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Oregon Health Plan - Mental Health Managed Care

 

This page provides information for and about the managed care plans that contract with the Addictions and Mental Health Division (AMH) to provide mental health services to Oregon Health Plan (OHP) clients.

 

OHP Stakeholder Information

This page provides information for OHP stakeholders - providers, clients, organizations and other partners interested in how the Oregon Health Plan works.

 

For more information about how managed care plans contribute to the success of the Oregon Health Plan, refer to the OHP Overview PDF and OHP Annual Reports.

 

For information about the Division of Medical Assistance Programs (DMAP) and their contracts with Fully Capitated Health Plans (FCHPs), Dental Care Organizations (LCOs) and Physician Care Organizations (PCOs) that contract with the Addictions and Mental Health Division (AMH) to provide healthcare services, go to DMAP's Managed Care Information page.

 

Contact information

OHP clients have contact information for their managed care plans listed on their coverage letter. Public contact information is also available in the following documents.

Contractors meetings

OHP/MHO contractors meetings are public meetings. Meeting dates and times are available on the OHP Public Meetings page. You can also access information on OHP/MHO Contractors Code Workgroup, Rules and finances, and rates on the AMH Public Meetings page. These meetings are public meetings.

 

Enrollment information

Mental Health Plans by County - OHP clients use these "comparison charts" to determine what managed care plan to enroll in when they apply or reapply for OHP coverage. For information about current and past enrollment rates for all contracted plans, refer to the OHP enrollment reports.

 

Managed care contracts

2011 AMH Model Provider Services Contracts

2011 DMAP Model Contracts

To look at specific contracts with each managed care organization, go to the Oregon Procurement Information Network (ORPIN) Web site. Click on "Browse contracts," then do a keyword search for "organization" (check the "In Title" box).

 

Tools for Providers

Forms/Instruments

Other helpful links

Prioritized list information

Weekly 7-11 carve-out list

Mental health drugs are "carved out" of the managed care capitation rates. This means that DMAP pays for these drugs for all clients, including those in managed care. This list is subject to change without notice.

Reports and publications

Information on this page is highly varied, ranging from technical material to the number of Oregon Health Plan enrollees statewide and by county. The Reports and Publications page also includes a history of the Oregon Health Plan, whose development began in the late 1980s and which was introduced Feb. 1, 1994.

 

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