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FamilyCare Transition Update

FamilyCare Update landing page

FamilyCare has announced that it will no longer be providing Oregon Health Plan (OHP) services at the end of January 2018. We want to assure its members that the rest of the Coordinated Care Organization health plan community, including Yamhill Community Care Organization, is working closely with the Oregon Health Plan to make this as easy a transition as possible.

  • No OHP member will lose their coverage due to this transition. During and after the transition from one CCO to another, all OHP coverage will stay the same.
  • Please continue going to all your scheduled appointments; no one should be denied care. If your provider has a question about eligibility, please have them call FamilyCare.
  • By February 1, all FamilyCare members will have transitioned to a new Coordinated Care Organization. Depending on your location, these are Yamhill Community Care Organization, Willamette Valley Community Health and Health Share of Oregon.
  • After FamilyCare members move to our CCO, Yamhill Community Care Organization will honor authorizations for physical health and prescriptions for up to 90 days. This will give previous FamilyCare members time to work with us to get new authorizations.
  • There has been some confusion about how those who qualify for both Medicare and enrolled in Oregon Health Plan (Medicaid) with FamilyCare’s CCO fit into the transition plan, scheduled to take place February 1, 2018.  In this scenario, these members may have Original Medicare or FamilyCare Community HMO SNP as primary coverage with Medicaid as secondary.

    Authorization rules under Medicare fall under CMS guidelines and are quite different from OHP guidelines so we are unable to include these members in the CCO transition extension.  As a result, these Medicare beneficiaries will not be eligible for a 90/180-day extension and will need to submit new prior authorizations for services and/or prescriptions (if applicable) to CareOregon Advantage should they choose to move to CareOregon Advantage Plus HMO-POS SNP.

  • If you have questions about the transition process, call
    • Toll Free: 1-855-722-8205
    • Portland-metro area: 503-488-2800
    • TTY/TDD: 1-800-735-2900 or 711

Providers with questions please click here for more info.

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