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A Rules Advisory Committee (RAC) will be held at 10:30 to 11:30 a.m. on July 6 about the following rule changes:
| Rules |
Description of proposed changes |
OAR 410-140-0020, 0040,
0050, 0140, & 0200 |
Vision benefit update to include 12 months additional postpartum care, removal of outdated language, and benefit clarification. |
| OAR 410-123-1510 |
Dental benefit update to include 12 months additional postpartum care |
See the Rules Advisory Committee notification for meeting details and more information.
Integrated Co-Occurring Disorders Treatment Initiative
Community members, treatment services participants, treatment providers, peer services providers and traditional health workers are invited to Listening and Feedback Sessions regarding the development of integrated co-occurring mental health and addictions (Substance Use Disorder and Gambling Disorder).
In addition to these live, zoom based sessions listed below, opportunities for providing feedback will be available through surveys, interviews and other mediums.
The sessions scheduled below are repeat sessions held at different times to accommodate varied schedules.
1 to 2:30 p.m. - Monday, July 18
- Meeting ID: 160 971 4333 | Passcode: 136005
- One tap mobile: +16692545252,,1609714333# US
9 to 10:30 a.m. - Friday, August 5
- Meeting ID: 160 735 7070 | Passcode: 671702
- One tap mobile: +16692545252,,1607357070# US
9:30 to 11 a.m. - Tuesday, August 9
- Meeting ID: 160 401 6793 | Passcode: 666206
- One tap mobile: +16692545252,,1604016793# US
At its meeting on 24 June, the Metrics and Scoring Committee developed the draft 2023 CCO Challenge Pool measure set. The Challenge Pool measures are potentially worth additional bonus funds. The Committee has tentatively decided the 2023 Challenge Pool will consist of four measures:
- Kindergarten Readiness: Well-Care Visits for Children Ages 3-6;
- Kindergarten Readiness: Preventive Dental or Oral Health Services, ages 1-5 and 6-14;
- Timely Postpartum Care; and,
- Immunizations for Adolescents (Combo 2)
Submit comments before the July 15 meeting. If you have any questions, please contact metrics.questions@dhsoha.state.or.us.
The Innovator Agent team has had several transitions, including two new staff. Remember to reference the Innovator Agent page for the latest assignments.
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Awab Al-Rawe joined the Innovator Agent team on rotation in June and is working with PacificSource Community Solutions - Lane County, Trillium Community Health Plan Tri-County, and Trillium Southwest. He was born and raised in Baghdad, Iraq. He left home as a refugee to Syria due to the war in 2003. Soon after, he moved to Oregon to earn his B.A. in International Studies and his M.S. in Conflict and Dispute Resolution from the University of Oregon’s School of Law.
Awab serves as an Ombuds with the Oregon Health Authority where he advocates for Oregon Health Plan members to ensure OHP members get quality healthcare and access to care without barriers. One of Awab’s areas of interest and focus has been improving the system of Non-Emergency Medical Transportation through a member-centered approach as it is an essential service that some of the most vulnerable Oregonians rely on to access care.
Previous work experiences include working with the University of Oregon, the Oregon Department of Human Services as a family coach and Ombuds, and the Eugene Police Department as he was hired as the first non-citizen police officer in Oregon.
In his free time, Awab loves to play, watch, and ref football (soccer); practice mediation; trade stocks; and write about economic and political issues.
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Yamileth (Yami) Gonzalez joined the Innovator Agent team in May and is working with Eastern Oregon Coordinated Care Organization. She is passionate about public health and specifically health systems in rural communities. Pronouns she/her/hers. She comes to OHA from partner agency Oregon Department of Human Services (ODHS), where she has been able to determine eligibility for self-sufficiency programs as well as OHP MAGI and Non-MAGI medical for the past few years. She obtained a bachelor’s degree in BioHealth Sciences and a minor in Public Health from Oregon State University. She resides in Eastern Oregon and loves to serve her small community.
In her spare time she loves being outdoors (hiking, walks, lakes, camping), trying new recipes, reading, and spending time with loved ones. Yami is a bilingual Spanish/English speaker.
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Weekly updates on major Medicaid projects
1115 Medicaid Waiver
The Centers for Medicare and Medicaid Services extended Oregon’s current 1115 Waiver through September 30, 2022. OHA anticipates receiving CMS’s determination on Oregon’s 2022-2027 application by that date.
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Oregon Health Plan Redeterminations
No new updates.
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Healthier Oregon
Healthier Oregon starts today
As of today, July 1, 2022, more adults are now eligible for full Oregon Health Plan (OHP) benefits and other services and supports, regardless of their immigration status.
There will be no CCO vaccination rates this week. Please see updated vaccination rates per county.
July 5, 2022
July 6, 2022
Please visit the committee and workgroup links below for more information about meetings. You can also view the OHA Public Meeting calendar.
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