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CCO 2.0 Contract Awardees

CCO 2.0 Contracts Awarded, Readiness Review Results and 2020 Capitation Rates Released

CCO 2.0 Contracts Awarded, Readiness Review Results and 2020 Capitation Rates Released

The Oregon Health Authority (OHA) has signed contracts with 15 organizations to serve as coordinated care organizations (CCOs) for the Oregon Health Plan’s nearly 1 million members. Eight of the contracts include conditions that must be met to address provider network adequacy and pending provider contracts.

OHA also announced the initial results of the first round of the federally-mandated readiness review and the 2020 capitation rates for CCOs. CCOs were evaluated for their readiness to provide services starting January 1. All 15 CCOs met most or nearly all the requirements. Capitation rates are the per-member-per-month amounts the state pays CCOs to coordinate health care for OHP members. The average net payment in 2020 is $471. The rates increase meets the 3.4 percent rate of growth target for state general funds.

The CCO contracts, readiness review results and capitation rates are posted below.

Awardee Signed Contract Readiness Review
Advanced Health Advanced Health Contract Advanced Health Readiness Review
AllCare AllCare Contract AllCare Readiness Review
Cascade Health Alliance Cascade Health Alliance Contract Cascade Health Alliance Readiness Review
Columbia Pacific Columbia Pacific Contract Columbia Pacific Readiness Review
Eastern Oregon CCO Eastern Oregon CCO Contract Eastern Oregon CCO Readiness Review
HealthShare HealthShare Contract HealthShare Readiness Review
InterCommunity Health Network InterCommunity Health Network Contract InterCommunity Health Network Readiness Review
Jackson Care Connect Jackson Care Connect Contract Jackson Care Connect Readiness Review
PacificSource Central Oregon PacificSource Central Oregon Contract PacificSource Central Oregon Readiness Review
PacificSource Columbia Gorge PacificSource Columbia Gorge Contract PacificSource Columbia Gorge Readiness Review
PacificSource Lane PacificSource Lane Contract PacificSource Lane Readiness Review
PacificSource Marion Polk PacificSource Marion Polk Contract PacificSource Marion Polk Readiness Review
Trillium Trillium Contract Trillium Readiness Review
Umpqua Umpqua Contract Umpqua Readiness Review
Yamhill Yahmhill Contract Yamhill Readiness Review

Final Example CCO 2.0 Contracts

Below are the final contracts that CCOs who have received 1-year and 5-year contracts will sign for services beginning January 1, 2020. Also included in the documents are responses to questions from work sessions held with CCOs and a summary of changes that have been made to CCO contract terms since July 2019.

Related Correspondence

Provider contracting letters

FAQ

OHA has developed responses to frequently asked questions about the CCO 2.0 Contract Awardees. Learn more about the changes to choices of coordinated care organizations (CCOs), how members will make choices about which CCO will serve them, and what will happen in communities with a CCO closure.

CCO 2.0 Contract Awardees: FAQs

CCO 2.0 Contact

CC.O20@dhsoha.state.or.us
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Media Contact

Allyson Hagen
503-449-6457
allyson.hagen@dhsoha.state.or.us

 

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