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Join us Tuesday, May 14 from 10 to 11 a.m. Pacific Time
Community partners, coordinated care organizations, providers, insurers, and more are invited to learn more about how Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS) are working together to support people in Oregon as the federal COVID-19 PHE phases out.
Agenda:
- Medical renewals updates: Current status; timeline for remaining renewals
- Marketplace Unwinding Special Enrollment Period update
- OHP Bridge: What to expect
- Future partner webinars
- Questions and answers
- Resources for partners
Language and disability access: American Sign Language and live captioning will be available for this meeting. A separate Spanish webinar will be held Tuesday, May 30 at 10 a.m. Pacific Time.
Everyone has a right to know about and use ODHS and OHA programs and services. ODHS and OHA provide free help. For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the Feedback team at (503) 945-5488 or feedback@odhsoha.oregon.gov at least two business days in advance of the webinar if you would like assistance to participate. All relay calls accepted.
View past webinar material at KeepCoveredPartners.Oregon.gov
This communication is about the CHP Progress Report deliverable in the 2024 CCO contract, as follows:
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Exhibit K, Section 7, Paragraph l: Annual CHP Progress Report due by 6/30/2024 for the 12-month period ending on that same date.
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Exhibit K, Section 7, Paragraph l, Subparagraph (2): Inclusion of the completed CHP questionnaire provided by the Oregon Health Authority (OHA) as an appendix to the Annual CHP Progress Report.
OHA is making the following changes to the CHP Progress Report requirements described in the contract:
- The due date is extended from 6/30/2024 to 12/31/2024. The CCO may submit its CHP Progress Report on any date after 6/30/2024 that is on or before 12/31/2024. However, the reporting period remains the 12-month period ending on 6/30/2024, except if 2024 is the final year of the CHP. In such cases, the report will be a close-out report and the reporting period will be the entire multi- year period covered by the CHP.
- Submission of the CHP questionnaire referenced in Subparagraph (2) fully satisfies the CHP Progress Report requirement, without the need to submit any other document. This questionnairewill be referred to as the CHP Progress Report template.
These changes are reflected in the 2024 CHP Progress Report template provided to CCOs. OHA presented these 2024 contract changes and similar 2025 contract changes in the CCO Contracts and Compliance Workgroup meeting on April 23, 2024.
Questions?
If you have general questions about this communication, please contact Cheryl Henning, CCO Contracts Administrator, at Cheryl.L.Henning@oha.oregon.gov.
If you have questions about the CHP Progress Report, please contact Tom Cogswell, Project Coordinator, at Thomas.Cogswell@oha.oregon.gov.
Thank you for your continued support of the Oregon Health Plan and the services you provide to our members.
This notice is provided pursuant to Exh. B, Pt. 2, Sec. 16, Para o (5)(a) in the March 2024 amendment to the CCO contract. This provision requires the Oregon Health Authority (OHA) to notify CCOs at least ninety days prior to the date that OHA’s Medical Management Information System (MMIS) will be ready to accept Encounter Data for HRSN Services.
OHA has determined that MMIS will be ready to accept CCO Encounter Data for HRSN Services beginning August 1, 2024.
Consistent with Exh. B, Pt. 2, Sec. 16, Para o (3)(i), CCOs must submit all Encounter Data for HRSN Services through MMIS effective on this date for any dates of service August 1, 2024, and forward to receive reimbursement. CCOs should not report any HRSN Services submitted as Encounter Data on the HRSN Services Settlement Template for any HRSN Services with a date of service August 1, 2024, and forward. All HRSN Services rendered March 1, 2024, through July 31, 2024, must be reported on the Settlement Template for payment.
Questions?
If you have questions about this notice, please contract OHA’s Office of Actuarial and Financial Analytics at Actuarial.Services@odhsoha.oregon.gov.
Respite care of all types is greatly needed in Oregon. Respite services provide a break for primary caregivers of children and youth with complex needs, as well as a break for youth themselves. Effective respite services are culturally and linguistically responsive, developmentally appropriate, flexible, and provide a range of options, from drop‐in childcare to preplanned or overnight crisis services.
Oregon Health Authority (OHA) encourages CCOs to:
- Strongly consider developing or enhancing respite service coverage to better serve children and families with complex needs.
- Co-create messaging and information about respite with family, youth, and respite providers.
- Work with community-based organizations to find ways to use Health-Related Services and Supporting Health for All through Reinvestment (see below) funding streams to support youth respite in the community. Informal respite is well suited to these funding streams.
Why is this happening?
The System of Care Advisory Council issued a summary report on Youth Respite Policy in Oregon. The report offers an assessment of current policy and recommends ways to develop respite services and supports. These greatly needed services:
- Provide preventive support for primary caregivers of children and youth with complex needs, as well as the youth themselves.
- To be effective, must provide a range of options, and be developmentally appropriate, flexible and culturally and linguistically responsive.
- Have been frequently requested by families in Oregon for many years, yet sporadically available.
Questions?
If you have any questions, please contact Donald Jardine at 503-422-5102 or Donald.Jardine@oha.oregon.gov or Luke Todd at 503-689-7378 or Luke.Todd@oha.oregon.gov.
The OHA Equity and Inclusion Division has filed a Notice of Proposed Rulemaking with the Oregon Secretary of State’s office for updates to the REALD & SOGI administrative rules. In accordance with ORS 183.335, a copy of the notice is attached for your reference.
For more information, please visit the Oregon Health Authority, Equity & Inclusion Division's Rulemaking Page and Notice of Proposed Rulemaking Document.
FILING CAPTION: Adds SOGI, Updates REALD Demographic Data Collection and Reporting (ORS 413.161)
LAST DAY AND TIME TO OFFER COMMENT TO AGENCY: 05/22/2024 5:00 PM
RULES PROPOSED: 950-030-0000, 950-030-0010, 950-030-0020, 950-030-0030, 950-030-0040, 950-030-0050, 950-030-0060, 950-030-0200
May 7, 2024
May 14, 2024
May 15, 2024
May 16, 2024
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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