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CCO Contract Forms

Overview

The coordinated care organization (CCO) contracts require CCOs to submit various reports. Templates, related forms and documents for these reports are listed here. 

All documents on this page are for the CCO 2.0 contracts effective October 1, 2019, for coverage effective January 1, 2020, regardless of specific contract year, unless the year is specifically indicated.

 View CCO contract announcements

Financial Reports


Other Reports

URL
  
Modified
  
Deliverable type
  
6/4/2025 1:46 PMMember Materials
7/27/2026 2:05 PM
2018 DUR Survey6/29/2022 5:10 PMPharmacy and Drug Utilization
2019 Exhibit L Financial Reporting Template for CCOs3/18/2024 2:15 PMFinancial
2024 Insolvency Plan Guidance7/11/2025 10:15 AMFinancial
2024 Insolvency Plan Template7/11/2025 10:15 AMFinancial
2025 Grievance and Appeals Log FN_Redline V25/14/2025 8:40 AM
2025 Grievance and Appeals Log FN_Redline V35/14/2025 8:40 AM
2025 Post-service NOABD Final_Clean Version_v22/4/2025 3:45 PMMember Materials
2025 Post-service NOABD Final_Redlined_v22/4/2025 3:45 PMMember Materials
2025 Regular NOABD Final_Clean Version_v22/4/2025 3:45 PMMember Materials
2025 Regular NOABD Final_Redlined_v22/4/2025 3:45 PMMember Materials
2025 Statewide PIP Progress Report Template_FINAL3/2/2026 1:25 PM
2025 Statewide PIP Report Evaluation Criteria_FINAL3/2/2026 1:25 PM
2025 Statewide PIP Reporting Guidance and Instructions_FINAL3/2/2026 1:25 PM
2025-PIL-PP-Guidance_012320252/13/2025 3:55 PM
2026 M CCO contract template11/4/2025 2:10 PM
2026 proposed sig changes sneak peek Ops Collab 031120259/4/2025 12:30 PM
AC CY 20265/6/2026 8:50 AM
Affiliated Medicare Advantage Plan Guidance, 08-20219/9/2022 8:55 AMMedicare & Medicare Advantage Plans
Affiliated Medicare Advantage Plan Guidance, 08-20239/3/2024 5:25 PM
Affiliated Medicare Advantage Plan Guidance, 09-20228/21/2023 9:05 AMMedicare & Medicare Advantage Plans
Affiliated Medicare Advantage Plan Report6/29/2022 4:50 PMMedicare & Medicare Advantage Plans
Affiliated Medicare Advantage Plan Report Template 20259/29/2025 2:20 PMOperations
Affiliated Medicare Advantage Plan Report, 08-20219/9/2022 8:55 AMMedicare & Medicare Advantage Plans
Affiliated Medicare Advantage Plan Report, 08-20239/30/2025 2:15 PM
Affiliated Medicare Advantage Plan Report, 08-20239/3/2024 5:25 PM
Affiliated Medicare Advantage Plan Report, 08-20238/19/2025 9:50 AM
Affiliated Medicare Advantage Plan Report, 09-20228/21/2023 9:05 AMMedicare & Medicare Advantage Plans
AH CY 20265/6/2026 8:50 AM
Allowed Amount Guidance Document, 01-20235/19/2026 3:35 PM
Appendix A_ILOS billing guidance3/18/2024 2:15 PMOperations
Attestation for PA Determinations for SUD Services - 20234/18/2024 11:10 AMBehavioral Health
Attestation for PA Determinations for SUD Services - 20248/18/2025 1:25 PMBehavioral Health
Attestation for PA Determinations for SUD Services_20267/30/2026 4:04 PMBehavioral Health
Attestation Form for Previously Approved Documents, CY 20232/15/2024 6:15 PM
Behavioral Health Directed Payment FAQ for CY 202312/15/2023 4:40 PMBehavioral Health
Behavioral Health Directed Payment FAQ for CY 20241/3/2025 6:25 PMBehavioral Health
Behavioral Health Directed Payment Guidance Document for CY 202312/15/2023 4:40 PMBehavioral Health
