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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 Temporary Rulemaking for OAR 333-004-2192 – "Adopt Oregon Reproductive Health Program rule to utilize Reproductive Health General Funds for service reimbursement"

The Oregon Health Authority (OHA), Public Health Division, Oregon Reproductive Health Program is temporarily adopting OAR 333-004-2192 related to reimbursement for services. This rule is effective February 5, 2020 through August 2, 2020. 

On January 27, 2020 the U.S. Supreme Court issued a decision allowing the Department of Homeland Security’s Public Charge rule to go into effect. In order to ensure that clients pursuing legal permanent resident status are able to access essential reproductive health services without concern for public charge consideration, this rule permits the Oregon Reproductive Health Program to utilize Oregon Reproductive Health Program General Funds, or RH GF, to reimburse for CCare-covered services for clients who may otherwise be eligible for CCare, if needed. 

Click HERE for the Certificate and Order for Filing, the Statement of Need and Justification, and the full text of the temporary rule. If you have any questions or would prefer a hardcopy be sent, please contact: Emily Elman, emily.l.elman@dhsoha.state.or.us or 971-673-0219.

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. Completed New 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 CCare Medical Services Agreement.


Annual CCare Post-Award Forum

In February, the Reproductive Health Program (RH Program), as outlined in 42 CFR 431.420, will hold a post-award forum to solicit comments on the progress of its 1115 family planning demonstration waiver, Oregon ContraceptiveCare (CCare). Members of the public may provide comments regarding CCare on Friday, February 28th from 1:00 pm to 2:30 pm in Room 368, Portland State Office Building, 800 NE Oregon Street, Portland, OR 97232 or by phone at 1-877-336-1828, code 829579#. Comments, or questions, may also be directed to Emily Elman in writing at emily.l.elman@state.or.us or by phone at 971-673-0219 on or before February 28th.

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