Oregon Health Plan (OHP) Member Complaints and Appeals

OHP Member Complaints

For complaints about OHP services or providers:

• For services covered by coordinated care organizations (CCOs), contact the CCO.
• For other services, contact OHP Client Services (800-273-0557).

Visit the Public Health website to learn how to file a complaint about:

• An Emergency Medical Services provider, 
• Trauma Systems provider, or 
• Health care facility.
  

OHP Member Appeals

If OHP decides not to cover a health care service, members have options. They can appeal the decision with their CCO or dental plan. After the appeal they can also ask OHA for a hearing. Learn more about appeals and hearings.

Frequently Asked Questions