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Reproductive Health Program and CCare Overview, and Provider Certification

This page describes the Reproductive Health Program and CCare, and how to become a provider of reproductive health services, abortion services, and/or CCare services.

Reproductive Health Program  CCare

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What is the Reproductive Health Program?

The Oregon Reproductive Health (RH) Program oversees a statewide network of certified health care providers to ensure access to a suite of reproductive health services (including preventive reproductive health care, preconception, contraception). These services are provided to all individuals regardless of race, color, national origin, immigration status, sex, sexual orientation, gender identity, age, or disability.

Notice of Proposed Permanent Rulemaking for OAR chapter 333, division 004 – Oregon Reproductive Health Program

The Oregon Health Authority (OHA), Public Health Division is proposing to permanently adopt and repeal Oregon Administrative Rules in chapter 333, division 004 related to Oregon Reproductive Health Program certification of participating agencies and coverage of reproductive health services.

In January 2018, the Oregon Reproductive Health Program (RH Program) adopted rules to establish the coverage of all services provided under the RH Program, including those detailed in HB 3391 (Oregon Laws 2017, chapter 721), those covered by the state’s family planning Medicaid waiver program Oregon ContraceptiveCare or CCare, and the state’s Title X grant. Since then, a number of changes, including the state’s withdrawal from the federal Title X program and changes to program requirements, have necessitated significant revisions to the adopted rules. To implement these changes, the Oregon Reproductive Health Program proposes to adopt new rules (OAR 333-004-3000 through 333-004-3240) to integrate the program’s existing Oregon ContraceptiveCare administrative rules (333-004-0000 through 333-004-0230) and Reproductive Health Program administrative rules (333-004-2000 through 333-004-2192) and clarify program certification requirements and coverage of reproductive health services. Once the new rules have been adopted, the existing rules referenced above will be repealed on April 15, 2021. This will allow agencies contracted with the RH Program under OAR 333-004-0000 through 333-004-2192 a sufficient period of time to become certified under the newly adopted rules. Please note that to correct a typo, the "and" in 333-004-3050(2)(d) will be changed to "or" in the final, filed rules.

The proposed permanent rules pertain to program requirements for agencies certified with the Oregon Reproductive Health Program for the provision of clinical services, client eligibility and enrollment requirements for the Reproductive Health Program Access Fund, and covered services under the Reproductive Health Program Access Fund.

You are being invited to review these proposed rules and to comment on them. If you wish to present oral testimony, a public hearing will be held remotely by conference call on November 23, 2020 at 10:00 a.m. To present oral testimony by phone at the hearing, please dial 1-877‐848‐7030, access code: 2030826# You may also file written comments before 5:00 p.m. on November 23, 2020 by sending them to the Public Health Division Rules Coordinator at the following address:

OHA, Public Health Division Brittany Hall,
Administrative Rules Coordinator
800 NE Oregon Street, Suite 930
Portland, Oregon 97232

E-mail comments to: publichealth.rules@state.or.us or you may also send comments by fax to: (971) 673-1299.

Final rules will be filed after consideration of all comments.

For more details, please see the Notice of Proposed Rulemaking that includes the Statement of Need and Fiscal Impact and the full text of the proposed rules, the Notice of Repeal of Oregon Reproductive Health Program Rules, and a crosswalk comparing current OARs that will be repealed with proposed OARs that will be adopted.

If you have any questions or would prefer a hardcopy be sent, please contact: Emily Elman, emily.l.elman@dhsoha.state.or.us or 503-407-4195.

How to Become a RH Program Provider

To become a RH Program certified provider, agencies must meet the Certification Requirements for Reproductive Health Services and complete an Application for Certification. The Certification Requirements provide the foundation for high-quality services based on national standards of care and align with best practices and recommendations for comprehensive client-centered, culturally-responsive preventive care. RH Providers must also be enrolled in the Oregon Health Plan (OHP), offer the same services to OHP clients, and bill OHP.

