OHP Dental Care Organization (DCO) Transition Archive

Background

In 2022, five dental care organizations (DCOs) managed dental services for approximately 60,000 Oregon Health Plan fee-for-service ("open card") members. 

• While coordinated care organizations (CCOs) operate on a five-year procurement cycle, DCOs have not gone through such a procurement process since 2008. 
• The DCO contract has gone through an annual restatement process incorporating legislative and rule changes. These changes, often developed for CCOs, have implications for DCOs as a result of this contractual relationship.
• The implementation of CCO 2.0 made significant changes resulting in new contractual requirements. The resulting administrative burden was overwhelming for DCOs, which have a smaller membership and budget than CCOs. 

Given this state, the Oregon Health Authority (OHA) and DCOs re-examined the current relationship between OHA and DCOs to find a solution to best serve the needs of DCO members. 

• Through this work, OHA decided to assign DCO members to CCOs through the new CCO-F (dental-only) plan type, effective January 1, 2023.
• The CCO-F plan type provides dental services only. As a CCO member, these individuals can also access non-emergent medical transportation (NEMT) and care coordination resources. 
• Most DCOs had existing contractual relationships with most CCOs, which may facilitate less member disruption. 

Throughout 2022, OHA worked with DCOs and CCOs to ensure the smooth transition of DCO members.

Meeting Archive

This page contains material from past Dental Care Organization (DCO) Transition meetings.