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Provider document update: Non-contracted Behavioral Health Fee Schedule effective June 1, 2025.

Becoming a CareOregon provider

CareOregon is committed to creating a network of providers to ensure our members have access to high-quality care in the most appropriate clinical settings. As of October 2025, CareOregon is largely not extending new contracts for routine outpatient Behavioral Health. We are currently pursuing contracts with providers based on membership volume, network need, and providers who share similar background as our members.
We are assessing on an individual basis contracting applications for providers certified in culturally and linguistically specific services (CLSS) by the Oregon Health Authority (OHA).

Contracting with CareOregon

Thank you for your interest in joining CareOregon’s panel of dedicated providers.

CareOregon administers plan services for three coordinated care organizations (CCOs) and a Medicare Advantage plan (D-SNP), supporting and enhancing sensible, localized, coordinated care. This page will give you and/or your organization the information you need to submit a contract request to us for review.

Contracting process overview

Before you start: Ensure you have a Oregon Medicaid ID (formerly DMAP ID).

Applying

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Process:

  1. Contract request: Submit your request using the Provider Contract Request form.
  2. Initial review: Your request will be reviewed. If provisionally accepted, you’ll receive a request for additional contract documents.
  3. Submission: Submit contracting documents.

Credentialing

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Process:

  1. Verification: Typically takes 30+ days. Respond promptly to any requests for a faster review.
  2. Receive final approval/denial

Contracting

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Process:

  1. Outreach: A Contract Specialist will send a CareOregon contract for signature.
  2. Finalization: Your info is added to the contract and claims systems.

Please Note: Your contract will not be effective until all credentialing processes are completed and you receive a confirmation letter and final copy of your contract (which has been countersigned by CareOregon) from your Contract Specialist.

Connecting

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CareOregon Connect is a portal where providers can check member eligibility, claim status, submit authorization requests, send secure messages, and much more.

Process:

  1. Register: Newly contracted provider organizations should register via OneHealthPort.
  2. Access: Your provider administrator can add users and assign roles in the portal.
  3. Training: Review the CareOregon Connect Portal training guides.
  4. Provider onboarding: by Provider Relations

Ready to apply?

If you have your Oregon Medicaid ID and are not already contracted with CareOregon, start your application below.

Already contracted but want to make changes?

Are you a contracted provider that wants to contract with additional lines of business, such as Jackson Care Connect, Columbia Pacific CCO or CareOregon Advantage? Please fill out the Provider Contract Request Form and select the appropriate option under “Type of Contract Request”.

Are you a contracted organization that wants to add new providers? You don’t need to submit a new application form. Please fill out the Provider Information Form and send it to our Provider Data team.

Are you a contracted provider that wants to add a statement of work (SOW) or an additional TIN? Please fill out the Provider Contract Request Form with your requested additions.

Need to get an Oregon Medicaid ID (formerly DMAP ID)?

Individual providers that need a Oregon Medicaid ID

Contracted providers are required to enroll with the Oregon Health Plan (OHP), Oregon’s Medicaid program.
All practitioners and billing National Provider Identifiers (NPIs) must be enrolled with OHP prior to seeing patients and submitting claims for payment. If you do not have a Medicaid ID, please complete the application below for all billing and practitioner NPIs that will appear on submitted claims.

Established clinics bringing on new providers without Medicaid IDs

All practitioner and billing National Provider Identifiers (NPIs) must be enrolled with OHP prior to seeing patients and submitting claims for payment. Please complete the application below for all billing and practitioner NPIs that will appear on submitted claims.

Want to work with CareOregon Advantage (Medicare)?

In addition to administering plan services for three coordinated care organizations (CCOs) and a dental plan, CareOregon also serves dual-eligible Medicare members via our CareOregon Advantage Plus (HMO-POS D-SNP) plan.

All providers and suppliers who provide services and bill Medicare must have a Provider Transaction Access Number (PTAN). 

Not ready to contract?

If you are not ready to contract with CareOregon but would like more information, please reach out to our Provider Customer Service Team at 800-224-4840.

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