To apply for certification:

  1. Read through the Certification Requirements for Reproductive Health Services to determine if your agency and all enrolling clinics meet the certification requirements. 
  2. Complete the Application for Certification.
  3. Designate a staff person as the Reproductive Health Coordinator (RHC). For guidance read the RHC Competencies and RHC Calendar.
  4. Complete the Agency, Staff, and Clinic Information form.
  5. Submit the following to rh.program@state.or.us
    • Your agency's administrative policies and clinical protocols, as outlined in the Certification Requirements,
    • A copy of your agency's CLIA certification,
    • A copy of your agency's Board of Pharmacy license, and
    • A copy of your agency's W9.

Please note that all of the above documents must be submitted in order for an application to be considered complete. 

To add a clinic, send the following to rh.program@state.or.us:

  1. Completed New RH Program Clinic Certification Form.
  2. The clinic's Board of Pharmacy license if RNs dispense contraceptives on-site.
Once these pieces are submitted, the RH Program will start the process of amending your RH Program Medical Services Agreement.

For questions about the certification process or requirements, please email rh.program@state.or.us

How to Become an RH Program Provider for Abortion Services

To become a RH Program certified abortion provider, agencies must meet the Certification Requirements for Abortion Services and complete an Application for Certification. The Certification Requirements provide the foundation for high-quality services based on national standards of care and align with best practices and recommendations for comprehensive client-centered, culturally-responsive care. RH Providers must also be enrolled in the Oregon Health Plan (OHP), offer the same services to OHP clients, and bill OHP.

To apply for certification:

  1. Read through the Certification Requirements for Abortion Services to determine if your agency and all enrolling clinics meet the certification requirements. 
  2. Complete the Application for Certification for Abortion Services.
  3. Designate a staff person as the Reproductive Health Coordinator. For guidance read the RHC Competencies and RHC Calendar.
  4. Complete the Agency, Staff, and Clinic Information form.
  5. Submit the following to rh.program@state.or.us
    • A copy of your agency's CLIA certification,
    • A copy of your agency's Board of Pharmacy license, and
    • A copy of your agency's W9.

Please note that all of the above documents must be submitted in order for an application to be considered complete. 

To add a clinic, send the following to rh.program@state.or.us:

  1. CompletedNew RH Program Abortion Services Clinic Certification Form.
  2. The clinic's Board of Pharmacy license if RNs dispense contraceptives on-site.

Once these pieces are submitted, the RH Program will start the process of amending your RH Program Abortion Services Medical Services Agreement.

For questions about the certification process or requirements, please email rh.program@state.or.us


What is CCare?

The Oregon ContraceptiveCare Program (CCare) is a Medicaid waiver program which serves Oregonians with incomes at or below 250% of the federal poverty level (FPL) who are not enrolled in the Oregon Health Plan (OHP). CCare services are limited to those related to preventing unintended pregnancy and may include: annual exams; follow-up visits to evaluate or manage problems associated with contraceptive methods; medical procedures, lab tests, and counseling services associated with contraceptive management; and contraceptive methods. Only U.S. citizens/nationals and individuals with "eligible immigration status" are eligible for CCare. Clients with other immigration statuses can receive services at an agency certified to provide RH Program services.

To find a list of RH Program Providers go to our Find a Clinic page.

How to Become a CCare Provider

CCare providers must also be enrolled in the Oregon Health Plan OHP, offer the same services to OHP clients, and bill OHP.

To start the enrollment process:

  1. Read through the Prospective Provider Packet (pdf) to determine if your clinic can comply with CCare program requirements. The packet Includes an overview of program requirements (including a link to the RHC Competencies for CCare-only Agencies), questions to consider before enrolling, the CCare Standards of Care, information about supplies, links to the program manual, and other important information and resources.
  2. Read through the Oregon CCare Administrative Rules.
  3. Contact the RH Program at rh.program@state.or.us for enrollment information and forms.

To add a clinic, send the following to rh.program@state.or.us:

  1. Completed New CCare Clinic Form.
  2. The clinic's Board of Pharmacy license if RNs dispense contraceptives on-site.
Once these pieces are submitted, the RH Program will start the process of amending your CCarere Medical Services Agreement.

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