Supporting Health for All through REinvestment (SHARE)

SHARE overview

SHARE comes from a legislative requirement for coordinated care organizations (CCOs) to invest some of their profits back into their communities. After meeting minimum financial standards, CCOs must spend a portion of their net income or reserves on services to address health inequities and the social determinants of health and equity (SDOH-E).

SHARE is just one way CCOs respond to SDOH-E, health inequities, and the social needs of their members.

SHARE is defined by state law and Oregon Administrative Rule (OAR):

2018 legislative requirement: House Bill 4018, Section 3, 1(b)(C)
2019 legislation that modified minimum financial standards for CCOs, over which a portion must be dedicated to SHARE: Senate Bill 1041, Section 57, 1(b)
SHARE definitions and requirements: OAR 141-414-3735

CCO office hours

November 18, 1:30‒2 p.m.

Join office hours now

Meeting ID: 219 965 148 856 64
Passcode: 7Bo3jT9L

Audio only: +1 971-277-2343,,466072476#

SHARE requirements

A CCO’s SHARE dollars must:

Align with community priorities in the CCO's community health improvement plan;
Include any statewide priorities for SHARE spending (currently housing-related services and supports);
Include a role for the CCO’s community advisory council in spending decisions;
Involve community partnerships, with a portion of dollars going to SDOH-E partners; and
Support at least one of five SDOH-E domains: economic stability, neighborhood and built environment, education, social and community health, and health care access and quality.

2026 guidance and reporting templates

2026 SHARE Guidance

Reporting templates

2026 SHARE Attestation Template: Due December 31, 2026 for CCOs with a SHARE obligation.
SHARE Designation and Spend-down Reports in Exhibit L (Report L6.7 and L6.71): Due June 30.
SHARE Public Posting Template: For posting 2025 SHARE details on the CCO's website by June 30, 2026 (CCOs may edit the template or choose a different format).

Supplemental resources

SHARE, Flexible Services (FS), and ILOS Comparison (updated December 2025)
Flexible Services, SHARE, and ILOS Overview for Community Partners (updated December 2025) – Basic information on CCO spending programs.
Flexible Services, SHARE, and ILOS Basics for OHA Staff (updated December 2025)
Housing and Medicaid Spending Programs (updated December 2025)
Oregon's SUD 1115 demonstration waiver (see Attachment F: Community Integration Services and Eligibility)

Community integration services fact sheet for OHP members

Oregon's 1115 Medicaid waiver, 2022-2027 (see Section 9: Health-related Social Needs)
Health and Housing: Introduction to Cross-Sector Collaboration (National Academy for State Health Policy, 2021)

CCO reports and summaries

CCO spending plans and reports are posted on the SHARE reports page.
2024 SHARE spending plan summary: English / Spanish

Summaries don't reflect any changes to partners or activities after original plan submission.

Webinars

Integrated funding case studies: Slides / Recording (4/17/25)
Medicaid spending programs braided funding examples: Slides / Recording (4/15/24)

Resource: Braided funding scenarios

SMARTIE goals: Slides / Recording / Handout (12/2/22)

Contact

If you have questions about SHARE, please contact Transformation.Center@odhsoha.oregon.gov.