Oregon Medicaid Managed Care Coordination

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Oregon Medicaid Managed Care Coordination

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Managed Care in OregonMedicaid


In 2012, Oregon launched a new managed care model that is replacing existing
OHP contractors with risk-bearing, locally-governed provider networks called
Coordinated Care Organizations (CCOs). These entities will provide all. Medicaid
enrollees with physical health services, as well as behavioral health and dental …

Coordinated Care Organizations – Oregon.gov


Oct 9, 2012 Right now, most Oregon Health Plan (Medicaid) members are moving into
Coordinated Care … CCOs will have more flexibility to provide services than
many managed care plans had before. This … Under managed care, OHP clients
may have one health plan for physical health, one for mental health,.

Oregon Health Plan (MCO and CCO) Administrative … – Oregon.gov


Jan 13, 2017 410-141-0120 – Managed Care Prepaid Health Plan Provision of Health Care
Services … 410-141-0160 – Oregon Health Plan Prepaid Health Plan
Coordination and Continuity of Care . …. 410-141-3065 – Coordinated Care
Organization (CCO) Enrollment Requirements for. Individuals Receiving …

Oregon DHS, OHP, Oregon Health Plan, Medicaid, Coordinated


Oregon Health Authority – Office of Heatlh Analytics. FULLY CAPITATED
Allcare. Health. Plan, Inc. (CCO). Cascade. Health. Alliance. (CCO). Columbia.
Pacific CCO,.

Assessing the Effects of Coordinated Care … – Oregon.gov


Dec 16, 2016 in at 2 percent lower than the current historical trend. 2 A focus on improving care
coordination. All beneficiaries in CCOs are assigned to a primary care. 38.3%.
21.7%. 8.2%. 31.9%. Medicare Advantage. Medicare FFS. Medicare Advantage.
Medicare FFS. Dual-eligibles with Medicaid managed care.

Oregon Health Authority Managed Care 2015 External … – Oregon.gov


Medicaid Demonstration waiver by the Centers for Medicare & Medicaid Services
. (CMS), Oregon implemented Coordinated Care Organizations (CCOs) to deliver
managed care for Medicaid recipients. The current 16 CCOs manage physical,
behavioral, and dental health services for Oregon Health Plan (OHP) members.

November 2017 Coordinated Care Service Delivery by … – Oregon.gov


CCO (CCO). Trillium. Community. Health Plan. (CCO). Umpqua Health. Alliance,
DCIPA. (CCO). Western Oregon. Advanced. Health (CCO). Willamette. Valley.
Community. Health (CCO). Yamhill Comm. Care (CCO). Total Enrolled in a
CCO1. Total Enrolled in Managed. Care other than. CCO2. Total in FFS for. All

Coverage and Delivery of Physical and Behavioral … – Initiatives


Medicaid Managed. Care Plans. Physical Health. Providers. Mental Health and.
Chemical Dependency. Providers. Medicaid. P A T I E N T. Behavioral Health …..
establishment of CCOs and directed the state to examine how to spread the.
Coordinated Care Model to state employees. Legislative Mandate. Oregon.

School-Based Health Centers and Managed Care – OIG .HHS .gov


conditions that promoted coordination, and the mechanism for coordinating.
Mtitnomah County,Oregon: State law requiring Medicaid managed care providers
to coordinate with school-based health centers. St. Pad Minnesotix Legal contract
between managed care provider and school-based health center. Baltimore …

Wyoming Coordinated Care Study – Wyoming Department of Health


Jun 27, 2014 One of its recommendations was to study whether it would be beneficial to move
some or all of the. Medicaid population into managed care. To ensure
comprehensive analysis of the feasibility of this change, during the 2013 General
Session, Senate Enrolled Act No. 82 (SEA0082) was passed. SEA0082.

Medicaid Delivery System and Payment Reform – Kaiser Family …


Oct 22, 2013 Services (CMS) released a proposed rule that seeks to modernize Medicaid
managed care regulations. State innovation in Medicaid service delivery and ….
Medicaid ACO initiatives, such as Coordinated Care Organizations (CCOs) in
Oregon and Regional Care. Collaborative Organizations (RCCOs) in …

Perspectives on Shaping Medicaid's Future – Center for Health Care


for Health Care Strategies (CHCS) coordinated a wide range of technical
assistance … Health Share of Oregon. ▫ Bob Master, MD, Chief …. private
insurance.6. Medicaid in many states is far beyond commercial purchasers —
and even. Medicare — as a purchaser in effective use of managed care. —Jim
Verdier, PhD …



Nov 23, 2016 MEDICAID. PERSONAL CARE. SERVICES. CMS Could Do More to Harmonize.
Requirements across. Programs. Report to Congressional Requesters …. (
Attendant) in Oregon Personal Care Services (PCS) …. 2The amount of spending
on PCS through managed care is often not quantifiable because.

Integrated and Coordinated Care Workgroup – Kentucky: Cabinet for …


Mar 24, 2015 SMART Partners include the Department for Public Health, the Department for
Medicaid. Services, the Department for Behavioral Health, Developmental, and
Intellectual Disabilities, the KY Hospital Association, the KY Health Department
Association, and the KY Managed. Care Organizations (MCO).

Health CareOregon State Legislature


Jul 18, 2017 The 2017 Summary of Legislation – Health Care summarizes selected measures
related to this policy …. Program, managed by the Oregon Health Authority (OHA)
, develops and regulates systems for … Oregon, Medicaid billing for school health
services consists of Medicaid administrative claiming.

Policy – Center for Health Care Strategies


created the Medicare-Medicaid Coordination Office. (MMCO)1 ….. Entity (MCE) to
provide Medicare and Medicaid managed care services for the Financial
Alignment Demonstration. The MCE ….. Oregon passed a health reform law to
establish Medicaid "coordinated care organizations" (CCOs), based on a patient-

Program of All-Inclusive Care for the Elderly (PACE)


42 CFR 460, that includes additional obligations of coordination with CMS in the
administration of the … Medicaid and determining the level of care required under
Oregon's State. Medicaid Plan for coverage of …. upon a prioritization of health
services and managed care to achieve the policy objectives of access, cost …

State of Georgia Department of Community Health p y


Jan 17, 2012 November 1, 2011. – Kansas: Expanding managed care program statewide to
include almost all. Medicaid populations, including long-term care recipients, to
be operational by. 2013. – Oregon: Oregon will be the first state in the nation to
develop a Medicaid Care. Coordination Organizations (CCO) model, …