Welcome, CareOregon/Health Share members! We’re glad you’re in the CareOregon and Health Share of Oregon family. CareOregon is proud to be part of the Health Share of Oregon coordinated care organization (CCO). CCOs are companies that contract with the state of Oregon to manage your health care. CareOregon is one of several insurance providers in the tri-county area that help Health Share CCO deliver care.
This page offers a brief guide to your Medicaid benefits. If you can't find what you're looking for, please call Customer Service at the numbers below, or visit our specific pages for physical health care,
dental health care, and mental health and substance use treatment.
Learn more about the Oregon Health Plan here.
Download our Easy Guide
Get started with your Health Share/CareOregon benefits quickly.
Download our PDF guide in the following languages: English | Spanish | Arabic | Traditional Chinese | Simplified Chinese | Russian | Somali | Vietnamese
Large print: English | Spanish | Arabic | Traditional Chinese | Simplified Chinese | Russian | Somali | Vietnamese
Click here to download the Health Share Member Handbook. If you would prefer a printed copy of the Easy Guide, call Customer Service
at 800-224-4840 or TTY 711. There’s no charge, and you’ll receive a copy within five business days. You may also receive a copy in large
print or in languages other than English.
Benefits topics
Click on a topic below to expand more information.
Complaints and Appeals
How to make a complaint or grievance
If you are unhappy with CareOregon or Health Share of Oregon, your health care services or your provider, you can complain or file a grievance at any time, for anything other than a denial of service. Your provider or authorized representative may also file a grievance on your behalf with your written consent.
We will try to make things better. Just call Customer Service t 503-416-1460 or toll-free at 888-519-3845, or send us a letter to the address on page 73 of your member handbook, available on the Health Share of Oregon website.
You can also fill out a complaint and feedback form here:
CareOregon and Health Share of Oregon will work to resolve your complaint or grievance as quickly as your health condition requires. If we need more than five business days, we will send you a letter to let you know why. You will receive a final answer within 30 calendar days. We will not tell anyone about your complaint unless you ask us to.
You can also file a complaint with:
Oregon Health Authority (OHA)
Please call the OHP Client Services unit (CSU) toll free at 800-273-0557 or OHA’s Ombudsman at 503-947-2346 or toll free at 877-642-0450.
Appeals and hearings
If we deny, stop or reduce a medical service your provider has ordered, we will mail you a Notice of Action letter explaining why we made that decision. You have a right to ask to change it through an appeal and a state fair hearing. You must ask for an appeal no more than 60 days from the date on the Notice of Action letter. You can ask for a denial notice that shows a service is not covered if:
- You did not receive a written notice of denial, or;
- Your provider tells you that you will need to pay for a service that is not covered.
For full instructions on the appeals process, please see page 71 of your member handbook, available on the Health Share of Oregon website.
Provider Appeals
Your provider has a right to appeal for you when their physician’s orders are denied by a plan. You must agree to this in writing. Instructions for this process can be found on page 72 of your member handbook, available on the Health Share of Oregon website.