CCO 2.0 Coordinated Care Organizations Draft Request for Applications
OHA is seeking public comment on its draft request for applications (RFA) for the 2020-2024 coordinated care contracts.
Coordinated care organizations (CCOs) bring together physical, behavioral, and oral health providers to coordinate care for people on the Oregon Health Plan, or Medicaid. They are designed to improve health and reduce costs by providing more coordinated, flexible and innovative services. They are rewarded for achieving specific health outcomes and quality measures. They are locally governed and accountable to their communities.
The draft RFA lays out the requirements applicants must meet to serve Oregon Health Plan members for the next five years of coordinated care contracts, also known as “CCO 2.0.”
OHA will accept public comment on the draft RFA until 10 a.m. January 14, 2019
. OHA will not respond to individual comments. Any changes based on public feedback will be reflected in the final RFA, which will be released January 25, 2019.
Public comment must be submitted through the CCO 2.0 email inbox at CCO2.email@example.com
Understanding the draft RFA documents
The “Principal RFA Document” describes the purpose of the RFA and the requirements that a successful applicant must fulfill to receive a contract.
The RFA has three appendices that include: definitions of terms used in the RFA, the contract template, and administrative rule concepts. Within the contract template are exhibits A through N, which provide requirements for specific areas of work. The RFA also has 16 attachments, which include forms and questionnaires applicants must submit.
Documents in the RFA and Sample Contract most closely related to the Governor’s four priority areas and the Oregon Health Policy Board’s adopted policy recommendations are identified below:
Draft Principal RFA Document, Attachments 1-5Draft RFA Attachment 6 General QuestionsDraft RFA Attachment 7 Provider Participation and Operations QuestionnaireDraft RFA Attachment 8 Value Based Payment QuestionnaireDraft RFA Attachment 9 Health Information Technology QuestionnaireDraft RFA Attachment 10 SDOH and Health Equity QuestionnaireDraft RFA Attachment 11 Behavioral Health QuestionnaireDraft RFA Attachment 12 Cost and Financial QuestionnaireDraft RFA Attachment 13 AttestationsDraft RFA Attachment 14 AssurancesDraft RFA Attachment 15 RepresentationsDraft RFA Attachment 16 Member Transition PlanDraft RFA Appendix A DefinitionsDraft RFA Appendix B Sample Cintract, Exhibits A-NDraft RFA Appendix C Administrative Rule ConceptsDraft Procurement Rate Methodology
- Increase value and pay for performance (RFA Attachment 8 and Sample Contract Exhibit H).
- Focus on social determinants of health and health equity (RFA Attachment 10 and Sample Contract Exhibit N).
- Improve the behavioral health systems and address barriers to access to and integration of care (RFA Attachment 11 and Sample Contract Exhibit M).
- Maintain sustainable cost growth and ensure financial transparency (RFA Attachment 12 and Sample Contract Exhibit L).