Behavioral Health Directed Payment Guidance Document for CY 20241/3/2025 6:20 PMBehavioral Health
Behavioral Health P&P attestation form 20251/23/2025 12:05 PMBehavioral Health
Behavioral Health P&P Evaluation Criteria 202512/26/2024 2:49 PMBehavioral Health
Behavioral Health P&P Evaluation Criteria, 02-20216/29/2022 4:50 PMBehavioral Health
Behavioral Health P&Ps Self-Evaluation Criteria for CY 20251/9/2025 1:28 PMBehavioral Health
Behavioral Health Report Measurement Template, 07-2022 (corrected 9/28/2022)8/18/2025 1:25 PMBehavioral Health
CAC Demographics Report_2025_Guidance and Template4/24/2026 9:01 AM
Care Coordination Data Log Reporting Template 20257/28/2025 12:20 PMCare Coordination
Care Coordination Policies Procedures_2025_Evaluation Criteria Template9/4/2025 4:25 PMCare Coordination
Care Coordination Report Code Sheet_2025_Code Sheet for Care Coordination Report7/25/2025 3:30 PMCare Coordination
Care Coordination Report Code Sheet_2026_Code Sheet for Care Coordination Report5/28/2026 2:10 PMCare Coordination
Care Coordination Report Data Log_2025_Data Log for Care Coordination Report8/21/2025 4:35 PMCare Coordination
Care Coordination Report Data Log_2025_Data Log for Care Coordination Report (1)8/21/2025 4:40 PMCare Coordination
Care Coordination Report Data Log_20265/20/2026 11:55 AMCare Coordination
Care Coordination Report FAQ_8.21.258/21/2025 4:40 PMCare Coordination
Care Coordination Report OAR Crosswalk_20258/21/2025 4:40 PMCare Coordination
Care Coordination Report OAR Crosswalk_20265/20/2026 11:50 AMCare Coordination
Care Coordination Report Sample Data Log_20265/20/2026 11:55 AMCare Coordination
Care Coordination Report Template, 05-20222/15/2024 6:15 PMCare Coordination
Care Coordination Report Template, 06-20232/4/2025 3:15 PMCare Coordination
Care Coordination Report_2025_Instructions for Care Coordination Report7/23/2026 3:28 PMCare Coordination
Care Coordination Report_2025_Instructions for Care Coordination Report8/27/2025 10:45 AMCare Coordination
Care Coordination Report_2025_Instructions for Care Coordination Report8/19/2025 3:55 PMCare Coordination
Care Coordination Report_2025_Instructions for Care Coordination Report8/21/2025 4:40 PMCare Coordination
Care Coordination Report_2026_Instructions for Care Coordination Report_7.23.26 Updated FINAL7/23/2026 5:06 PMCare Coordination
Care Coordination Report_2026_Instructions for Care Coordination Report_FINAL7/23/2026 3:27 PMCare Coordination
Care Coordination Reporting Instructions 20257/28/2025 12:20 PMCare Coordination
CBHP Evaluation Criteria 202410/2/2024 5:48 PMBehavioral Health
CBHP Evaluation Criteria, 10-202310/2/2024 5:59 PMBehavioral Health
CBHP Implementation Guide, 10-202310/2/2024 5:59 PMBehavioral Health
CBHP Progress Reporting Implementation Guide 202410/2/2024 5:56 PMBehavioral Health
CBHP Progress Reporting Template 202410/2/2024 5:57 PMBehavioral Health
CBHP Reporting Template, 10-202310/2/2024 5:58 PMBehavioral Health
CCO Contract Restatement_2026_Marked up w nums revised renewal decision draft template_rev 091220259/12/2025 4:30 PM
CCO Contract_2026_comparison final 2025 to decision draft 2026 8/19/2025 10:30 AM
CCO Contract_2026_comparison initial draft8/19/2025 10:25 AM
