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Behavioral Health Care CDA

Behavioral health care CDA overview

A care delivery area (CDA) is an innovative value-based payment (VBP) arrangement. See the VBP Roadmap for Coordinated Care Organizations.

Behavioral health care is a significant priority for the Oregon Health Authority. Oregon has one of the highest rates of mental illness in the nation, and one in ten Oregon adults suffers from a substance use disorder (SUD). Less than half of Oregonians experiencing mental illness, and only 11% of those experiencing SUD, receive treatment.

The behavioral health care CDA fosters innovative pilot VBP arrangements for behavioral health care across settings of care. This includes services to treat mental health and addictive disorders, including problem gambling and SUD. These services may be delivered in settings included, but not limited to:

  • Community mental health programs and behavioral health clinics or organizations
  • Residential treatment facilities
  • Assertive community treatment programs
  • Outpatient addiction treatment centers
  • Primary care, specialty care, and oral health care settings
  • School-based health centers
  • Hospitals
  • Emergency departments

A behavioral health care CDA VBP should not reinforce existing silos between behavioral and physical health, or create new silos. For example, arrangements with primary care providers delivering behavioral health services should still include a link to specialty behavioral health, as services are needed.

Behavioral health care CDA VBP models may support important state policy goals, such as:
  • Addressing opioid use disorder and dependency
  • Using best practices to outreach to culturally specific populations
  • Increasing access to primary care and integrated care
  • Prioritizing access for pregnant women and children ages birth through five years
  • Increasing care coordination for individuals with severe and persistent mental illness, children with serious emotional disturbances, individuals in medication assisted treatment for substance use disorder, and members of prioritized populations
  • Reducing admissions, readmissions and length of time in the emergency department
  • Increasing access to community-based services
  • Increasing access to supported employment services
  • Fully implementing system of care for the children’s system
  • Increasing wraparound services to all children and young adults who meet criteria

Technical assistance and resources

Technical assistance is coming soon.


Payment models:

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