Oregon Health Plan Members

Find an OHSU Health Services provider

Search for a provider

Welcome to OHSU Health Services

Member information and resources

Your medical benefits from the Oregon Health Plan (OHP) are coordinated through Health Share of Oregon. OHSU Health Services works with Health Share to deliver the medical care you deserve and to give you information about healthy living. 

Getting care

Care coordination and management

You can ask us for a care coordinator. The purpose of this free service is to make your overall health better. We will help find out your health care needs. We will help you take charge of your health and wellness. Your care coordinator team will work closely with you and your provider to manage and organize your services. The care coordinator team will connect you with community and social support resources that may help you.  Email ohsuhscareteam@ohsu.edu or call 844-827-6572 if you have any questions or would like to know more about the Care Management Program.

Language access

You have the right to free language services. You can get help from a certified and qualified health care interpreter. We can also provide information in a way that works for you. You can get information in other languages, large print, Braille or a format you prefer. Call OHSU Customer Service at 844-827-6572 or TTY 711. We accept relay calls. You can also get your medication labels printed in English and another language. Tell your pharmacist to print your labels in two languages.

Suicide prevention 

  • Call or text 988 for Suicide and Crisis Lifeline. The service is available 24/7 for people having a behavioral health crisis. You can also dial 988 if you are worried about a loved one who may need crisis support.
  • Chat online at 988lifeline.org.
  • Resources for local and national hotlines, walk-in centers and a list of common symptoms

Children in foster care

Children must have these health exams in the first 60 days (2 months) of entering foster care:   

  • Physical exam
  • Mental health screening — for ages 3+
  • Dental exam — for ages 1+.  

A care coordinator can help you schedule these visits. Contact ohsuhscareteam@ohsu.edu or 844-827-6572.

Do you have someone to speak for you when you can’t?

Schedule a ride

Ride to Care gets a lot of Health Share members to their Oregon Health Plan appointments. You can plan a trip as far ahead as 90 days. When possible, call two business days ahead of your trip or ride. At this site, you can:

  • Plan a trip
  • Cancel a trip
  • File a grievance

For details, visit this page for a rider's guide, how to check on a ride and more.

Contact information for Ride to Care

  • Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays.
  • Portland metro area: 503-416-3955, (TTY/TDD 711)

Other resources

Extreme weather

Bookmark these links for resources for extreme heat.  If you have any other questions, please call us at 503-418-3010. 

OHA Beat the Heat Full Flyer

Health-Related/Flexible Services

Health-Related Services provide extra help for health needs that are not covered by OHP benefits. These are also called flexible services.

Some examples:

  • Assist with utilities payments when medically needed
  • Cell phones for medical needs coordination
  • Safety items like car seats
  • ID cards when needed to access resources or apply for employment

How to get these services

To ask for a service:

OHSU Health Services looks at each request. If your request is not approved, you cannot appeal, but you can file a complaint.

Health-Related Social Needs Benefits

Some OHP members can get extra benefits to help with big life changes for housing, food, or weather events. These benefits are called Health Related Social Needs (HRSN). Not all members will qualify for HRSN benefits. There are specific federal rules. You need to meet certain health, housing and financial conditions to qualify.

Learn more about these benefits and who can qualify at Health Share of Oregon: Health-Related Social Needs.

Nutrition Services Benefit

Right now, this benefit does not provide food. Eligible members who have a qualifying medical health need related to nutrition can get:

  • Assessment for medically tailored meals
  • Medically tailored meals
  • Nutrition education

Housing Supports Benefit

Housed eligible members can get help staying in their homes, such as adding a wheelchair ramp or getting rent assistance. This benefit does not provide housing, but assistance with:

Home Changes During Extreme Weather

Eligible members with medical needs can get things like:

 

Learn about Health Share of Oregon and Oregon Health Plan insurance

The Oregon Health Plan (OHP) and Health Share of Oregon work together with OHSU Health Services on different parts of your health care needs.

  • OHP provides insurance.
  • Health Share of Oregon coordinates your services.
  • OHSU Health Services works with providers to deliver your medical care needs.

What is the Oregon Health Plan?

The Oregon Health Plan (OHP) is the Medicaid program for the state of Oregon. This program provides health care coverage for low-income residents of Oregon. The plan serves:

  • Families
  • Children
  • Pregnant women
  • Single adults

For more information, visit the Oregon Health Plan website. If you already have OHP, visit Health Share of Oregon's member benefits page to download a member handbook.

