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.

As communicated earlier this year, the administration of Health Share’s Specialty Behavioral Health benefit will be transitioning to CareOregon in January 2020. This transition is part of a reorganization of Health Share to meet the requirements of CCO 2.0, improve administrative efficiencies and better serve our members. Our goal is to facilitate a seamless transition without disruption to providers and members. No significant changes are intended to be made to the provider network during this transition.

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 Medicaid portion of many contracts currently held directly with the counties will be included in the reassigned Pathways contract as an additional amendment (e.g. ACT and culturally specific contracts).
  • The CareOregon Metro Area Behavioral Health Provider Manual for 2020 is available for you to download on this page.

Dec. 18, 2019

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.
  • Behavioral Health care coordination services will transition to CareOregon for all Health Share members. Multnomah, Clackamas and Washington counties will partner with CareOregon to provide intensive care coordination services to members identified with intensive care coordination needs. This page will be updated with details and contact information for the CareOregon and county care coordination teams. Multnomah, Clackamas and Washington counties will continue to provide fidelity wraparound services to qualified youth and families.
  • This page will be updated with all required forms and provider resources to include Metro Area Behavioral Health Utilization Management Procedure Handbook, provider data management forms and other provider resources.

Metro Area Behavioral Health Provider Transition FAQs

  • Contracts & Rates

  • Authorization Rules and Fee Schedules

  • Behavioral Health Medications

  • Care Coordination and Member Safety

  • Health Related Services - Flex Funds

  • Claim Submission

  • General Questions

Download all FAQs as part of our Transition Overview packet

Health Share & CareOregon Resources

For more detailed information on claims, authorizations, data reporting and other topics,
please see the Metro Area Behavioral Health Provider Manual

For more information on Behavioral Health Provider Resources and the transition, please email Provider Relations at BHContracts@careoregon.org, or call Provider Customer Services at 503-416-4100 or 800-224-4840

Health Share Pathways Provider Resources page:
healthshareoregon.org/providers/provider-resources/behavioral-health-resources

 

Network Provider Meetings

Meeting 

Integration Workgroup (within TCP)

Workforce & Rate Workgroup (within TCP)

ICM & ACT provider meetings

Billing & Admin Workgroup

Integration Workgroup (within TCP)

Clinical Directors

Outcomes workgroup
(within TCP) 

Tri-County Behavioral Health Provider Association Meeting

Workforce & Rate Workgroup (within TCP)

Addictions Provider Meeting (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

Mon, Dec 3rd, 3-4:30 pm

Mon, 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

Tues, Jan 28th, 3-4:30 pm

 Location

 

  Health Share of Oregon, Meyer Room

2121 SW Broadway St. Suite 200, Portland, OR 97201

Multnomah County

5 Oak, Pine Room

Health Share MC/TC Conference Rooms

2121 SW Broadway St. Suite 200, Portland, OR 97201

Health Share of Oregon

Cascadia Behavioral Healthcare plaza Center 

2415 SE 43rd Ave, Portland OR 97206

Lines for life 

5100 SW Macadam Ave #400, Portland, OR 97239

Lines for life

5100 SW Macadam Ave #400, Portland, OR 97239

Health Share of Oregon, Meyer Room

2121 SW Broadway St. Suite 200, Portland, OR 97201

Health Share of Oregon