Thank you for all you are doing to keep our members healthy. Columbia Pacific CCO has been actively monitoring this situation and working in coordination with local and state public health bodies. We are committed to supporting you and making sure our members get the care they need.
Near the beginning of the COVID-19 pandemic, the government labeled it an official Public Health Emergency (PHE). At that time, all states were ordered to pause the redetermination process. Within 60 days of when the PHE period ends, OHA must restart the redetermination process to confirm that all OHP members still qualify for Medicaid coverage through OHP. Learn more about the redetermination process here.
As you know, the FDA has fully approved the Pfizer vaccine and approved the Moderna and Johnson & Johnson vaccines for emergency use. We are here to support you as the vaccine rolls out. Here is what we know now:
There are local and national lines available for physicians looking for emotional support during this time.
For guidance on test ordering, specimen collection and processing please consult your contracted lab, hospital or OHA for the state lab. Medicare and the AMA have released codes to use when testing for COVID-19, which can be found in the "Lab test" section of the Oregon Medicaid COVID-19 Provider Guide.
COVID-19 antibody testing
During the COVID-19 emergency, CareOregon will follow Oregon Health Plan (OHP) coverage guidance for COVID-19 antibody testing. COVID-19 antibody testing (also known as serology testing) to diagnose SARS-CoV-2 coverage criteria:
COVID-19 home tests available for members
Home tests for COVID-19 are now available for Medicaid members who have COVID-19 symptoms or may have been exposed to someone with COVID-19. Members may get up to eight tests every 30 days. Many brands of home tests are fully covered, but not all. See our formulary for details.
Members do not need a prescription for tests that do not require prior authorization. All tests must be dispensed by a pharmacy. The Oregon Board of Pharmacy allows pharmacists to prescribe COVID-19 home tests.
Members may be able to get reimbursement if they pay for tests out of pocket. Members should submit for reimbursement using this form. Receipts must be included.
For pharmacies: Processing home tests
Current codes and guidance for telephone and/or video appointments
Additional telehealth reference material
CareOregon is continuing to offer health-related services of many kinds, but in particular we are striving to meet the most immediate member needs:
There are two ways you can submit requests for health-related services for members:
Download the COVID-19 health-related services resource worksheet:
The guidance being given to members/patients during the coronavirus pandemic. If you have questions
about what to tell patients, this section can help. This includes links to interpretation
We’ve provided answers to other common questions below. This page will continue to be updated with more information as it becomes available.
Information about what to do if you think someone in your care has coronavirus, and other resources for clinic staff.
What should clinic staff do if they suspect someone in their care has the coronavirus?
Please reach out to the CDC, OHA or Multnomah County. They can help you with any suspected cases and suggest the appropriate next steps.
Resources for health care staff:
Who should we call if we have questions?
If providers or clinic staff have other questions about COVID-19, they should reach out to OHA directly.