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Become a YCCO Provider

YCCO collaborates with a network of medical, dental and behavioral health specialists as well as social support partners.

Contracting & Credentialing With YCCO

To become an in-network provider with YCCO please complete the appropriate physical health, behavioral health, or HRSN questionnaire.

For consideration please email providernetwork@yamhillcco.org the following documents: provider roster on YCCO template in excel format, W9, Oregon business license, Certificate of Authority (if applicable), malpractice insurance/Certificate of Insurance, and any additional supporting documentation. You will be notified of the outcome via email once a decision is made. Incomplete submissions will not be reviewed by our Network Request Workgroup at their monthly meeting.

Please note providers do not need to be contracted with YCCO to continue to see our members. YCCO will pay at 100% DMAP rates for approved services. To do this, follow the PA processes listed above, reference the PA lists, and submit to the fax number indicated on the forms.

Behavioral Health PA Form (PDF)
Physical Health PA Form (PDF)
HSRN Forms

To submit claims as an OON provider, please complete the 1500 form and submit to: 

YCCO Claims Mailing Address:
Yamhill CCO
PO Box 5490
Salem, OR 97304

For more information, please refer to Policy Co. or learn more:

YCCO Credentialing Policy Providers Within Credentialing Scope
YCCO Credentialing Policy Non Licensed Providers
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