Health-Related Social Needs Information for Providers

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

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

• Provide HRSN services. These include climate, housing, nutrition, and outreach and engagement benefits. 
  

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

To become an HRSN provider, your organization must identify which members you want to serve.

• Most OHP members are in coordinated care organizations (CCOs). 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.

Providing HRSN Services

Refer to these resources for information on providing HRSN services to eligible OHP members.

Billing 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.
  

Funds to Help Organizations Become HRSN Providers

2024 Community Capacity Building Funds (CCBF) have been awarded and are closed for the year. These grants supporting equipping and preparing partners to provide HRSN services. CCBF awards can be used for:

• Technology
• Developing business or operational practices
• Workforce development
• >Outreach, education and convening

Visit the CCBF web page to see the list of 2024 grantees and learn more about 2025 grant opportunities.