Flexible services

Flexible services provide extra help for health needs that are not covered by OHP benefits. Examples: 

• Assistance 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  

To ask for a service:  

• Talk to your doctor. 
• Call 844-827-6572 (TTY 711). 
• Learn how to request flexible services and find information in your language. 
• If your request is not approved, you can’t appeal but you can file a complaint.  

Health Related Social Needs benefits

Some members can get extra benefits for housing, food and weather-related needs to help with big life changes. These Health Share of Oregon benefits are called Health Related Social Needs (HRSN). You may qualify based on your health needs, housing situation and income.  

Through Home Changes for Health, part of HRSN, eligible members may also access climate- and health-related equipment like: 

• Air conditioners  
• Air filtration units and/or filters 
• Mini refrigerators 
• Portable power supplies  

To apply for Home Changes for Health, submit a request online or call  844-827-6572. 

Connect with a traditional health worker

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

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

Working with a traditional health worker is free for OHP members. Talk with your primary care provider or behavioral health provider about options that are right for you. Contact us with questions: 

• ohsuhscareteam@ohsu.edu  
• 844-827-6572

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

Birth doula: A trained birth companion who provides nonmedical support for you and your family before, during, and after birth. Doulas work alongside your healthcare team and can help improve health outcomes for both parents and baby.

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 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 healthcare choices.

Community health worker: A trusted member of a community working in public health to connect people with social and medical resources.

End-of-life planning

Choose who can speak for you if you cannot. We can help you make an official document called an advance directive to let your wishes be known.  

• Fill out an advanced directive (multiple languages) 

Children in foster care

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

• Physical exam 
• Mental health screening (ages 3 and older) 
• Dental exam (ages 1 and older)  

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

Extreme weather resources

Stay informed during severe weather events. If you need help finding resources, call 503-418-3010.

• Public Alerts: Sign up to receive health and safety alerts in your area. 
• National Weather Service: Check the forecast and plan outdoor activities for the safest times of day. 
• 211info: Dial 211 to find a warm or cool space near you and learn about transportation options. 
• Health Share of Oregon extreme weather and homelessness resources 

Cold weather resources

• 211info winter and severe weather resources by county 
• Oregon Health Authority preparing for winter storms 
• Clackamas County warming centers  
• Multnomah County: Care for when it's cold (multco.us/cold) and severe weather and homelessness resources 
• Washington County: Emergency shelter programs and day shelters and homelessness resources 

Hot weather resources

• 211info summer and heat-related resources by county 
• Oregon Health Authority heat-related illness warning signs  
• Multnomah County cool spaces  
• Clackamas County cooling centers   
• Washington County cool spaces 
• Heat Risk Map: The National Weather Service forecasts heat risk for vulnerable populations 
• Video: How to protect yourself during extreme heat  

What is the Oregon Health Plan?

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

• Families 
• Children 
• Pregnant women 
• Single adults 

If you already have OHP, explore Health Share of Oregon's member benefits and download the 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 your medical care 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.  

Check your Health Share ID card to find your plan, primary care provider and primary care clinic. You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your health plan.  

Call Health Share at 503-416-8090 to learn more. 

What is OHSU Health Services?

OHSU Health Services is a system of providers, clinics and services for Oregon Health Plan (OHP) members. We provide advanced care informed by the latest research across the Portland area. Our locations include: 

• OHSU Hospital
• OHSU Doernbecher Children’s Hospital
• Adventist Health Portland
• Hillsboro Medical Center
• Dozens of patient care clinics

Renewing coverage

OHP members need to confirm eligibility for Medicaid coverage each year. Keep your contact information up to date with Oregon Health Plan so you don't miss Medicaid renewal notices and benefit updates. Explore these resources to learn more: 

• OHP customer service 800-699-9075 
• OHP One Portal 
• Report changes to the Oregon Health Authority 

Appeal a health decision or file a complaint

If your request for OHP care, drugs or benefits was denied, you can request a review of the decision through Oregon Health Authority. For help filling out the request form: 

• Find an Oregon Department of Human Services (ODHS) office 
• Call OHP Client Services at 800-273-0557 (TTY 711) 

You can also file a complaint by calling 844-827-6572

Fraud, waste and abuse

If you see something wrong, tell someone. Fraud, waste and abuse in healthcare 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 healthcare that isn't needed or used well. 
• Abuse is when someone accidentally gives wrong information causing unneeded costs. 

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

• 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 Services tells the authorities about any fraud they find.  

How to report it: 

• Call the OHSU Anonymous Compliance Hotline at 1-877-733-8313
• Fill out a form to report a concern or ask a question.  
• Contact the Oregon Health Authority.