CCO Contract_2026_renewal decision draft template_081920258/19/2025 10:35 AM
CCO Contract_2026_renewal decision draft template_08192025_marked up 8/19/2025 10:35 AM
CCO FAQ 06.06.20258/1/2025 4:51 PM
CCO FAQ 07.01.20267/2/2026 3:52 PM
CCO FAQ 08.01.20258/5/2025 9:05 AM
CCO Health Related Social Needs Frequently Asked Questions 12.13.2412/30/2024 7:40 AM
CCO Health Related Social Needs Frequently Asked Questions 12.20.241/13/2025 11:50 AM
CCO Health Related Social Needs Frequently Asked Questions 12.6.2412/30/2024 7:40 AM
CCO HRSN FAQ 01.24.2025 2/5/2025 3:25 PM
CCO HRSN FAQ 01.31.20258/5/2025 2:15 PM
CCO HRSN FAQ 02.21.20253/3/2025 9:25 AM
CCO HRSN FAQ 06.06.20258/5/2025 2:15 PM
CCO HRSN FAQ 08.04.202512/3/2025 12:10 PMOperations
CCO HRSN Guidance Document 8.8.2512/3/2025 12:10 PMOperations
CCO Language Self-Assessment (Reference Copy), 11-202112/16/2024 4:45 PM
CCO Language Self-Assessment Instructions and Response Template_20248/18/2025 1:25 PMOperations
CCO Model Member Handbook_Public Comment Flyer_English4/30/2026 9:15 AM
CCO Model Member Handbook_Public Comment Flyer_Spanish4/30/2026 9:15 AM
CCO Selected PIP Notification Form_Final5/5/2025 10:40 AM
CCO Selected PIP Progress Report Template_Final5/5/2025 10:40 AM
CCO-LTSS MOU Annual Reporting Guidance CY 2025 --5-7-20265/12/2026 4:15 PMCare Coordination
CCO-LTSS MOU Annual Reporting Guidance CY 2025-20265/12/2026 4:15 PM
CCOs - v1 initial draft 2027 Medi Contract 071020267/10/2026 4:29 PM
CCOs Flooding - Replacement 03.2025.pdf9/4/2025 12:30 PM
CCOs Possible Significant Changes 012320261/23/2026 8:20 AM
CGT Access Model HCDCO guidance 123020251/5/2026 12:30 PM
CHA CY 20265/6/2026 8:50 AM
CHA_2025_ Attestation4/20/2026 1:45 PM
CHA_2025_CCO Self-evaluation checklist4/20/2026 1:39 PM
CHP Progress Report_2025_Guidance and Template4/20/2026 1:45 PM
CHP_2025_CCO Self-Assessment Form4/20/2026 1:45 PM
Claim Count Verification Acknowledgment and Action Form, 10-1-20146/29/2022 4:40 PMEnrollment and Encounter Data
CMR_ISCAT_20252/12/2025 5:20 PM
CMR_Overview_20252/12/2025 5:20 PM
CMR_Protocol_20252/12/2025 5:00 PMExternal Quality Review
CMR_Standard IX—Disenrollment Requirements and Limitations_20252/12/2025 5:20 PM
CMR_Standard VIII—Confidentiality _20252/12/2025 5:10 PM
CMR_Standard XIII—Health Information Systems_20252/12/2025 5:10 PM
CMR_Standard XII—Quality Assessment and Performance Improvement_20252/12/2025 5:15 PM
CMR_Standard XIV Provider Directory_20252/12/2025 5:25 PM
CMR_Standard XIV_20252/12/2025 5:05 PM
CMR_Standard XIV—Member Handbook Checklist _20252/12/2025 5:05 PM
CMR_StandardVII Member Rights_20252/12/2025 5:15 PM
CMS DUR Survey FFY 2020 - FINAL6/29/2022 4:55 PMPharmacy and Drug Utilization
CMS DUR Survey FFY 2021 - Fillable PDF4/19/2023 3:50 PMPharmacy and Drug Utilization
CMS DUR Survey FFY 2021 – INFORMATIONAL COPY4/19/2023 3:50 PMPharmacy and Drug Utilization
CMS DUR Survey FFY 2021 Guidance4/19/2023 3:50 PMPharmacy and Drug Utilization
CMS DUR Survey FFY 2022 – INFORMATIONAL COPY8/18/2025 2:05 PM
CMS DUR Survey Guidance6/29/2022 4:55 PMPharmacy and Drug Utilization
Community Health Assessment and Community and Community Health Improvement Plan - Official Notice6/29/2022 4:45 PMCommunity
Community Health Improvement Plan Progress Report Guidance6/29/2022 4:45 PMCommunity
