EOCCO Clinics and Staff,
Welcome to the March 2026 issue of the EOCCO monthly provider newsletter. Below is a preview of the articles you will find in this month’s newsletter:
News from EOCCO:
- April 2026 Initiation and Engagement of Substance Use Disorder (IET) Learning Collaborative
- EOCCO Quality Improvement office hours
- Billing for Vaccines for Children (VFC) Program
- April 2026 Spanish language birth doula training
From our partners:
- Navigating vaccine conversations: The motivational interviewing approach
- Changes to prior authorization process for musculoskeletal treatment, specialty therapies and genetic testing
- Young Adults with Special Health Care Needs (YSHCN) program updates
- New OHA-Certified/Qualified Health Care Interpreter (HCI) Registry file posted
Please let us know if you have any questions, concerns or recommendations. We would love to hear from you!
Email us at: EOCCOproviderinquiry@modahealth.com
Thank you,
Your EOCCO Team
News from EOCCO:
April 2026 Initiation and Engagement of Substance Use Disorder (IET) learning collaborative
EOCCO is excited to present a learning collaborative on Initiation and Engagement of Substance Use Disorder Treatment (IET). Please join us on Tuesday, April 28, 2026, for a virtual learning opportunity on the IET incentive measure. Providers and staff at EOCCO-contracted physical and behavioral health practices are welcome. Agenda items will include (but are not strictly limited to) a discussion of EOCCO IET data trends, how THWs can bill for and support IET and opportunities for connection and peer-sharing!
Register for this collaborative!
Please reach out to EOCCOmetrics@modahealth.com with any questions or concerns, or if you/your organization have suggestions for agenda items.
EOCCO Quality Improvement office hours
The EOCCO Quality Improvement (QI) team is continuing our QI office hours series in 2026! The office hours are hosted monthly and are intended to support our clinical partners in impacting CCO incentive measure performance and meeting state/EOCCO reporting requirements. The office hours are also an opportunity to meet other clinical peers from across Eastern Oregon!
The first portion of each office hour session will loosely focus on a particular incentive measure, reporting requirement or initiative relevant to EOCCO’s clinical partners. However, all office hours are a space where staff or providers can come to ask questions and peer-share about anything quality or incentive measure related!
QI office hours schedule: Second Tuesday of every month from 11 a.m. to 12 p.m. PST.
Please complete this form to indicate your interest in participating in EOCCO’s QI Office Hours and to see the 2026 topic schedule!
We will send out the calendar invite for the full QI office hours meeting series once registration is received.
Please reach out to EOCCOmetrics@modahealth.com with any questions.
Billing for Vaccines for Children (VFC) Program
The Vaccines for Children (VFC) Program is a federal program that provides free immunizations for children ages 0 through 18.
Providers should bill only for the administration of the vaccines covered under the VFC Program. This is identified by billing the specific immunization procedure code with modifier SL, which indicates administration only. The administration procedure codes should not be billed. The current vaccine eligibility and billing codes can be found here, which includes Covid-19 and influenza billing codes.
Reimbursement for the administration of all vaccines is $21.96, which can be found on the current Medical Fee-Schedule.
EOCCO will not reimburse providers who are not participating in the VFC Program. Non-participating providers can direct their patients to county Health Departments to receive the vaccines covered under the program.
Please see the Oregon Health Authority’s VFC eligibility and provider requirements for additional information and to learn how your clinic can enroll in the program.
April 2026 Spanish language birth doula training
EOCCO is partnering with CEA Doula International to offer a Spanish-language birth doula training opportunity for community members interested in becoming certified doulas and supporting families across Eastern Oregon. This training is approved by the Oregon Health Authority (OHA) and fulfills the formal instruction requirement needed to apply for birth doula certification.
Eligibility requirements
- Be 18 years or older
- Live or work in one of the twelve EOCCO service area counties (Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Union, Umatilla, Wallowa and Wheeler)
- Speak Spanish proficiently
- Be able to attend required training sessions once dates are finalized
- Have access to a computer and reliable internet for virtual learning
The course will be conducted entirely in Spanish, and participants should feel comfortable listening and responding in Spanish. No language-proficiency test is required.
Scholarships are available for eligible applicants; please contact THW@eocco.com for details.
Training dates
Virtual Training
- April 24, 25 and 26, 2026, 8 a.m. to 6 p.m.
- May 2 and 3, 2026, 8 a.m. to 6 p.m.
In-Person Immersion Day
- Date and location: TBD
- Schedule dependent on participant availability to support hands-on learning
Following the training, participants will need to attend three live births before applying to OHA for doula certification. EOCCO can help coordinate these shadowing opportunities with experienced doulas.
If you are ready to apply, please complete the interest form. After submitting the interest form, EOCCO will email you the information session slide deck. If you have any questions after reviewing the materials, please reach out to us directly at THW@eocco.com.
