Oregon Health Plan

And it is very challenging to get patients connected for contingency management because of, um, challenges around funding.

Um, one of the ways that I've-- uh, that, that's been helpful is that Oregon does contract-- Oregon Health Plan contracts with a number of, um, uh, or contracts with an app that actually provides this through telehealth.

Um, Appic Therapeutics is the app that currently is accepting Oregon Health Plan.

So if you're seeing OHP patients, um, you can consider connecting them with this for app-based contingency management.

Um, smartfos-- smartphone-based CM provides financial incentives similarly to the way we do it in the office, but it's actually provided through a Visa gift card through the app.

They'll ask who Asante is negotiating for, themselves or the community.

If it's convened by Jackson Care Connect or AllCare, you immediately get questions about whether it's designed to serve OHP members, or the broader community, and you get regulatory scrutiny about the appropriate use of Medicaid infrastructure.

If it's hosted by a single large employer, it gets governed in that employer's interest, not the community's.

Peak Health Alliance was explicit about this.

Together, they represent the largest organized insurance purchasers in the region, and they have direct financial accountability for the health outcomes of the populations most affected by the provider shortage.

Here's the direct financial case.

When OHP members can't access primary care and end up in emergency settings instead, CCO costs go up.

When behavioral health providers are unavailable and members cycle through crisis intervention rather than ongoing treatment, CCO quality metrics fall.

And many are expected to qualify for exemptions, but they may need to provide proof.

Oregon Health Plan expects a lot of people will have questions.

They've trained 1,700 people to assist with the process.

The changes don't take effect until Medicaid recipients go up for renewal starting next year.

Vivian Levy, Oregon's interim Medicaid director, says all Medicaid recipients will soon get a letter telling them about the change.

About 600,000 adults will be evaluated for these new rules, and many are expected to qualify for exemptions, but they may need to provide proof.

Oregon Health Plan expects a lot of people will have questions.

They have trained 1,700 people to assist with the process.

Providence has left the 2027 lineup and employees can examine the evidence from Kaiser and Moda before choosing the option for their benefits folder.

Then official envelopes begin arriving for Oregon health plan members.

Before anyone says, staff can help people read the clues, clear away the fog and find accurate information about the new federal requirements.

And finally, our casebook takes us through the filing cabinet mystery.

It's

the Fact of the Week, brought to you by the Federal Actions Coordination Team at ODHS.

Oregon Health Authority is beginning to send notices to Oregon Health Plan members about new federal work or activity requirements under H.R. 1.

Notices about changes affecting some OHP members who are not U.S. citizens will follow.

After that, the Veterans ERG welcomes a Wounded Warrior Project speaker, and the Employee Engagement Survey gives staff a chance to tell us what life inside the tank actually looks like.

For Fact of the Week, OHP is helping 600,000 members prepare for new requirements without mistaking an informational notice for a circling shark, because sometimes the most important message is stay connected, stay covered, and don't panic.

Then in Dateline, we'll see how relatives and community partners are helping children remain connected to family before checking the new locations for Medford services.

Because finding the right office should not require crossing the entire Pacific.

Beginning in mid-September, about 600,000 Oregon Health Plan members will receive notices about upcoming work or activity rules, possible exemptions, and preparing for renewal.

But receiving one does not mean someone will lose coverage, needs to act immediately, or necessarily even be subjected to the new rules.

That's why the new Stay Connected, Stay Covered campaign asks members to Keep their contact information current, read their OHP messages, and respond when information is requested.

ODHS staff can help by sharing the multilingual partner materials, directing people to ohp.oregon.gov slash hr1, and showing them how to manage benefits through one, online, or the Oregon One mobile app.

Only 17% of you voted yes on that.

find the expo at lars larson show and at lars larson dot com now my email of the day favorite email today so far you can send more to talk at lars larson dot com is brought to you by multnomah medical clinic no pills no shots no surgery fix what's actually causing the problem at multnomah medical clinic todd writes in from salem Started new doctor as the Oregon Health Plan no longer covers the old doctors.

With new labs, my stage 3 kidney disease, diagnosed by a nephrologist and doctors over the last 10 years, apparently simply went away.

Poof, gone.