Starting Jan. 1, 2020, approximately 1,200 new members will be joining InterCommunity Health Network Coordinated Care Organization (IHN-CCO) due to CCO changes in Linn, Marion and Polk counties.
What You Need to Know
Some members from Trillium Community Health Plan and Willamette Valley Community Health CCO’s will be transitioning to IHN-CCO and may begin contacting you to establish care.
Ensuring Continuity of Care
Oregon Health Authority (OHA) has developed the following guidelines to ensure continuity of care for these members:
- Don’t: See members from Trillium Community Health Plan or Willamette Valley Community Health CCOs as new patients prior to Jan. 1, 2020. Patients have the option to see their current PCPs for up to 90 days or through March 31, 2020, as usual for all care. This care includes filling prescriptions and proceeding with planned appointments, treatments and procedures. However, any patients who wish to establish care after Jan. 1, 2020, with a contracted IHN-CCO provider must be allowed to do so.
- Do: Begin setting appointments with transferring patients after Jan. 1, 2020. During the transition period, CCOs must approve claims for covered services, even if they have no documented prior authorization. The CCO shall reimburse non-contracted providers at no less than the OHA’s fee-for-service rates.
- Do: Direct patients who need more information about their 2020 CCO choices, terminations and other material to ohp.oregon.gov.
- Transitioning CCO members have the option to see their current behavioral health providers for 180 days or through June 30, 2020. However, any patients who wish to establish care after Jan. 1, 2020, to a contracted IHN-CCO provider must be allowed to do so.
IHN-CCO is committed to maintaining continuity of care for all members, especially those affected by this CCO transition plan. For questions, please contact Provider Services at 541-768-5207, toll-free 888-435-2396, 8 a.m. to 8 p.m., Mon. – Fri., or email us. Thank you for your ongoing support and care for IHN-CCO members. We appreciate you partnering with us!