News from our partners:
Navigating vaccine conversations: The motivational interviewing approach
BOOST Oregon and OHA are partnering to provide three comprehensive workshops meant to equip health care providers and immunizers with essential skills for effective vaccine discussions. This program offers an in-depth introduction to the principles of Motivational Interviewing (MI), focusing on its application to supportive and patient-centered conversations about vaccines.
This training is eligible for no-cost American Academy of Family Physicians (AAFP) Continuing Medical Education (CME) credit.
Training dates and locations
Portland
- April 30, 2026, 9 a.m. to 4 p.m., PST. Portland State Office Building, Room 177, 800 NE Oregon Street, Portland, OR. Register today for the Portland training.
Medford
- May 20, 2026, 9 a.m. to 4 p.m., PST. Smullin Health Education Center, Lecture Hall 1, 2825 E. Barnett Road, Medford, OR. Register today for the Medford training.
Bend
- June 5, 2026, 9 a.m. to 4 p.m., PST. Central Oregon Community College, Health Careers Center, Room 230, 2600 NW College Way, Bend, OR. Register today for the Bend training.
Contact training@boostoregon.org with training-related questions. For accommodation requests, please contact Transformation.Center@odhsoha.oregon.gov or call 503-381-1104.
Changes to prior authorization process for musculoskeletal and specialty therapies and genetic testing
EviCore by EverNorth is pleased to continue its partnership with EOCCO to provide utilization management services.
Effective May 1, 2026, EOCCO members will require Lab (genetic testing) prior authorization from EviCore for dates of service beginning May 1, 2026.
In addition, effective April 27, 2026, EOCCO members will now require Pain Management, Joint Surgery, Spine Surgery, Acupuncture, Chiropractic, Speech (ST), Physical (PT) and Occupational (OT) therapy prior authorization from EviCore for dates of service beginning May 1, 2026.
To request authorization, providers may:
- Log onto the EviCore portal at www.evicore.com/provider (preferred method)
- Call EviCore intake center at 844-303-8451
- Fax
- Genetic Testing: 844-545-9213
- PT/OT/ST/Chiro: 855-774-1319
- Pain/Spine/Joint: 800-540-2406
EviCore’s Clinical Guidelines and worksheets will be available on the EviCore provider website.
To prepare for these changes, EviCore will host provider training sessions in April.
Training schedule for Musculoskeletal Pain, Joint and Spine:
- Tuesday, April 14, 2026, 9 to 10 a.m. PST
- Tuesday, April 21, 2026, 8:30 to 9:30 a.m. PST
- Tuesday, April 28, 2026, 11 a.m. to 12 p.m. PST
Training schedule for Lab:
- Thursday, April 16, 2026, 11 a.m. to 12 p.m. PST
- Wednesday, April 29, 2026, 10 – 11 a.m. PST\
Training schedule for Specialty Therapies:
- Wednesday, April 15, 2026, 10 – 11 a.m. PST
- Thursday, April 23, 2026, 10:30 – 11:30 a.m. PST
To register for a session:
- Go to EviCore.Webex.com
- Click the “Upcoming” tab.
- Choose the orientation session that you want to attend. You can use the search field to quickly find the session that fits your schedule:
- “Moda MSK Pain, Joint, & Spine - Provider Orientation”
- “Moda Lab - Provider Orientation”
- “Moda Specialty Therapies - Provider Orientation”
- Click “Register” next to the session you want to attend.
- Enter the registration information.
- Repeat this process for each session you want to attend.
Please keep your registration email. It will contain the link to and call-in number for that session. We encourage you to add the training date to your calendar as a reminder for the upcoming session(s).
If you are unable to attend, you may find a copy of the presentation and other important documents here.
Young Adults with Special Health Care Needs (YSHCN) program updates
Oregon Health Authority (OHA) has announced that as of Jan. 1, 2026, eligible young adults through the age of 21 can now access YSHCN benefits. The recently released OHA provider memo contains information regarding this eligibility update. Additionally, OHA has published a YSHCN Provider Guide and member-facing FAQ document with important details regarding YSHCN benefits and covered services for members who meet eligibility qualifications.
For additional information or if you have any questions, please contact yshcn.info@oha.oregon.gov.
New OHA-certified Health Care Interpreter Registry file posted
The February 2026 Oregon Health Authority Health Care Interpreter (HCI) Registry file has been posted to the EOCCO Incentive Measure webpage under “Meaningful Language Access”. This file contains a list of all active OHA certified or qualified health care interpreters in the state of Oregon. Files can be downloaded for your reference and records.
You can also search for OHA certified or qualified HCIs on the Health Care Interpreter Registry webpage.
Questions?
Questions related to incentive measures, health equity, traditional health workers, SDoH, and HIT? Please email EOCCOMetrics@modahealth.com
Questions related to claims and payment information? Please email EOCCOProviderInquiry@modahealth.com
Need to verify if your provider or group NPI is active? Please use OHA’s verification tool
Need to register your practitioner, group or facility? You can find forms on EOCCO.com/Providers/becomeaprovider
If you would like to be added or removed from the email list, please let us know at finn.gornick@modahealth.com
