Welcome to the Metro Area Behavioral Health Provider Resource page. We at CareOregon are happy to have all of you in the CareOregon Metro Area Specialty Behavioral Health Network and look forward to our partnership!

For current Pathways Provider Resources please visit the Health Share  Pathways Provider Resources page that will have all current active Provider information and forms live until Dec. 31, 2019.

Download our Transition Overview packet which includes all of this information and more. 

Download the Metro Area Behavioral Health Provider Manual

What to expect during the transition to the CareOregon Network


Nov. 1, 2019

  • Current Health Share Pathways Providers will receive a contract amendment which will re-assign their existing contract to CareOregon effective Jan. 1, 2020.
  • The CareOregon Metro Area Behavioral Health Provider Manual for 2020 is available for you to download on this page.

Dec. 18, 2019

  • CareOregon will begin the processing of Specialty Behavioral Health Authorizations, Grievances and Appeals for the Heath Share members within CIM.
  • The UM section of the Behavioral Health Metro Area Provider Manual will become effective on Dec. 18, 2019.
  • Please check this page for Provider resources that will include the Utilization Management Procedure Handbook, UM forms and updates to UM procedures.

Jan. 1, 2020

  • CareOregon will be responsible for the Specialty Behavioral Health Benefit management for all Health Share Members.
  • The CareOregon Metro Area Behavioral Health Provider Manual procedures will be effective.
  • CareOregon will continue using CIM to process Authorizations and Claims.
  • This page will be updated with all required forms and Provider resources to include Metro Area Behavioral Health Clinical Practice Guidelines, Provider data management forms and other Provider resources.

For more information on Behavioral Health Provider Resources and the transition, please email Provider Relations at newcontractrequest@careoregon.org.

Metro Area Behavioral Health Provider Transition FAQs

  • Contracts & Rates

  • Authorization Rules and Fee Schedules

  • Behavioral Health Medications

  • Care Coordination and Member Safety

  • Claim Submission

Download all FAQs as part of our Transition Overview packet

 

Network Provider Meetings

Meeting 

Integration Workgroup (within TCP)

Workforce & Rate Workgroup (within TCP)

ICM & ACT provider meetings

Billing & Admin Workgroup

Clinical Directors

Outcomes (within TCP) workgroup

Tri-County Behavioral Health Provider Association Meeting

Workforce & Rate Workgroup within TCP)

 Date/Time

Week of 10/28

Nov 13th, 1-2:30pm

Tues, Nov 19th, 11 am

Thurs, Nov 21st, 3:30-5:30 pm

Monday, Dec 9th, 3-4:30 pm

Weds, Dec 11th, 1-2 pm

Weds, Dec 11th, 2-3 pm

Weds, Jan 8th, 1-2:30 pm