compare 9-4 rev DD to final 2026 M contracts11/4/2025 2:05 PM
compare final 2025 and 2026 M contracts11/4/2025 2:10 PM
Compare-2025-Decision-Final-M.pdf1/3/2025 6:20 PMBehavioral Health
Compare-Final-2024-Final-2025-M.pdf1/3/2025 6:20 PMBehavioral Health
comparison final 2026 to decision draft 20278/19/2026 1:44 PM
comparison v2 initial draft 2027 to decision draft 20278/19/2026 1:45 PM
Comprehensive Behavioral Health Plan Evaluation Criteria and Guidance Document Crosswalk, 05-202210/3/2023 12:05 PMBehavioral Health
Comprehensive Behavioral Health Plan Evaluation Criteria, 04-20216/29/2022 4:40 PMBehavioral Health
Comprehensive Behavioral Health Plan Guidance, 04-20216/29/2022 4:40 PMBehavioral Health
Comprehensive Behavioral Health Plan Progress Report Evaluation Criteria, 04-202210/3/2023 12:05 PMBehavioral Health
Comprehensive Behavioral Health Plan Progress Report Guidance, 04-202210/3/2023 12:05 PMBehavioral Health
Copy of GA Report FAQ for 2025-Final4/24/2026 9:40 AM
Copy of Grievance and Appeal System- Appeal Log 2025_V3 (Q4 2025)9/15/2025 2:15 PMGrievances & Appeals
Copy of Grievance and Appeal System- Appeal Log 2025_V3 (Q4 2025)4/24/2026 9:45 AM
CPCCO CY 20265/6/2026 8:55 AM
Data Certification and Validation Report Form, 10-1-201411/24/2025 3:40 PMEncounter & Enrollment Data
Delegation Authorization and Signature Form, 11/19/202411/24/2025 4:45 PMOperations
Delegation Authorization and Signature Form, 05-2021 (PDF)1/2/2024 9:55 AMGeneral
Delegation Authorization and Signature Form, 05-2021 (Word)1/2/2024 9:55 AMGeneral
Delegation Authorization and Signature Form, 12/29/202311/19/2024 2:30 PM
Deliverables Portal Frequently Asked Questions4/24/2026 9:25 AM
Deliverables Portal Training with account setup information4/24/2026 9:05 AM
Directed Payments – 2025 Behavioral Health Primarily Medicaid Guidance, 12/202412/30/2025 9:10 AMFinancial
Directed Payments – 2025 Behavioral Health Provider Attestation, 12/202412/30/2025 9:10 AMFinancial
Directed Payments – 2025 CCO Attestation, 12/202412/30/2025 9:10 AMFinancial
Directed Payments – 2025 Culturally and Linguistically Specific Services Guidance, 12/20245/13/2025 5:15 PMFinancial
Directed Payments – 2025 Culturally and Linguistically Specific Services Guidance, 5-202512/30/2025 9:15 AMFinancial
Directed Payments – 2025 Dental Incentive Guidance and FAQ, 7/202512/30/2025 9:15 AMFinancial
Directed Payments – 2025 Integrated Co-Occurring Disorders Guidance, 12/202412/30/2025 9:15 AMFinancial
Directed Payments - 2026 Behavioral Health Policy Brief, 11/202512/30/2025 9:35 AMFinancial
Directed Payments Behavioral Health Provider Attestation_20262/4/2026 10:20 AMFinancial
Directed Payments Behavioral Health Provider Attestation_20262/4/2026 11:20 AMFinancial
Directed Payments CCO Attestation 20262/4/2026 11:25 AMFinancial
Directed Payments CCO Attestation_20262/2/2026 9:00 AMFinancial
Directed Payments CCO Attestation_20262/4/2026 10:10 AM
Directed Payments Guidance_BH Team Based Care_20265/15/2026 3:55 PMFinancial
Directed Payments Guidance_BH Team Based Care_2026_Updated 5.15.265/15/2026 3:55 PMFinancial
Directed Payments Guidance_Culturally and Linguistically Specific Services_202612/30/2025 9:30 AMFinancial
Directed Payments Guidance_Integrated Co-Occurring Disorders_202612/30/2025 9:30 AMFinancial