What is Health Share of Oregon?

Your medical, mental and dental benefits from the Oregon Health Plan (OHP) are coordinated through Health Share of Oregon. OHSU Health Services works with Health Share to deliver the medical care you deserve and to give you information about healthy living. Health Share organizes your care into three categories to help with all your health needs: Physical, Mental and Dental. View the back or inside of your Health Share ID card to locate the plan you have been assigned to. To contact Health Share for more information, call 503-416-8090 or visit www.healthshareoregon.org.

You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. Your physical health plan is listed on the back or inside of your Health Share ID card.

Health Share of Oregon example identification card front
The front of the Health Share ID card includes member name, member ID, language preference and contact information for Health Share of Oregon
Health Share of Oregon ID card back
The back of the Health Share ID card includes medical and dental plan names and phone numbers, primary care provider clinic name and contact information, and CareOregon contact information.

What is OHSU Health Services?

OHSU Health Services provides access to a system of health care resources, including three adult hospitals - OHSU Hospital, Adventist Health Portland and Hillsboro Medical Center - and OHSU Doernbecher Children’s Hospital. There are also dozens of patient care locations throughout the Portland metro area. Our goal is to serve OHP members with outstanding patient care informed by cutting-edge research.

What is a Traditional Health Worker?

Traditional Health Workers

A Traditional Health Worker is trained to walk alongside you in your health care journey. They may share similar life experiences, language and/or ethnicity with you. They can help you with questions, connect you with services and find a provider. 

Working with a Traditional Health Worker is free to you as an OHP member. To begin,

  • Talk with your primary care provider team or your behavioral health provider.
  • Email ohsuhscareteam@ohsu.edu or call 844-827-6572.

There are five types of licensed traditional health workers in Oregon:

  • Birth doula (see below): A birth companion who provides personal, nonmedical support during pregnancy and childbirth.
  • Peer support specialist: A person who gives support services to people who are or have been in mental health or substance use treatment.
  • Peer wellness specialist: A trained person who also has lived experience with psychiatric conditions. They support you as part of a health team that combines mental health with primary care.
  • Personal health navigator: A person who provides tools and information to help you make the best health care choices.
  • Community health worker: A trusted member of a community working in public health to connect people with social and medical resources. 

Traditional Health Workers are often based in primary care and behavioral health clinics as well as community organizations.

Birth doula services 

Birth doulas are trained birth companions. You may choose to use services from a certified doula, along with your prenatal provider. Doulas offer personal support to pregnant members and families during pregnancy, delivery and beyond. Doulas aren’t medical providers but can be a great addition to your health care team. Research shows that doulas improve the likelihood of a healthier birth for both baby and mother. 

 OHSU Health Service OHP members can use: 

Redetermination of eligibility

There is a schedule for Oregon Health Plan members to confirm their eligibility for Medicaid coverage. This process is called redetermination. You will be notified, so keep your contact information current to help keep your benefits. Learn how you can update your contact information.

See something wrong? Tell someone.

Fraud, waste and abuse in health care hurt everyone. When money is misused, it can't help those who need it.

  • Fraud is when someone tricks others on purpose for their own benefit.
  • Waste is spending money on health care that isn't needed or used well.
  • Abuse is when someone accidentally gives wrong information causing unneeded cost.

Some examples of fraud, waste and abuse by a provider are:

  • Faking reports of services that didn't happen or products that weren't given.
  • Reporting more services than were provided.
  • Charging too much to people who don't have Medicaid or other insurance.
  • Not giving the right services that are supposed to be given.
  • Charging people more than they should pay.
  • Doing things that cost too much, aren't needed or don't follow good healthcare practices.

Some examples of fraud waste and abuse by a member are:

  • Cheating in the process of enrolling or disenrolling people.
  • Going to multiple doctors for prescriptions for a drug already prescribed.
  • Using another person’s ID to get benefits.

You can report fraud, waste or abuse if you think you've seen it. You don't have to give your name, and you're protected by law. OHSU Health IDS tells the authorities about any fraud they find.

Here is how you can report:

Filing a complaint or appeal

For assistance, call 844-827-6572.

Oregon Health Authority Request to Review a Health Plan Decision

Oregon Health Plan Complaint Form

Man holding newborn baby | Hombre, tenencia, bebé recién nacido

Other important websites

Privacy and non-discrimination

Pregnant woman with doula touching baby bump
You can get birth doula services. A birth doula is a type of Traditional Health Worker. Learn more about Traditional Health Workers below.