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CareOregon will stop covering out-of-network behavioral health services this fall

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Manage episode 501300765 series 3541037
Content provided by OPB and Oregon Public Broadcasting. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by OPB and Oregon Public Broadcasting or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

CareOregon, the largest Medicaid provider in the state, will soon stop covering mental health and substance use treatment from out-of-network providers. Coverage will end on Oct. 1 for Medicaid members and on Jan. 1 for members of Medicare Advantage. The decision will disrupt care for an estimated 15,000 patients, or about 15% of the organization’s members who use behavioral health services. The organization says the changes will bring it back into alignment with industry best practices after making provisions to expand access to mental health care during the COVID-19 pandemic.

Amit Shah is the chief medical officer at CareOregon. He joins us with more details about the decision.

  continue reading

1434 episodes

Artwork
iconShare
 
Manage episode 501300765 series 3541037
Content provided by OPB and Oregon Public Broadcasting. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by OPB and Oregon Public Broadcasting or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

CareOregon, the largest Medicaid provider in the state, will soon stop covering mental health and substance use treatment from out-of-network providers. Coverage will end on Oct. 1 for Medicaid members and on Jan. 1 for members of Medicare Advantage. The decision will disrupt care for an estimated 15,000 patients, or about 15% of the organization’s members who use behavioral health services. The organization says the changes will bring it back into alignment with industry best practices after making provisions to expand access to mental health care during the COVID-19 pandemic.

Amit Shah is the chief medical officer at CareOregon. He joins us with more details about the decision.

  continue reading

1434 episodes

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