/22)

Contact

If you have questions about SHARE, please contact Transformation.Center@odhsoha.oregon.gov.