GOBHI Billing and Claims

Oregon Health Plan

What is the Oregon Health Plan?

The Oregon Health Plan (OHP) provides health care coverage for low-income Oregonians from all walks of life. This includes working families, children, pregnant women, single adults, seniors and more.
Visit the Oregon Health Authority’s Oregon Health Plan page to learn more.

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What is a coordinated care organization?

A coordinated care organization is a network of all types of health care providers (physical health care, addictions and mental health care and dental care providers) who work together in their local communities to serve people who receive health care coverage under the Oregon Health Plan (Medicaid). CCOs focus on prevention and helping people manage chronic conditions, like diabetes. This helps reduce unnecessary emergency room visits and gives people support to be healthy.

Learn more at oregonhealthstories.com 

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How do coordinated care organizations work?

CCOs are local. They will have one budget that grows at a fixed rate for mental, physical, and ultimately, dental care. Initially the state needs to reduce the Medicaid cost trend by two percent from the current funding levels. CCOs will be accountable for health outcomes of the population they serve. They are governed by a partnership among healthcare providers, community members, and stakeholders in the health systems that have financial responsibility and risk.

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GOBHI

Who is GOBHI?

Greater Oregon Behavioral Health, Inc. is a rural / frontier Behavioral Health and Social Services Network empowering individuals and communities to achieve better health.

We envision strong, healthy communities where all individuals are supported in achieving health, wellness and their full potential.

Our work in the Eastern Oregon Coordinated Care Organization improves the system of care, promotes better health outcomes, and lowers costs through effective integration with physical, behavioral, and oral health.
GOBHI continues to raise the bar by investing in prevention and social determinants of health. We advocate at local, state, and national levels for what works along the full continuum of healthcare services.

Because we recognize that no singular healthcare entity can improve the system of care in isolation, we forge dynamic partnerships with our friends and neighbors across the healthcare universe. GOBHI works closely with local planning groups, schools, child welfare, senior services, mental health, addictions, corrections, and other key groups. We believe in prevention, recovery, and positive outcomes.

We have a contract with the State of Oregon to manage mental health services under the Oregon Health Plan, and to help members access services that we do not manage.

 

What counties does GOBHI serve?

We provide services through the community mental health programs in the following counties: Baker, Gilliam, Grant, Harney,  Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, and Wheeler.