DRAFT – 2020 CMS DUR Survey6/29/2022 4:55 PMPharmacy and Drug Utilization
DSN Evaluation Narrative Template, CY 20264/28/2026 2:05 PMNetwork Adequacy
DSN Evaluation Protocol 20206/29/2022 4:55 PMDelivery System Network
DSN Evaluation Protocol and Template Instructions, CY 20225/1/2023 2:35 PMDelivery System Network
DSN Evaluation Protocol, 05-20216/29/2022 4:40 PMDelivery System Network
DSN Evaluation Protocol, CY 20245/2/2025 1:45 PMNetwork Adequacy
DSN Evaluation Protocol, CY 20254/28/2026 4:15 PM
DSN Evaluation Protocol, CY 20264/28/2026 2:05 PMNetwork Adequacy
DSN Evaluation Reporting Template, CY 20245/2/2025 1:45 PMNetwork Adequacy
DSN Frequently Asked Questions 20206/29/2022 4:55 PMDelivery System Network
DSN Material Change Notification Form2/15/2024 6:15 PM
DSN Narrative Evaluation Q&A, CY 20235/29/2024 3:25 PM
DSN Narrative Evaluation TA FAQ, CY 20245/29/2024 3:20 PMNetwork Adequacy
DSN Narrative Evaluation Tool and Reporting Template, CY 20235/1/2024 1:30 PM
DSN Provider Capacity Feedback and OHA Response to Reporting, CY 20238/18/2025 2:05 PM
DSN Provider Capacity Report Error List4/10/2026 1:25 PMNetwork Adequacy
DSN Provider Capacity Report Error List4/10/2026 1:25 PMNetwork Adequacy
DSN Provider Capacity Report Instructions August 20248/7/2025 2:00 PMNetwork Adequacy
DSN Provider Capacity Report Instructions, CY 202312/1/2023 3:30 PMDelivery System Network
DSN Provider Capacity Report Instructions, CY 20248/7/2024 3:16 PM
DSN Provider Capacity Report Instructions, CY202510/2/2024 6:05 PMNetwork Adequacy
DSN Provider Capacity Report Template and Instructions, August 20248/7/2025 2:00 PMNetwork Adequacy
DSN Provider Capacity Report Template and Instructions, CY 20232/15/2024 6:07 PM
DSN Provider Capacity Report Template and Instructions, CY 20248/7/2024 3:15 PMNetwork Adequacy
DSN Provider Capacity Report Template and Instructions, CY 202510/2/2024 6:06 PMNetwork Adequacy
DSN Provider Specialty Matrix, April 20244/19/2024 10:45 AMNetwork Adequacy
DSN Provider Specialty Matrix, April 20248/7/2024 3:15 PMNetwork Adequacy
DSN Provider Specialty Matrix, August 202411/17/2025 8:35 AMNetwork Adequacy
DSN Provider Specialty Matrix, February 20244/19/2024 9:46 AMNetwork Adequacy
DSN Provider Specialty Matrix, November 202511/21/2025 3:20 PMNetwork Adequacy
DSN Provider Specialty Matrix, November 2025 V211/21/2025 3:20 PMNetwork Adequacy
DSN Technical Assistance Webinar - Questions and Answers6/29/2022 4:55 PMDelivery System Network
DSN Time and Distance Exception Request Process and Form, 080320268/4/2026 11:55 AMNetwork Adequacy
DSN Time and Distance Exception Request Process and Form, CY 20248/3/2026 12:28 PMNetwork Adequacy
DSN Time and Distance Exception Request Process FAQ, 06/14/20246/14/2024 10:05 AMNetwork Adequacy
Engagement meetings calendar w call-in3/24/2026 8:40 AM
Engagement meetings calendar w call-in 06.29.20266/29/2026 1:09 PM
Engagement meetings calendar w call-in 6.5.26 2.pdf6/5/2026 3:50 PM
Engagement meetings calendar w call-in 7.2.267/2/2026 10:36 AM
Engagement meetings calendar w call-in 7.23.267/23/2026 12:53 PM
Engagement meetings calendar w call-in_04.03.264/3/2026 11:10 AM
Engagement meetings calendar w call-in_041420264/14/2026 8:15 AM
Engagement meetings calendar w call-in_041720264/17/2026 3:30 PM
