CCO 2.0 Contract Awardees

CCO 2.0 Contracts Awarded

Readiness Review Results and 2020 Capitation Rates Released

The Oregon Health Authority (OHA) has signed contracts with 15 organizations to serve as coordinated care organizations (CCOs) for the Oregon Health Plan’s nearly 1 million members. Eight of the contracts include conditions that must be met to address provider network adequacy and pending provider contracts.

OHA also announced the initial results of the first round of the federally-mandated readiness review and the 2020 capitation rates for CCOs. CCOs were evaluated for their readiness to provide services starting January 1. All 15 CCOs met most or nearly all the requirements. Capitation rates are the per-member-per-month amounts the state pays CCOs to coordinate health care for OHP members. The average net payment in 2020 is $471. The rates increase meets the 3.4 percent rate of growth target for state general funds.

The CCO contracts, readiness review results and capitation rates are posted below.

2020 Capitation Rates by CCO
Readiness Review Memo to CCOs (10/4/2019)
Readiness Review Memo to CCOs (9/23/2019)
Readiness Review All CCO Overview

Awardee	Signed Contract	Readiness Review
Advanced Health	Advanced Health Contract	Advanced Health Readiness Review
AllCare	AllCare Contract	AllCare Readiness Review
Cascade Health Alliance	Cascade Health Alliance Contract	Cascade Health Alliance Readiness Review
Columbia Pacific	Columbia Pacific Contract	Columbia Pacific Readiness Review
Eastern Oregon CCO	Eastern Oregon CCO Contract	Eastern Oregon CCO Readiness Review
HealthShare	HealthShare Contract	HealthShare Readiness Review
InterCommunity Health Network	InterCommunity Health Network Contract	InterCommunity Health Network Readiness Review
Jackson Care Connect	Jackson Care Connect Contract	Jackson Care Connect Readiness Review
PacificSource Central Oregon	PacificSource Central Oregon Contract	PacificSource Central Oregon Readiness Review
PacificSource Columbia Gorge	PacificSource Columbia Gorge Contract	PacificSource Columbia Gorge Readiness Review
PacificSource Lane	PacificSource Lane Contract	PacificSource Lane Readiness Review
PacificSource Marion Polk	PacificSource Marion Polk Contract	PacificSource Marion Polk Readiness Review
Trillium	Trillium Contract	Trillium Readiness Review
Umpqua	Umpqua Contract	Umpqua Readiness Review
Yamhill	Yahmhill Contract	Yamhill Readiness Review

Final Example CCO 2.0 Contracts

Below are the final contracts that CCOs who have received 1-year and 5-year contracts will sign for services beginning January 1, 2020. Also included in the documents are responses to questions from work sessions held with CCOs and a summary of changes that have been made to CCO contract terms since July 2019.

Awardee	Remediation Notice Letter and Report
AllCare	AllCare Remediation Plan Completion Notice AllCare Remediation Report
Cascade Health Alliance	Cascade Health Alliance Remediation Plan Completion Notice Cascade Health Alliance Remediation Report
Umpqua	Umpqua Remediation Plan Completion Notice Umpqua Remediation Report
Yamhill	Yamhill Remediation Plan Completion Notice Yamhill Remediation Report

OHA provided evaluation deficiency letters to all CCO 2.0 contract awardees in July 2019. For awardees with five-year contracts, deficiencies within the scope of the readiness review will be addressed during that process. Some items will be addressed over the course of the five-year contract period. For awardees with one-year contracts, awardees will develop a remediation plan to correct the deficiencies identified in the letters. If the deficiencies are corrected within the required timeframe, OHA will award the remainder of the full five-year contract term. If the awardee does not demonstrate sufficient progress towards resolving the deficiencies, they will not receive a renewal of their contract.

Awardee	Awardee Evaluation Deficiency Letter
Advanced Health	Advanced Health Deficiency Letter
AllCare	AllCare Deficiency Letter
Cascade Health Alliance	Cascade Health Alliance Deficiency Letter
Columbia Pacific	Columbia Pacific Deficiency Letter
Eastern Oregon CCO	Eastern Oregon CCO Deficiency Letter
HealthShare	HealthShare Deficiency Letter
InterCommunity Health Network	InterCommunity Health Network Deficiency Letter
Jackson Care Connect	Jackson Care Connect Deficiency Letter
PacificSource Central Oregon	PacificSource Central Oregon Deficiency Letter
PacificSource Columbia Gorge	PacificSource Columbia Gorge Deficiency Letter
PacificSource Lane	PacificSource Lane Deficiency Letter
PacificSource Marion Polk	PacificSource Marion Polk Deficiency Letter
Trillium	Trillium Deficiency Letter
Umpqua	Umpqua Deficiency Letter
Yamhill	Yahmhill Deficiency Letter

Related Correspondence

OHA response to Trillium Corrective Action Plan (Nov. 30, 2020)
Notice of Corrective Action to Trillium (Sept. 2, 2020)
Trillium Tri-County Response (Aug. 14, 2020)
Provider contracting letters

Media Contact

Philip Schmidt

503-383-6079
philip.schmidt@oha.oregon.gov

FAQ

OHA has developed responses to frequently asked questions about the CCO 2.0 Contract Awardees. Learn more about the changes to choices of coordinated care organizations (CCOs), how members will make choices about which CCO will serve them, and what will happen in communities with a CCO closure.

CCO 2.0 Contract Awardees: FAQs