GOBHI announces the submission of applications for EOCCO, NWCCO
Greater Oregon Behavioral Health, Inc. (GOBHI) is excited to announce it has participated in the submission of applications to the State of Oregon as an equity partner in two CCOs (Coordinated Care Organizations).
On Monday, April 22, these partnerships — Eastern Oregon Coordinated Care Organization (EOCCO) and Northwest Coordinated Care Organization (NWCCO) — submitted applications to the Oregon Health Authority (OHA).
In the coming months, the OHA will review all CCO applications and decide who will provide healthcare to Oregon Health Plan members across the state for the next five years, beginning Jan. 1, 2020.
Through this process, GOBHI is committed to continue serving Eastern and Northwest Oregon — as we have for over two decades — as part of our mission of better health, better care, and lower costs.
“We hold these communities close to our hearts and look forward to continuing services,” said Kevin Campbell, CEO of GOBHI. “Throughout our history, we have been committed to improving health at the local level through dynamic partnerships and community investments. We are honored to have the collaboration of key healthcare partners as we move forward in coordinated care.”
- In Eastern Oregon, EOCCO has applied to retain existing services and partnerships in the 12-county region: Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa and Wheeler Counties.
- In Northwest Oregon, GOBHI has joined a new partnership, the Northwest Coordinated Care Organization (Northwest CCO) serving Clatsop, Columbia, and Tillamook Counties.
The OHA will announce all received CCO applications on April 25. Over the next several months, the agency will review applications, and announce its intent to award contracts this summer.
Ultimately, the state will make the decision regarding CCOs later this year, but now and throughout any transitions our top priority is ensuring that our members receive the care they deserve.
Reminders and Updates from Utilization Management!
Just a few reminders from the GOBHI Utilization Management Team!
Fax Number Change
GOBHI Utilization Management Team has a new dedicated UM fax number, 541-296-1036!
Please update your contact list with our new fax number! This will help our team respond to your requests quickly and securely!
ASAM: 6 Dimensions Required for Detox Authorizations!
GOBHI Utilization Management uses MCG evidence based care guidelines for authorization decisions.
Please remember as of October 2018, MCG requires all 6 Dimensions of the ASAM be completed to meet medical necessity criteria. In the past, only Dimensions 1 and 2 were required.
Signature with Credentials Needed
When submitting signed documentation to the GOBHI Utilization Management Team, please include professional credentials with the clinician’s signature. This information will expedite the processing time of authorization requests.
Upcoming Change for the Utilization Management Team!
We’ve Got Mail! New Email Address!
We are excited to announce that the GOBHI Utilization Management Team has a new email address. It is email@example.com. Please send all correspondence, including authorization requests to our new email. During this transition, emails that are sent to our old email address will be automatically forwarded to our new email account.
- The go-live date for our new email was 4/23/19
- Secure email from the GOBHI UM Team will have a new improved look and no extra steps!
- GOBHI Utilization Management forms will be updated with our new email address.
- Visit our website at gohbi.org for the most current UM forms.
Volunteer drivers needed in the Columbia Gorge
Would you like to make a real difference in the health of your community?
Greater Oregon Behavioral Health, Inc. Non-Emergent Medical Transportation (NEMT) is expanding its volunteer driver program to better connect community members who need rides to scheduled healthcare services. The program is seeking volunteers in the Columbia Gorge and Eastern Oregon.
“This is an opportunity to make a positive impact in your community,” said Dan Schwanz, Community Development Manager at GOBHI.
“Medical transportation is critical in rural Oregon, but resources are stretched thin. That’s why — as part of the solution — we are inviting qualified volunteers who are ready to step up and take the wheel.”
The NEMT program connects Oregon Health Plan members who have no other means of transportation with rides to scheduled appointments. Unlike 9-1-1 emergency transportation, NEMT covers pre-scheduled trips for non-emergency care.
GOBHI operates the free ride program for PacificSource Community Solutions (Columbia Gorge Coordinated Care Organization), Eastern Oregon Coordinated Care Organization (EOCCO), and the State of Oregon (Oregon Health Plan Fee for Service).
The NEMT program is seeking drivers in Hood River and Wasco counties, as well as the following counties: Baker, Malheur, Morrow, Umatilla, and Union.
“We offer training, support, and reimbursement at the federal rate for our drivers. We just need individuals who are giving in nature, love to drive, and mostly importantly are eager to help their neighbors,” Schwanz said.
Those interested in applying or learning more about the volunteer driver program can visit: http://www.gobhi.org/about/careers/.
For Oregon Health Plan members who are seeking a ride, please call GOBHI during office hours, Monday through Friday, 7 a.m. to 5 p.m. The toll-free phone number is: 1-877-875-4657. For TTY users, 711 or 1-800-735-2900. Please call to schedule at least two business days before your healthcare appointment, if possible.
Complex Care Management Process:
How CCM can help providers and members
The GOBHI Complex Care Management Program is voluntary and is provided at no cost to the Member. A Member must give verbal and/or written consent for enrollment in this program. The program is most successful with participation of the Member’s family, caregivers and/or other support systems.
The CCM Program will use a standardized Care Management process for all of its assigned Members, which consists of several key areas, including but not limited to:
- Comprehensive Initial Assessment of the Member’s health
- Development of an individualized care plan
- Facilitation of member referrals to resources
- Follow-up and communication with Members
- Self-Management Plans
- Assessment of progress against Care Management plans for members
Care Managers provide ongoing care management for as long as the Member has identified needs and expresses willingness to receive support and services from the program.
Generally, Care Managers provide the following to all Members enrolled in the program:
- Supporting Member adherence to care plans to improve health complexities
- Advocacy to ensure appropriate services and resources are received
- Education and promotion of self-management in order to empower Members to take a more active role in their health
- Coordinated and seamless integration of complex services and/or special needs
- Appropriate and timely communication with Members, practitioners, and hospitals — a systematic approach to assessing, planning and provision of Care Management services to improve health outcomes
- Referrals to appropriate medical, behavioral, social and community resources to address Member needs
- Phones and/or replacement phone minutes to replace those used in the Care Management process
For more information, please visit our Complex Care Management page →
GOBHI Gazette January 2019 In this issue: Required Reporting Updates myStrength Telehealth Platform 2018 Practitioner Survey Substance Use Disorder Workforce Loan Repayment Program Union County Warming Station GOBHI Spring Conference Save the Date Utilization [...]