What Is Changing?
In early 2026, PacificSource Community Solutions will no longer be a coordinated care organization (CCO) in Lane County. Oregon Health Authority (OHA), Trillium Community Health Plan and PacificSource are working together to move Oregon Health Plan (OHP) members from PacificSource to Trillium.
Benefits and Covered Services Will Stay the Same.
Each CCO’s specific policies may differ, but coverage must include all benefits defined in the
Oregon Health Plan benefit package. For adults, coverage must also cover these benefits for funded conditions on or above
Line 472 of the Prioritized List of Health Services. (The Prioritized List does
not determine coverage for members with
Early and Periodic Diagnostic, Screening and Treatment benefits.)
Contact the CCO to learn about each CCO's specific coverage policies and procedures.
If a CCO denies your claim or authorization request, please contact the CCO to appeal the decision according to their specific process.
If you have appealed the CCO's decision and still think the CCO should cover the service:
Continuity of Care
Contact PacificSource about:
- Services approved or rendered for PacificSource members in 2025
- Resolving 2025 claims for PacificSource members
For 2026 services, contact Trillium.
For prescription access help, call the Oregon Pharmacy Call Center at 888-202-2126.
What Providers Can Do
Your patients may ask if you work with Trillium. Members may also ask if they can keep seeing you if they get open card (fee-for-service) OHP.
Learn more about the process for getting open card OHP.
Starting Feb. 1, 2026, please be sure to continue serving all OHP members, regardless of their specific CCO enrollment.
- Continue to see members and schedule appointments as usual for all dental care, including proceeding with planned appointments, treatments and procedures.
- Submit new prior authorization (PA) requests, treatment plans and prescription authorizations to the member’s new CCO.
- For members changing to a new provider, arrange for orderly transfer of all required records and information to the member’s new provider.
Do not cancel or refuse to make appointments because a patient is changing CCOs.
Contact the CCO to ask about their:
- Provider enrollment/credentialing requirements and timelines
- Billing, authorization and coverage policies and procedures
- Point of sale, billing, eligibility and other electronic health care transactions
- Other requirements such as reporting and member notification
Trillium Provider Network Information
To learn how to participate in Trillium's provider network, visit the Trillium website.
If you are denied participation:
- First contact Trillium and complete their appeal process.
- If you are still denied after appeal, you may be able to
submit a Provider Discrimination Review Request to OHA. This review is only for providers who believe they were denied participation because of their specific license or certification.