As part of Oregon’s CMS 1115 Medicaid Waiver, all coordinated care organizations (CCOs) are expected to participate in two statewide performance improvement projects (PIPs). Each statewide PIP is intended to have a common goal with the flexibility for each CCO to develop interventions to meet the needs of their community. The first statewide PIP supports integration of services across Oregon. The second statewide PIP supports reduction in substance use disorder (SUD) in Oregon.
Integration statewide PIP
The current 2021-2024 integration statewide PIP topic is:
Oregon Statewide Performance Improvement Project on Mental Health Access Monitoring.
This involves CCOs across Oregon working in their communities to ensure access to mental health services for Oregon Health Plan members ages 2 years and above. To support the project, a measure with multiple stratifications was developed to ensure equity in the delivery system and aid in reaching OHA’s 10-year goal to eliminate health disparities. Metric specifications and value sets to calculate are listed below. If additional support is needed to calculate the mental health access monitoring measure, please email
OHA.qualityquestions@dhsoha.state.or.us.
Substance use disorder (SUD) statewide PIP
The initiation and engagement of alcohol and other drug abuse or dependence treatment (IET) SUD PIP aligns with the OHA CCO IET incentive metric and HEDIS specifications. Please see the
OHA CCO metrics page for up-to-date guidance and specifications.
Specifications
MH Access Monitoring PIP measure specifications (November 2021)
Measurement
MH Access Monitoring PIP value set (November 2021)
External Quality Review PIP Reporting
Reports
Annual external quality review (EQR) validation of the statewide PIPs can be found on the
CCO Quality Assurance page.
Archive
Opioid statewide PIP
Contact
Lisa Bui
Quality Improvement Director
Health Policy and Analytics Division
OHA.qualityquestions@dhsoha.state.or.us
971-673-3397 (direct)