Engagement meetings calendar w call-in_051120265/11/2026 11:00 AM
Engagement meetings calendar w call-in_051420265/14/2026 3:30 PM
Engagement meetings calendar w call-in_06.5.26 1.pdf6/5/2026 12:05 PM
Engagement meetings calendar w call-in_6.5.26.pdf6/5/2026 8:16 AM
Engagement meetings calendar w call-in_UPDATED3/24/2026 8:45 AM
Engagement meetings calendar w call-in_updated 032720263/27/2026 3:35 PM
Engagement meetings calendar w call-in_Updated 042720264/27/2026 8:30 AM
Enrollment Discrepancies Found_2025 Report4/24/2026 9:25 AMEncounter & Enrollment Data
Enrollment Reconciliation - Discrepancies Found Form 05-20212/20/2025 2:25 PM
Enrollment Reconciliation - Discrepancy Reporting Guide, June 20212/20/2025 2:25 PM
Enrollment Reconciliation - No Discrepancies Found Form 05-20212/20/2025 2:25 PM
Enrollment Reconciliation and Discrepancy_2025_Reporting Guide4/24/2026 9:25 AMEncounter & Enrollment Data
Enrollment Reconciliation Certification - Discrepancies Found, 05-20212/20/2025 2:25 PM
Enrollment Reconciliation Certification - No Discrepancies Found, 05-20212/20/2025 2:25 PM
Enrollment Reconciliation Certification – No Discrepancies, 10-1-20142/5/2025 9:20 AM
Enrollment Reconciliation Certification_2025_ Attestation Form4/24/2026 9:25 AMEncounter & Enrollment Data
EOCCO CY 20265/6/2026 8:55 AM
EPSDT Guidance Document, 10/202410/25/2024 2:25 PMCare Coordination
EPSDT Guidance, 11-17-20227/25/2024 10:25 AMOperations
Family Connects Oregon 2026 Evaluation Criteria5/15/2026 4:10 PMCare Coordination
Family Connects Oregon 2026 Guidance for CCOs5/15/2026 4:10 PMCare Coordination
Family Connects Oregon Evaluation Criteria 202411/24/2025 3:15 PMCare Coordination
Family Connects Oregon Evaluation Criteria_3.28.255/15/2026 4:10 PM
Family Connects Oregon Guidance for CCOs 202411/24/2025 3:15 PMCare Coordination
Family Connects Oregon Guidance for CCOs_12.16.20255/15/2026 4:10 PMCare Coordination
Family Connects Oregon Guidance for CCOs_3.28.2512/23/2025 3:05 PM
Family Connects Oregon Guidance, 06-20238/6/2024 4:15 PM
Family Connects Oregon Guidance, 10-2021 (Updated 2/24/2022)6/22/2023 4:55 PMGeneral
FINAL - 2019 CMS DUR Survey6/29/2022 5:10 PMPharmacy and Drug Utilization
final 2025 Attestation SUD PA staff 070720254/13/2026 11:20 AM
final 2025 Medicare crossover claims attestation 022020252/11/2026 1:45 PM
final 2027 sig change guidance rev 1028202511/5/2025 1:50 PM
final 2027-004 BUP - Parts 1 & 23/5/2026 11:20 AM
final 2027-007 PHN - Parts 1 & 23/6/2026 1:20 PM
final 2027-014 Sub disputes - Parts 1 & 23/5/2026 11:20 AM
final 2027-016 Enrollmt max - Parts 1 & 23/5/2026 3:45 PM
final 2027-017 VBP reqmts - Parts 1 & 23/5/2026 11:25 AM
final 2027-018 Flex pgm updates - Parts 1 & 23/5/2026 11:25 AM
final 2027-021 HRSN pgm changes - Parts 1 & 23/5/2026 11:25 AM
final 2027-022 Reentry - Parts 1 & 23/5/2026 11:25 AM
final 2027-024 Hormone rx - Parts 1 & 23/5/2026 11:15 AM
final 2027-026 Metric rollover - Parts 1 & 23/5/2026 11:15 AM
final 2027-027 BHP TPL - Parts 1 & 23/5/2026 11:16 AM
final 2027-028 Caring Contact - Parts 1 & 23/5/2026 11:10 AM
final 2027-029 Interop reqmts - Parts 1 & 23/5/2026 11:15 AM
final 2027-030 IHCP contracts - Parts 1 & 23/5/2026 2:15 PM
final 2027-033 PH vax access - Parts 1 & 23/5/2026 11:15 AM
