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We want to let you know about some important changes to your health care with CareOregon. These changes are about the doctors or therapists you see for behavioral health care. That means both mental health or drug and alcohol help.

If your doctor or therapist isn’t part of our network, they won't be able to send bills to CareOregon anymore.

What is changing?

• If you have CareOregon/Health Share of Oregon (Medicaid): Starting October 1, 2025, CareOregon will only pay doctors and therapists who are part of the CareOregon network.
• If you have CareOregon Advantage (Medicare): CareOregon will keep paying for services from providers who are not in our network until December 31, 2025. These services must follow the rules listed in your Evidence of Coverage.
  • CareOregon Advantage (HMO-POS D-SNP) members have additional benefits available to them. CareOregon Advantage has a Point of Service (POS) option that allows members to get care from out-of-network providers including mental health services, until they reach the $1,000 benefit maximum on out-of-network providers for 2025.

Why is CareOregon making this change? 

Our goal is to connect you with qualified and credentialed behavioral health providers. We want to create a network where you can access effective, high-quality care. This change supports our mission to provide you with effective clinical services.

What do I need to do before the deadline?

Check to see if your doctor or therapist is in the CareOregon network. If they aren’t, ask if they can help you find a new one who is in the network. If your doctor or therapist can’t, we can help you. Look at our Provider Directory to see who is accepting new members.

• Medicaid:
  • CareOregon/Health Share of Oregon: https://providers.healthshareoregon.org/
  • Jackson Care Connect: https://jacksoncareconnect.org/members/find-a-provider
  • Columbia Pacific: https://colpachealth.org/members/find-a-provider
• Medicare:
  • CareOregon Advantage: https://careoregonadvantage.org/members/find-a-provider

If you can’t find a provider or have questions, please call Customer Service.

• Medicaid:
  • CareOregon/Health Share of Oregon: 503-416-4100 or 800-224-4840 (TTY 711)
  • Jackson Care Connect CCO: 541-500-0567 or 855-722-8208
  • Columbia Pacific CCO: 503-488-2822 or 855-722-8206
• Medicare:
  • CareOregon Advantage: 503-416-4279 or 888-712-3258 (TTY 711)

We know this may be hard, and we’re here to help. If you’re upset about this change or anything else, you can file a complaint. This is called a grievance. Call CareOregon Customer Service at 800-224-4840 (TTY 711).

Looking for information on changes to Health-Related Social Needs? Visit Social needs assistance