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Health-Related Services


Health-related services are non-covered services that are offered as a supplement to covered benefits under Oregon’s Medicaid State Plan to improve care delivery and overall member and community health and well-being. Health-related services include:
  • Flexible services, which are cost-effective services offered to an individual member to supplement covered benefits, and
  • Community benefit initiatives, which are community-level interventions focused on improving population health and health care quality. These initiatives include members, but are not necessarily limited to members.
Health-related services must meet requirements for:

a) Activities that improve health care quality (45 CFR 158.150);
- or -
b) Expenditures related to health information technology and meaningful use requirements to improve health care quality (45 CFR 158.151).

Health-related services are defined by Oregon Administrative Rules (OAR 410-141-3500 and 410-141-3845), the 1115 waiver special terms and conditions, and federal regulations. See the OHA brief below for more details.

CCOs are required to report annual HRS spending to OHA through their Exhibit L Financial Reports (template available on the CCO Contract Forms webpage). OHA reviews the annual CCO Exhibit L HRS expenditures to ensure expenditures meet HRS criteria. Reporting and spending summaries are available here:

2024 HRS office hours

Jan. 5, April 5, July 12, Oct. 5 (9:05-9:30 a.m. all sessions)
  • Join meeting
  • Call in: +1 971-277-2343
  • Phone ID: 649 358 553# 

HRS information for OHP members

If you are an Oregon Health Plan member and enrolled in a CCO, learn how to request flexible services:

HRS guidance

General guidance

Topic-specific resources

Reporting and evaluation

HRS learning opportunities


​Join us to learn about communicating with your CCO's community partners about various Medicaid spending programs — including health-related services (HRS), Supporting Health for All through REinvestment (SHARE) and in lieu of services (ILOS). We will share a new resource for CCOs that aims to simplify the program requirements and descriptions. This webinar is sponsored by the OHA Transformation Center in partnership with Oregon Rural Practice-based Research Network (ORPRN).

  • Audience: This webinar will be most beneficial for CCO staff who oversee these spending programs and programmatic work with community partners. 
  • Monday, January 8, 1‒2 p.m.
  • Register here​ (After registering, you will receive a confirmation email from Zoom containing information about joining the meeting). 

​Join us for an overview of 2022 HRS spending, updates to frequently-asked HRS questions, and updates to examples of past-approved HRS expenditures. The content of this webinar will be most useful to CCO staff who work on implementing HRS within their communities. 

After registering, you will receive an email from Zoom containing information about joining the meeting.  
Accessibility: Everyone has a right to know about and use OHA programs and services. Some examples of the services and accommodations OHA can provide: sign language and spoken language interpreters, written materials in other languages, braille, large print, audio and other formats. If you need help or have questions, please contact Marissa McCartney ( at least 48 hours before the meeting.  ​​

Learn more about HRS in Oregon's 2022-2027 Medicaid 1115 Demonstration Waiver. This webinar will review upcoming changes to HRS based on the waiver and the impact of the waiver's health-related social needs benefits for transition populations.

​Slides are available for a three-part technical assistance series on centering equity in health-related services (HRS) flexible services programs. These hands-on work sessions were intended to help coordinated care organization (CCO) staff plan and integrate equity-centered strategies into their HRS programs. The series builds on recent webinars that showcased Health Literacy and Equity in HRS Flex. All CCO staff are welcome, but the content will be particularly relevant for HRS flex program lead staff.

  • Part 1: Making HRS flex more accessible to members and providers – View slides
  • Part 2: Addressing community needs through HRS flex – View slides

​Cliff Coleman, MD, MPH, presents an overview of health literacy, discusses the role of health literacy in advancing health equity and provides CCOs with strategies to effectively communicate with Medicaid patients. Dr. Cliff Coleman is a practicing family medicine physician at Oregon Health & Science University and national expert in health literacy and doctor-patient communication. 

​This webinar focuses on centering equity in CCO HRS flexible services, including opportunities to promote equity in selecting services, strategy and planning of service delivery, reaching members experiencing the greatest inequities, communicating with providers and members, and monitoring efforts. Yamhill Community Care Organization also shares an example of how, in response to the public health emergency, transportation to day-to-day essential services were offered to address the increased social needs of members. 

This webinar covers the basics of housing in Oregon, and health-related services (HRS) investments in housing. The webinar features panelists from Oregon Housing and Community Services, Eastern Oregon CCO, and Health Share. Topics include current statewide trends in housing, how housing is built and financed, and how CCOs can meaningfully invest in housing through community partnerships. 

​HRS community benefit initiatives (CBIs) are community-level interventions supported by CCOs that are focused on improving population health and health care quality. This webinar includes how CBIs are reported; common CBI investments by CCOs; ways to align CBIs with other priorities; and examples of promising CCO CBI programs.

  • Audience: CCO staff, contracted providers, and organizations wishing to better understand how CBIs can be used to improve population health
  • View slides
  • Watch recording​​​

​This recorded webinar is ideal for those who are new to or wishing to brush up on HRS basics.



​See the event page​.


​This virtual convening is sponsored by the OHA Transformation Center in partnership with Oregon Rural Practice-based Research Network (ORPRN) in an effort to support CCOs in implementing Supporting Health for All through REinvestment (SHARE), health-related services (HRS) and in lieu of services (ILOS).​

  • ​What: Annual convening for CCOs on OHA spending initiatives, focused on housing
  • When: Tuesday, September 20–Friday, September 23 (9 a.m.–1:15 p.m. each day)
  • Who should attend: CCOs interested in sharing and learning from others about how HRS, SHARE and ILOS can support their work to address housing as a social determinant of health and equity. CCOs are strongly encouraged to invite their community partners involved in this work.
  • Register in advance (required)
  • See event page for agenda and materials​
Contact: Anne King (, Nancy Goff ( or the Transformation Center (

Evidence base to support use of specific interventions as HRS

In addition to other resources a CCO may identify, OHA has identified the following resources as acceptable sources for published studies or evidence to support a health-related service: OHA has also identified the following resources to support CCOs in calculating return on investment (ROI) for health-related services expenditures. Note: Calculating an ROI is not required for reporting HRS expenditures to OHA, but it may support CCOs' long-term HRS expenditure planning.
  • Commonwealth Fund ROI Calculator. This calculator is designed to help health systems and their community-based organization partners plan sustainable financial arrangements to fund the delivery of social services to high-need, high cost patients. To help users of this ROI calculator, the Commonwealth Fund has provided a summary assessment of available evidence of health care impact for interventions related to addressing health-related social needs for high-need adults.
  • Center for Health Care Strategies ROI Forecasting Calculator: This web-based tool is designed to help Medicaid state agencies, health plans and other stakeholders assess and demonstrate the cost-savings potential of efforts to improve quality.

CCO HRS Policy and Procedure (P&P) Submissions


If you have questions, please email the OHA health-related services team at

Note: The OHA staff who manage this email account do not have access to OHP member information and are not able to help request health-related services for members.