Oregon Health Plan Members
Find an OHSU Health Services provider
Welcome to OHSU Health Services
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.
- Download this welcome booklet to see some of the services for you.
- Visit Health Share of Oregon's benefits page to download a member handbook.
- Complete an annual Health Risk Assessment to help us keep you healthy. Call the Health Share Customer Service team at 503-416-8090 or care coordinators at OHSU Health Services at 844-827-6572.
Get care
Emergencies:
- Call 911 or go to the nearest hospital for a life-threatening illness or injury.
- Call or text 988 for the Suicide and Crisis Lifeline.
- Should you go to the ER? Use this page to help you decide where you need care.
Urgent needs:
- OHSU Immediate Care Clinics
- Adventist Health Urgent Care locations
- Dispatch Health makes house calls from 8 a.m. to 8 p.m. every day, including holidays. They don’t replace your regular doctor. But they can help when you need care soon. They treat flu, fevers, cuts, UTIs, COPD and asthma flares, headaches and more.
- 503-662-6052 (TTY 711)
- Book online
Routine medical care: Go to Health Share's Get Care webpage for more resources.
- Your primary care provider (PCP) or clinic is listed on your Health Share ID card.
- Questions about your PCP? Call 844-827-6572.
- Use your MyChart account to schedule visits, message your care team, and view test results. Get help with MyChart: 503-494-5252 (Monday-Friday, 7 a.m.-6 p.m.)
Mental health: CareOregon manages OHP mental health services.
- Call 503-416-4100 or 800-224-4840 (TTY 711)
- Email: customerservice@careoregon.org
- Hours: 8 a.m. - 5 p.m., Monday-Friday
Dental health: Your dental plan is listed on the back of your Health Share ID card. Questions? Call Health Share at 503-416-8090.
Pharmacy and prescriptions
Questions about prescriptions? Call 844-827-6572 (Monday–Friday, 8 a.m.–5 p.m.).
A formulary is a list of drugs covered by your plan:
- Search the formulary for a drug.
- Printable formulary in English and formulary in Spanish.
- Machine-readable formulary
- You can ask for your medication labels to be printed in both English and your preferred language.
- If your drug has a limit or is not covered, talk to your doctor about other options or ask for a review.
Request a review (appeal)
Schedule a ride
Ride to Care helps many members get to medical and dental visits.
- Schedule a ride up to 90 days ahead
- When possible, call Ride to Care at least 48 hours before your appointment
- Hours: Monday–Friday, 8 a.m.–5 p.m. (except holidays)
- Portland metro area: 503-416-3955, (TTY 711)
- Rider's guide and more
Language support
You have the right to free language services. You can get help from a certified and qualified healthcare 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.
Care coordination and extra support
You can ask us for a care coordinator. This is a free service to make your overall health better. We can:
- Work with you to find out your health care needs.
- Help you take charge of your health and wellness.
- Coordinate with you and your provider about your services.
- Connect you to community and social support resources that may help.
Email ohsuhscareteam@ohsu.edu or call 844-827-6572 if you have any questions or would like more information about the Care Management Program.
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Flexible Services
Flexible Services provide extra help for health needs that are not covered by OHP benefits.
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
To ask for a service:
- Talk to your doctor.
- Call 844-827-6572 (TTY 711).
- Visit this flexible services webpage to find information in your language.
- If your request is not approved, you cannot appeal, but you can file a complaint.
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Health-Related Social Needs Benefits
Some members can get extra benefits to help with big life changes for housing, food or weather-related needs. These benefits are called Health Related Social Needs (HRSN). Not all members qualify. There are specific federal rules. You need to meet certain health, housing and financial conditions.
Learn more about these benefits and who can qualify at Health Share of Oregon: Health-Related Social Needs.
Home Changes for Health
Eligible members with medical needs can get things like:
- Air conditioners
- Air filtration units and/or filters
- Mini refrigerators
- Heaters
- Portable power supplies
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Connect with a Traditional Health Worker
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.
Other resources
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Choose or change your primary care provider (PCP)
Every family member can choose their own PCP.
- Need help choosing a primary care provider? Call 844-827-6572.
- To change PCPs, fill out the form to select or change your current primary care provider.
- Mail it to:
OHSU Health Services
Attn: Membership Accounting
P.O. Box 40384
Portland, Oregon 97240 -
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. Instructions for Advance Directives.
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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 (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.
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Extreme weather
Stay informed
- 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 coolest times of day.
Cold weather resources
Bookmark these links for resources for extreme cold. If you have other questions, please call us at 503-418-3010.
- 211info: Dial 211 to find a warm space nearest you and to learn about transportation options.
- Oregon Health Authority preparing for winter storms
- Clackamas County: Warming centers list
- Multnomah County:
- Washington County:
Hot weather resources
Bookmark these links for resources for extreme heat. If you have other questions, please call us at 503-418-3010.
- 211info: Dial 211 to find a cool space nearest you and to learn about transportation options.
- Oregon Health Authority Extreme Heat: Heat-related illness warning signs
- Multnomah County: Find cool spaces in Multnomah County
- Clackamas County: Find cool spaces in Clackamas County.
- Washington County: Find cool spaces in Washington County
- Heat Risk Map: The National Weather Service forecasts heat risk for vulnerable populations.
- Video: How to protect yourself during extreme heat
About your health plan
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.
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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.
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What is Health Share of Oregon?
Your medical, mental and dental benefits from 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.
The front of the Health Share ID card includes member name, member ID, language preference and contact information for Health Share of Oregon 
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.
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Renewing coverage
It is very important to keep a current address with the Oregon Health Plan. There is a schedule for OHP members to confirm their eligibility for Medicaid coverage. You will be notified, so keep your contact information current to help keep your benefits.
Update your information or renew your OHP benefits:
- Call OHP customer service 800-699-9075
- OHP One Portal
- Learn how you can update your contact information.
Member rights, complaints and policies
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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 Services tells the authorities about any fraud they find.
Here is how you can report:
- Call the OHSU Anonymous Compliance Hotline at 1-877-733-8313.
- Fill out a form online at www.ohsu.edu/hotline.
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Call or write to:
DHS Fraud Investigation Unit
P.O. Box 14150
Salem, OR 97309
Hotline: 1-888-FRAUD01 (888-372-8301) (TTY/OREGON RELAY users, please call 711)
Fax: 503-373-1525 Attn: Hotline
Website: www.oregon.gov/oha/FOD/PIAU/Pages/Report-Fraud.aspx
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Privacy policy
We keep your health information safe. Read the privacy policy.
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Filing a complaint or appeal
For assistance, call 844-827-6572.
Have you been denied a medical service or benefit? You have a right to ask for a review of the decision. This is called asking for a hearing. Use this form to help you ask for a hearing. Asking for a hearing doesn't change your OHP.
Oregon Health Authority Request to Review a Health Plan Decision
- English
- Spanish
- Russian
- Simplified Chinese
- Traditional Chines
- Somali
- Joogto ah: Sida loo codsado rafcaan qaadashada
- Weyn: Sida loo codsado rafcaan qaadashada
- Vietnamese
- Thường xuyên: Quy trình khiếu nại
- Lớn: Quy trình khiếu nại
Oregon Health Plan Complaint Form
Other important websites
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.
Privacy and non-discrimination
