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Read about: an important message for providers

Metro area behavioral health providers

Click here to learn more about BH Qualified Directed Payments (BH QDP)

Welcome to the Metro Area Behavioral Health Provider Resources page. We at CareOregon are happy to have all of you in the Metro Area Specialty Behavioral Health Network and look forward to our partnership! 

To ensure access for our members, CareOregon pays both qualified in network and out-of-network providers for authorized behavioral health services provided to CareOregon/Health Share members.

Please carefully review all procedures before rendering any services to members. Also, be advised, all out-of-network services require prior authorization. In order to be eligible for payment, claims must meet CareOregon’s policies, procedures and authorization requirements as described on this webpage and its links.

In 2023, CareOregon will transition Metro behavioral health claims and authorization administration from CIM/PH TECH to CareOregon’s internal operating systems. Follow this link to see the full announcement: CareOregon system integration news.

We will be providing the latest information on the transition at the BH Billing and Admin Meetings. If you’d like to participate, send a request through the provider question form.

In addition, the latest news and information on the BHSI project can be found here.

We would appreciate a few minutes of your time to complete a brief survey to help inform our testing, training, and communications. The survey will help us understand the impact of the changes to your organizations. Click on this link to access the survey:  provider survey.

We want to hear from you! Submit your questions through the provider question form.

  • Contracted providers may register as a new provider and gain CIM access by visiting the PH TECH Help Center at help.phtech.com and submit a request. (Learn more here.)
  • Contracted providers may visit theCIM Provider Portal to log in to your CIM account and access additional CIM provider tools, like the CIM Provider Manual.
  • For additional support, please contact PH TECH Provider Customer Service at 503-584-2151

Please ensure you request and activate your EFT registration codes with Payspan

 

  • For more detailed information on claims, authorizations, data reporting and other topics, please see the Metro Area Behavioral Health Provider Manual
  • For more information on Behavioral Health Provider Resources and the transition, please email Provider Relations at BHContracts@careoregon.org, or call Provider Customer Service at 503-416-4100 or 800-224-4840