Select language
If you are a member looking for information on how to make a flex request or find other health related services, please visit our Social Needs Assistance page.
Due to the high volume of HRSF request we are receiving at this time, processing Turn-Around-Times (TATs) for HRSF requests are temporarily extended. To better support members, we want to make sure we are setting realistic expectations for HRSF Turn-Around-Times when working with members.
Effective immediately Turn-Around-Times on HRSF requests are as follows:
Please note this does include fulfillment time for approved requests.
To ensure timely review of your request, please ensure the following items are met and included in your request submission:
For Hotel Requests:
Submitting requests with incomplete forms or missing required documentation will significantly delay the processing of requests.
Detailed information on how to submit an HRS-flexible services request are available in the Health-Related (Flex) Services instructions
Flexible services are cost-effective items and/or services delivered to an individual OHP member to supplement covered benefits and improve their health and well-being. Flexible services are intended to meet immediate social needs, stabilize crisis situations and support a sustainable plan for ongoing needs. These are commonly referred to as flex requests.
The Oregon Administrative Rules restrict health-related services to items not paid for with grant money, funding separate from CCO contract revenue, normal clinical service billing, and is the payor of last resort. In other words, health-related services may be used only if other funding is not available.
Any primary care or behavioral health provider or care team, care coordination staff member working directly with members, or other subcontractors of Columbia Pacific’s network, may make a flex request for a member. Columbia
Pacific encourages our community-based organization (CBO) partners to help our shared members access flexible services. CBOs can work with members and their treatment providers to identify the need, and the provider can submit a request.
If you are a CBO and need help connecting a member to a provider, please complete the Care Coordination referral form.
Columbia Pacific evaluates all completed request forms based on:
We will provide members with a written outcome (mailed to the address on file with the CCO) and copy the requesting provider (and the member’s representatives, if applicable).
For non-hotel requests, for individual members:
For stays in hotels for individual members:
To submit a request for a hotel:
There are two different options for submitting hotel requests. Please note, both options do still require medical documentation (care plan, progress notes, chart notes, etc)
If a member needs an extension, please note:
If a member lives in an area being impacted by a current state of emergency and needs a hotel, you can submit the request without clinical documentation.
We recognize that providers frequently feel there is a small window of opportunity to provide some services for members, so we’ve made some of these items that are commonly needed and have a clear benefit available via our bulk reimbursement process. This allows providers to have them on hand and give them to members as needed.
If your clinic or organization is interested in using the Bulk Purchasing Program, please reach out to socialhealth@careoregon.org to get information about signing up. Here are some highlights of the program:
Below are some examples of items available via bulk reimbursement.
Helpful Resources:
Website feedback
Help us improve our website
Having trouble finding what you’re looking for? Want to tell us about your website experience? Take our feedback survey and let us know!