EOCCO Clinics and Staff,
Welcome to the October 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:
- Updates regarding federal changes impacting Oregon Health Plan (OHP)
- Important Reminder: Fraud, Waste and Abuse (FWA) provider training
- Reminder: 2026 EOCCO annual workshop
- November 2026 Initiation and Engagement of Substance Use Disorder (IET) learning collaborative
From our partners:
- Moda Health presents the 2026 Cultural Competence Training
- 2027-2029 Oregon Health Plan (OHP) Health System Navigation Grant Program – Request for Grant Proposal (RFGP) announcement
- Effective Oct. 13, 2026: Updated rules for gender-affirming care for members under age 18
- Now recruiting clinics providing prenatal care in Wallowa, Malheur and Umatilla Counties!
- September OHA-Certified/Qualified Health Care Interpreter (HCI) Registry file posted
Pleatse 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:
Updates regarding federal changes impacting Oregon Health Plan (OHP)
Oregon Health Plan (OHP) members will begin receiving notices this month about upcoming federal changes to OHP coverage and eligibility. There are three types of notices members may receive in September or October. Some members will get all three:
- Informational notices about OHP work or activity rules
- Notices for non-citizens moving to Healthier Oregon
- Notices for Healthier Oregon members moving to Open Card
For more information about these letters please see the fact sheet for Fall 2026 member notices.
Providers and community partners are encouraged to help spread the word about upcoming changes. Please visit: ohp.oregon.gov/toolkit to view and share flyers, social media posts and other resources.
Healthier Oregon (HOP) members transition to OHP Open Card
Members who have OHP coverage through the Healthier Oregon program will move to OHP Open Card (also known as fee-for-service, or traditional Medicaid). While Open Card benefits are the same, members must see providers who accept OHP Open Card. Providers may wish to enroll in fee-for-service through OHA in addition to their CCO enrollment. Please see OHA’s Oregon Health Plan Provider Enrollment page for more information.
OHA hosts Provider Network Development work sessions to engage, recruit, educate, retain and support Open Card providers to serve the new and larger Open Card population. These meetings are on the second Tuesday of every month from 2 – 3 p.m. The next session will be on Nov. 10, 2026, at 2 p.m. Sign up for the work session here.
Important Reminder: Fraud, Waste and Abuse (FWA) provider training
The Oregon Health Authority requires all CCOs to provide Fraud, Waste and Abuse (FWA) training to its providers on an annual basis. To help meet that requirement, EOCCO has posted its provider FWA training on the EOCCO website. We are asking all clinics to review the training and complete and return the EOCCO Provider FWA Training Attestation to EOCCOCompliance@eocco.com. All materials can be found here under the “Annual Compliance” section.
Please note, if you have received this training through a provider workshop or other venue, you do not need to complete this process. If you have any questions, please contact EOCCO’s Compliance Officer, Nick Gross at EOCCOCompliance@EOCCO.com.
Reminder: 2026 EOCCO annual workshop
This is a friendly reminder to please join us for EOCCO’s upcoming annual workshops, held in Ontario and Pendleton. We will be discussing how the Oregon Health Plan (OHP, Medicaid) is administered through a Coordinated Care Organization (CCO) and will cover a range of topics including:
- Member eligibility and plan types
- The Prioritized List of Services
- Division of Medical Assistance Programs (DMAP) registration
- The referral and authorization process
- Claims
- Compliance
- Additional member benefits and HRSN services, and
- Future updates to our program
This workshop is designed for front office, referral/authorization and billing staff. There will be two in-person and two virtual options this year.
In person workshops
- Wednesday, Nov. 4, 2026, 12 – 2 p.m. MST
- Saint Alphonsus Medical Center, Don Roumagoux Conference Room. 351 SW 9th St, Ontario, OR 97914
- Thursday, Nov. 5, 2026, 9:30 – 11:30 a.m. PST
- St. Anthony Hospital, Conference Room 1 and 2. 2801 St Anthony Way, Pendleton, OR 97801
Virtual Options via Microsoft Teams
- Tuesday, Nov. 10, 2026, 9:30 – 11:30 a.m. PST
- Wednesday, Nov. 11, 2026, 1 – 3 p.m. PST
Please click here to register for the 2026 EOCCO annual workshop and learn more! If you have questions, please contact Noah Pietz (noah.pietz@modahealth.com) or Kelly Watanabe (kelly.watanabe@modahealth.com).
