FAQ

• What is Columbia Pacific CCO?

  Columbia Pacific CCO is a Coordinated Care Organization (CCO) that serves Oregon Health Plan (OHP) members in Clatsop, Columbia and Tillamook Counties. A CCO is a network of health care providers who have agreed to work together in their local community for people who receive health care coverage under OHP. In each Oregon community, one or more CCOs serves as the umbrella for various provider groups, hospitals, health plans and agencies all working together to serve OHP members. Each CCO works to improve patient care and simplify the way patients access care.

• How can members contact Columbia Pacific CCO?

  Call Columbia Pacific CCO Customer Service at:

  • Physical/Behavioral health: 855-722-8206
  • Dental Health: Numbers may vary, depending on your dental provider. See the Dental Health Resources page for customer service information.
  • TTY/TDD: 711

• Who is enrolled in Columbia Pacific CCO?

  Most OHP members who live in Clatsop, Columbia and Tillamook counties.

• What if I want to leave my CCO or change to a different one?

  If a member wants to change to a different CCO, there must be another CCO available that services the same area. If you want to make a switch to another CCO from Columbia Pacific CCO, call OHP Client Services at 1-800-699-9075, or you can email them at oregonhealthplan.changes@state.or.us with your request.
  PLEASE NOTE: the email address is for changes only. (When writing, you must include your full name, date of birth, medical ID number and phone number.)

  In some communities, there may be only one CCO. In this instance, you can ask the OHP to be placed on "Fee-for-Service" OHP (or "open card" OHP, as it is sometimes referred to).  This allows you to see any providers that accepts Oregon Health Plan patients. Any OHP member who has a good reason to have an open card can ask to leave their CCO. Talk to your DHS caseworker about the best way to receive your medical care. If you don't have a caseworker, please contact OHP Client Services at the toll-free number listed above.

• What does this mean for providers?

  Providers, clinics and facilities that are contracted with CareOregon to provide care to OHP members in Clatsop, Columbia or Tillamook counties provide care to Columbia Pacific CCO members.

• How is Columbia Pacific CCO different from a traditional health plan?

  To provide better care for OHP members, improve health outcomes for the community at large, and reduce the costs of services, the legislature decided to create Coordinated Care Organizations (CCOs) in communities throughout the state.

  By working cooperatively, Columbia Pacific CCO and its partners provide a different way of delivering care to OHP members. Working within the community, Columbia Pacific CCO:

  • Integrates physical, mental and dental health services.

  • Brings new models of care that are patient-centered and team-focused.

  • Is local enough to be relevant and large enough to be financially sustainable.

  • Is locally governed by a partnership among local health care providers and community members.

  • Has a Community Advisory Council (CAC) that looks at the community’s health care needs and recommend transformative changes.

• Who are Columbia Pacific CCO’s partners?

  Columbia Pacific CCO works closely with the following partners in the communities of Clatsop, Columbia and Tillamook counties:
  Physical/Behavioral Health: CareOregon
  Dental Health:  Advantage Dental, Capitol Dental, ODS Community Health Dental and Willamette Dental Group
  

• How does Columbia Pacific CCO get input from the community?

  Columbia Pacific CCO has a Community Advisory Council (CAC) made up of consumers, health care providers, representatives from the community, and representatives from county government. The job of the CAC is to ensure that the health care needs of the community are being addressed.

• What if I get a bill?

  If your health care provider sends you a bill, don’t pay it. Instead, call Customer Service right away at 503‐488‐2822 or toll-free at 1‐855‐722‐8206. TTY/TDD users can call 1‐800-735-2900 or 7-1-1.

• How do I report suspected Fraud, Waste and Abuse?

  Columbia Pacific CCO takes fraud, waste and abuse very seriously. If you suspect that your benefits aren't being used correctly or want to report a case of waste, abuse or fraud, please contact Ethics Point at 1-888-331-6524. You also can file a report online at www.ethicspoint.com.