Frequently asked questions
Q: Who is EOCCO?
A: EOCCO (Eastern Oregon Coordinated Care Organization) will initially comprise two entities, Greater Oregon Behavioral Health, Inc. (GOBHI) and Moda Health. Both organizations are funding EOCCO as equal partners. Additional affiliates may include but are not limited to community hospitals and hospital districts, physician organizations, dental care organizations and county governments. EOCCO is filed as a Limited Liability Corporation under Oregon law.
Q: What counties will EOCCO serve?
A: EOCCO intends to be the CCO in each of the counties below.
Q: What experience do GOBHI and Moda Health have in operating a CCO?
A: GOBHI has an MCO (Managed Care Organization) contract with the Oregon Health Authority (OHA) to provide the mental health benefit for members on the Oregon Health Plan (OHP). GOBHI has successfully provided the mental health benefits since 1995.
Moda Health has MCO contracts with the Oregon Health Authority (OHA) to provide both the Medical and Dental benefit for members on OHP. Moda Health has successfully provided the medical benefit since 2006 and the dental benefit since 1994. In previous years, Moda Health (as ODS Health) provided administration services for other medical and mental health plans that provided benefits for OHP members.
Q: What is a Coordinated Care Organization?
A: A Coordinated Care Organization (CCO) is a network of many types of healthcare providers who have agreed to work together in their local communities for people who receive healthcare coverage under the Oregon Health Plan (Medicaid).
Q: What will stay the same and what will be different with Coordinated Care Organizations?
A: Under CCOs, the Oregon Health Plan's benefits will not change. Today the system separates physical, behavioral and other types of care. That makes things more difficult for patients and providers, and more expensive for the state.
CCOs will have the flexibility to support new models of care that are patient-centered and team focused, and to reduce health disparities. CCOs will be able to better coordinate services and also focus on prevention, chronic illness management and person-centered care. They will have flexibility within their budget to provide services alongside today's OHP medical benefits with the goal of meeting the Triple Aim of better health, better care and lower costs for the population they serve.
Q: How will Coordinated Care Organizations work?
A: CCOs will be local. They will have one budget that grows at a fixed rate for mental, physical and ultimately dental care. Initially, the state of Oregon needs to reduce the Medicaid cost trend by two percent (2%) from the current funding levels. CCOs will be accountable for health outcomes of the population they serve. They will be governed by a partnership among healthcare providers, community members, and stakeholders in the health systems that have financial responsibility and risk.
Q: If I'm a Provider what changes should I expect?
A: Moda Health is in the process of sending to providers contracts that include required CCO provisions. EOCCO has delegated provider contracting to Moda Health and GOBHI, so providers should not expect to see a new contract from EOCCO. Initially hospitals and providers will continue to receive payments at the same reimbursement levels they do today. We will be working with providers on their ideas for alternate payment methodologies that will result in improved health outcomes for members.
Moda Health is also in the process of recruiting providers in service areas where we do not currently provide the Medical benefit to OHP members. Provider participation is necessary for us to show the State we have access for members. If you have not yet received a contract from Moda Health and would like to receive one, please contact the appropriate individual:
Chemical dependency contracts:
Mental health contracts:
Q: How do I become involved in EOCCO governance?
A: As part of the implementation of CCOs, we need representation from each county for a local governance board and a community advisory council. We need representation from hospitals, providers, county governments and Oregon Health Plan members. If you are interested in serving your community, please complete the participation form. You can also contact Sandy Ryman at 541-379-3405 (toll-free 800-493-0040), or email her at email@example.com.