Frequently Asked Questions

What is Yamhill Community Care Organization?

Yamhill Community Care Organization is a Coordinated Care Organization (CCO) that serves Oregon Health Plan (OHP) members in Yamhill County, and parts of Clackamas, Washington, Marion, Polk and Tillamook counties.

A CCO is comprised of a network of health care providers and other local agencies who have agreed to work together in their community for people who receive health care coverage under the OHP. In each Oregon community, one or more CCOs serve as the umbrella for various provider groups, hospitals, health plans and agencies all working together to serve OHP members. The goal is to improve patient care, provide health education and simplify the way patients access care.

What if I want to leave my CCO or change to a different one?

If a member wants to change to a different CCO, there must be another CCO available that services the same area. If you want to make a switch to another CCO from Yamhill CCO, call OHP Client Services at 1-800-699-9075, or you can email them at oregonhealthplan.changes@state.or.us with your request.
PLEASE NOTE: the e-mail address is for changes only. (When writing, you must include your full name, date of birth, medical ID number and phone number.)

In some communities, there may be only one CCO. In this instance, you can ask the OHP to be placed on “Fee-for-Service” OHP (or “open card” OHP, as it is sometimes referred to). This allows you to see whatever providers accepts Oregon Health Plan patients. Any OHP member who has a good reason to have an open card can ask to leave their CCO. Talk to your DHS caseworker about the best way to receive your medical care. If you don’t have a caseworker, please contact OHP Client Services at the toll-free number listed above.

How is Yamhill Community Care Organization different than a traditional health plan?

Yamhill Community Care Organization provides a different way of delivering care to OHP members. By working within the community, Yamhill CCO:

  • Integrates physical, mental and dental health services
  • Brings new models of care that are patient‐centered and team‐focused
  • Is local enough to be relevant and large enough to be financially sustainable
  • Is locally governed by a partnership among local health care providers and community members
  • Has a Community Advisory Council (CAC) that helps look at the community’s health care needs and recommends transformative changes

How can members contact Yamhill Community Care Organization?

Members can call Yamhill CCO Customer Service toll-free at 1‐855‐722‐8205, or in the Portland metro area, 503‐488‐2800. TTY/TDD callers can dial 1‐800‐735‐2900 or 7-1-1.

For questions to the state about CCOs, members can call 1‐855‐226‐6170 or go to
www.oregon.gov/OHA/healthplan.

Who are Yamhill Community Care Organization’s partners?

Yamhill Community Care Organization works closely with the following organizations in the community:

  • Willamette Valley Medical Center
  • Physician’s Medical Center
  • Providence Newberg Medical Center
  • Yamhill County Health & Human Services
  • Virginia Garcia Memorial Health Center
  • Lutheran Community Services NW
  • Providence Medical Group
  • McMinnville Physicians Organization
  • Capitol Dental Care
  • Other local physicians and health providers

How does Yamhill Community Care Organization gather input from the community?

Yamhill Community Care Organization has a Community Advisory Council (CAC), which is made up of members, health care providers, representatives from the community, and representatives from county government. The job of the CAC is to ensure that the health care needs of the community are being addressed.

How do I report suspected Fraud, Waste and Abuse?

Yamhill Community Care takes fraud, waste and abuse very seriously. If you suspect that your benefits aren’t being used correctly or want to report a case of waste, abuse or fraud, please contact the confidential hotline at 866-329-2309.