final 2027-036 PH env health - Parts 1 & 23/5/2026 11:10 AM
final 2027-037 BHP VBP PCPCH - Parts 1 & 23/5/2026 11:10 AM
final 2027-038 Admin Review - Parts 1 & 23/5/2026 11:35 AM
final 2027-040 Remedies - Parts 1 & 23/5/2026 11:35 AM
final 2027-047 HEA - Parts 1 & 23/5/2026 11:05 AM
final CCO 2027-911 Reentry - Parts 1 & 23/5/2026 10:55 AM
final CCO 2027-912 TOC - Parts 1 & 23/12/2026 8:30 AM
final CCO 2027-914-2 VBP reqmts - Parts 1 & 23/5/2026 10:55 AM
final CCO 2027-914-3 NCQA - Parts 1 & 23/5/2026 11:00 AM
final CCO 2027-915-3.1 THW Liaison - Parts 1 & 23/5/2026 11:00 AM
final CCO 2027-915-3.2 Tribal Liaison - Parts 1 & 23/5/2026 2:15 PM
final CCO 2027-915-3.3 HEA - Parts 1 & 23/5/2026 11:05 AM
final CCO 2027-915-3.4 PI - Parts 1 & 23/5/2026 10:55 AM
Final HIV MAT med access guidance 061520266/15/2026 3:10 PMPharmacy
final Reminder Q2CY2025 CCO deliverables 033120259/4/2025 12:30 PM
Flooding - Replacement Final 2025.03.25 (002)3/25/2025 12:55 PM
Fraud Waste and Abuse (FWA) Annual Guidance Document 20248/18/2025 2:10 PM
Fraud Waste and Abuse (FWA) Annual Guidance Document 202511/6/2024 8:55 AMFraud, Waste & Abuse
Fraud Waste and Abuse (FWA) Annual Template 20248/18/2025 2:10 PM
Fraud Waste and Abuse (FWA) Annual Template 202511/1/2024 12:00 PMFraud, Waste & Abuse
Fraud Waste and Abuse Deliverables Attestation for previously submitted documents, 03-20206/29/2022 4:40 PMFraud, Waste, and Abuse
FWA Annual Assessment Report - Attestation for Previously Submitted Documents, 11-20222/15/2024 6:20 PM
FWA Audit Report CY 202612/15/2025 10:03 AM
FWA Audit Report CY 202612/15/2025 10:10 AMFraud, Waste & Abuse
FWA Audit Report Template for CY 2023, 01-20232/15/2024 6:10 PM
FWA Audit Report Template for CY 2024, 02-20248/18/2025 2:10 PMFraud, Waste & Abuse
FWA Deliverables Review Template CY 2026 (1)10/3/2025 5:05 PM
FWA Deliverables Review Template, CY 2023 (HSAG)10/9/2024 3:43 PM
FWA Deliverables Review Template, CY 2023 (OPI)10/9/2024 3:43 PM
FWA Deliverables Review Template, CY 2024 (OPI)11/1/2024 9:40 AMFraud, Waste & Abuse
FWA Deliverables Review Template, CY 2025 (OPI)10/3/2024 6:05 PMFraud, Waste & Abuse
FWA Fraud Waste and Abuse FAQ 20238/18/2025 2:10 PM
FWA Program Integrity Glossary of Terms, 01-20228/18/2025 2:10 PM
FWA Program Integrity Glossary of Terms, 03-20206/29/2022 4:45 PMFraud, Waste, and Abuse
FWA Referral Form10/3/2024 6:06 PMFraud, Waste & Abuse
FWA Referrals and Investigations Report Template for CY 2021, 03-20212/15/2024 6:20 PM
FWA Referrals and Investigations Report Template for CY 2022, 01-20222/15/2024 6:20 PM
FWA Referrals and Investigations Report Template for CY 2023, 01-20232/15/2024 6:05 PM
FWA Referrals and Investigations Report Template for CY 2024, 02-20248/18/2025 2:09 PM
FWA Referrals and Investigations Report Template for CY 202510/3/2024 6:06 PMFraud, Waste & Abuse
FWA Referrals Investigations Report CY 202612/15/2025 10:06 AMFraud, Waste & Abuse
FWA Referrals Investigations Report CY 202612/15/2025 10:10 AMFraud, Waste & Abuse
FWA-Audit-Report- CY 202510/3/2024 6:05 PMFraud, Waste & Abuse
Grievance and Appeal - Appeal Log 2025_V39/15/2025 2:20 PMGrievances & Appeals
Grievance and Appeal - AppealLog 20253/27/2025 4:45 PMGrievances & Appeals
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CCO Portal Login