November 2026 Initiation and Engagement of Substance Use Disorder (IET) learning collaborative
EOCCO is excited to present a learning collaborative on the Initiation and Engagement of Substance Use Disorder Treatment (IET) incentive measure. Please join us on Wednesday, Nov. 18, 2026, from 2 – 3 p.m. PST for a virtual learning opportunity on the IET incentive measure. Providers and staff at any 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, guidance on SUD diagnosis and referrals and opportunities for connection and peer-sharing!
Register today for the IET learning collaboration today. Please reach out to EOCCOmetrics@modahealth.com with any questions or concerns, or if you/your organization has any ideas for agenda items!
News from our partners:
Moda Health presents the 2026 Cultural Competence Training
Designed for providers in the Moda Health and EOCCO network, this virtual training offers guidance on delivering culturally responsive care and better meeting the diverse needs of our members.
During this training, Moda trainers will cover:
- Cultural competency for providers
- Cultural humility
- Implicit bias
- Language access
- Physical and digital accessibility
- Moda resources for providers and members
This training will take place on Thursday, Nov. 4, 2026, from 1:00 – 2:15 p.m. PST. Don't miss out, register today for the 2026 Cultural Competence Training.
2027-2029 Oregon Health Plan (OHP) Health System Navigation Grant Program – Request for Grant Proposal (RFGP) announcement
Oregon Health Authority’s Office of Community Health & Engagement (OCHE) is excited to announce that the Request for Grant Proposal (RFGP) for the 2027-2029 Oregon Health Plan (OHP) Health System Navigation Grant is now open in OregonBuys. Grant funds are intended to support:
- Outreach to uninsured or underinsured Oregonians who may be eligible for OHP in all regions of the state
- System navigation for individuals seeking assistance through the Oregon Health Plan
This is a competitive, open solicitation. OHA encourages interested organizations, including current grantees, to fully review the RFGP and submit a proposal. For more information see Health System Navigation 2027 - 2029 RFGP Announcement Video.
Grant Cycle Details
- Funding Available: Up to $150,000 per award
- Grant Period: 24 months – July 1, 2027 – June 30, 2029
- Purpose: Outreach and system navigation services
- RFGP open period: 45 days, from Sept. 17, 2026, until Nov. 3, 2026, 3:00pm
- Solicitation Number: S-44300-00017979
Please ensure you select “Bid Solicitation” when searching in OregonBuys, as the default search category is “Marketplace”
- Bid Solicitation Title: RFGP 6291 - Oregon Health Plan Health System Navigation Grant Program
Questions?
For RFGP questions, please contact Jewelee Bell at JEWELEE.M.BELL@odhsoha.oregon.gov
For questions about OregonBuys, please contact the OregonBuys Help Desk at epro-support@periscopeholdings.com or by phone at 1-888-472-9102.
Now recruiting clinics providing prenatal care in Wallowa, Malheur and Umatilla Counties
Center M is an evidence-based clinical model developed and tested by OHSU to help prevent mental health concerns during pregnancy and the postpartum period. Designed for seamless integration into prenatal care, Center M does not require additional time from providers during prenatal visits and can be implemented using existing CPT billing codes.
The model is currently offered in 17 Oregon clinics who care for pregnant patients and requires minimal implementation time. Center M is available in both English and Spanish. Research to date has demonstrated strong outcomes, including high patient satisfaction, strong retention rates and promising effectiveness.
Thanks to recent RHTP grant funding, Center M is expanding to 10 additional prenatal care clinics across Oregon, and we hope your clinic will be one of them!
Participating clinics will receive:
- $15,000 in unrestricted funding to help cover implementation costs or support other clinic priorities
- Free access to all Center M materials, the Center M app and training resources
- Ongoing implementation, launch and pilot support from the OHSU Center M team, as well as peer clinics currently offering the model
- Free promotion of your clinic through community outreach efforts that highlight where patients can access Center M services
Participating clinics will be asked to:
- Engage in implementation planning and preparation for a Fall 2026 launch
- Launch the pilot in January 2027 and participate through Fall 2028
- Provide brief feedback approximately once per quarter, such as completing a 10-minute Qualtrics survey about the pilot experience
If you would like to learn more about this opportunity, we would be happy to schedule a brief 15- to 30-minute conversation. Please contact Jessica Leroux at leroux@ohsu.edu to get started.
September OHA-certified Health Care Interpreter Registry file posted
The September 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 to the EOCCO provider newsletter distribution list, click here. To be removed from the list, please contact finn.gornick@modahealth.com.
