Health-Related Social Needs Information for Providers

Learn How to Become a Provider of Health-Related Social Needs Services

Health-related social needs (HRSN) service providers are organizations that will:

• Provide HRSN services. These include climate, housing, nutrition, and outreach and engagement benefits. Learn more about these services and who qualifies.
  

• Serve Oregon Health Plan (OHP) members in a way that is culturally and linguistically appropriate, responsive and trauma-informed. 

The HRSN Member Journey describes HRSN service delivery from the member's perspective. 

How To Become an HRSN Provider

This depends on which members the organization plans to serve.

• Most OHP members are in coordinated care organizations (CCO). Providers need to contact their local CCO to find out how to join their network and serve CCO members.

• About 10 percent of OHP members are not enrolled in a CCO. These members are also known as "open card" members. Providers bill Oregon Health Authority (OHA) for services provided to these members.

OHA encourages providers to enroll with OHA to serve open card members. If providers do this first, it will reduce paperwork when enrolling with CCOs later.

The HRSN Provider Journey walks through the process of becoming an HRSN provider. 

Funds to Help Organizations Become HRSN Providers: Apply by May 31, 2024

Providing HRSN Services

Refer to these resources and the HRSN Provider Journey:

Billing for HRSN Services

The HRSN Provider Journey walks through how to bill for HRSN services. To learn more:

• For services to open card members, visit the OHP Billing page.

• For services to CCO members, visit the CCO's website.

• See the HRSN fee schedule for covered codes, expected costs and payment rates.