Resources

Login to the CCO Portal


Account and System Requests

  • Use the Account Requests form to request a new account or remove an existing account. Accounts are limited to CCO staff.

Training and Documentation

The 2022-2027 waiver for the Oregon Health Plan (OHP) 1115 Medicaid Demonstration includes groundbreaking authority to provide health-related social needs (HRSN) services as a covered OHP benefit to eligible members, including those who are members through the Healthier Oregon program.

Approved HRSN services include housing, nutrition, climate-related supports, and outreach and engagement services

Find HRSN deliverables and guidance below:

Learn more a​bout HRSN on the HRSN page.

​In lieu of services (ILOS) are services determined by the state to be medically appropriate and cost-effective substitutes for covered services or settings under the State Medicaid Plan. ILOS must meet requirements outlined in 42 CFR 438.3(e)(2). Please see guidance and resources below:

For more information about ILOS, visit the ILOS page.


​Member Materials

For general guidance, please see the Material Submissions and Reviews page.

NOABD, NOAR templates

Please see templates below for Notice of Adverse Benefit Determination and Notice of Appeal Resolution. These templates were updated in October 2024.

Redline versions:

Community Health Assessment (CHA) and Community Health Improvement Plan (CHP)​

To learn more, please visit OHA's page for CHA/CHP guidance and training.

Community Advisory Council (CAC)

Flexible Services (formerly HRS)

To learn more, please visit OHA's Flexible Services page​.​​​

SHARE

Guidance​
Reporting template

To learn more and find reporting templates, please visit OHA's SHARE page.

Transformation and Quality Strategy (TQS) 

In 2025, CCOs will attest to meeting TQS requirements instead of submitting a full TQS. For details, see the CCO contract waiver memo (2/5/25). 


To learn more, please visit OHA's TQS page.

Value-Based Payments

To learn more, please visit OHA's Value-Based Payment page.