RHCare, CCare, and AbortionCare Overview; and Clinic Certification

This page describes RHCare, CCare, and AbortionCare and how to become certified.

For questions about the certification process or requirements of any of the programs, please email rh.program@oha.oregon.gov.

What is the Reproductive Health Program?

The Oregon Reproductive Health (RH) Program receives funding from three different sources to provide reproductive health services to people in Oregon. It is dedicated to ensuring all people in Oregon have access to high-quality, culturally-responsive reproductive and sexual health services, knowledge, and resources through partnerships with clinics, community organizations, and policy makers.

Read the RH Program Oregon Administrative Rules: 333-004-3000 to 333-004-3240

The RH Program commits to working towards racial equity by addressing racism and implicit bias, and reducing systemic barriers to care. We acknowledge the past and present role of government in creating inequities and doing harm to communities of color and tribal and indigenous communities in Oregon, leading to historical and ongoing trauma. We envision an Oregon where all community members thrive, and racial inequities are eliminated. Read the RH Program’s full statement on racial equity.

Notice of Proposed Rulemaking for OAR 333-004

The Oregon Health Authority, Public Health Division, Center for Prevention and Health Promotion, Oregon Reproductive Health Program is proposing permanent amendments to OAR chapter 333, division 4. As outlined in the 2023 Special Terms and Conditions (STCs) for the state's 1115 family planning Medicaid demonstration waiver, Oregon ContraceptiveCare (CCare), the Reproductive Health (RH) Program is required by the Centers for Medicare and Medicaid Services (CMS) to provide coverage for non-emergent medical transportation (NEMT) for individuals eligible for and enrolled in CCare as of January 1, 2025. To ensure parity in benefits across all funding streams that make up Reproductive Health Access Fund (RHAF) coverage, the RH Program is extending NEMT coverage to all RHAF enrollees. Concurrent with this rulemaking, the Oregon Health Authority will be amending OAR 410-136 'Medical Transportation Services' to include NEMT coverage for RHAF enrollees. Also outlined in the 2023 STCs is approval by CMS to provide CCare enrollees with 2-year continuous eligibility instead of 1-year. The RH Program implemented this change for all RHAF enrollees June 1, 2024.

The RH Program is also amending rules to:

allow for up to two Reproductive Health Coordinators per agency;
provide additional clarity regarding Reproductive Health Equity Act (RHEA) covered services;
clarify billing and coding guidance for agencies;
clarify that agencies must assume responsibility for the cost of any services provided to an enrollee if the agency failed to inform the enrollee of the cost of such services prior to providing them; and
describe RH Program audit and payment recovery processes related to compliance with client eligibility and enrollment requirements.

The Notice of Proposed Rulemaking including the Statements of Need and Fiscal and Racial Equity Impacts can be found here.

You are invited to review and comment on the proposed rules. There are two (2) options to provide comment:

You may provide oral (spoken) testimony during a public hearing scheduled on Monday, November 18, 2024, at 11:00 A.M. Pacific Time via video/phone conference using Microsoft Teams

To provide oral testimony during this hearing:

Join using the Meeting URL. You can also find the join link for the meeting in the Notice of Proposed Rulemaking under "Remote Meeting Details" using the "Meeting URL."
You may also contact the Public Health Division Rules coordinator at publichealth.rules@odhsoha.oregon.gov to sign-up to give oral testimony and receive the link for the Microsoft Teams video conference via calendar appointment.
To join the hearing via phone (audio/listen only), you may dial 971-277-2343, phone conference ID 856 011 799#

Written comments may be submitted before 5:00 P.M. Pacific Time on November 22, 2024:

Email comments to: publichealth.rules@odhsoha.oregon.gov
Mail comments* to: OHA, Public Health Division
Brittany Hall, Administrative Rules Coordinator
800 NE Oregon St, Suite 930
Portland, OR 97232

*Comments sent by regular mail must be postmarked by 5:00 P.M. Pacific Time on November 22, 2024

Send comments by fax to: 971-673-1299

Final rules will be filed after consideration of all comments.

If you have questions or would like a paper copy of the Notice of Proposed Rulemaking, please contact Emily Elman, emily.l.elman@oha.oregon.gov or 503-407-4195.

What is RHCare?

RHCare is a program that uses all three funding sources to provide reproductive health services to anyone with reproductive capacity. RHCare clinics receive reimbursement for reproductive health services provided to clients enrolled in the RH Access Fund.

Although RHCare does provide reimbursement, it is not just a coverage source. The RH Program believes that all people are entitled to high-quality, culturally-responsive reproductive health services. Therefore, RHCare clinics are required to provide the same high-quality, culturally-responsive reproductive health services to all clients with reproductive capacity, regardless of ability to pay.

How to Become a RHCare Clinic

To become a RHCare clinic(s), agencies must meet the RHCare Certification Requirements and complete an Application for Certification. The Certification Requirements provide the foundation for high-quality services based on national standards of care and align with best practices and recommendations for
comprehensive client-centered, culturally-responsive preventive care. RHCare clinics must also be enrolled in the Oregon Health Plan OHP, offer the same services to OHP clients, and bill OHP.

To become certified:

Read the RHCare Certification Packet thoroughly.
Contact the RH Program rh.program@oha.oregon.gov.

For strategies and resources for meeting the certification requirements, see the Companion Document for RHCare Certification Requirements.

What is CCare?

The Oregon ContraceptiveCare Program (CCare) is a program that uses Medicaid waiver funding to provide services related to preventing pregnancy to a subset of clients enrolled in the RH Access Fund. CCare clinics receive reimbursement for CCare services provided to clients enrolled in the RH Access Fund who qualify for CCare funding.

How to Become a CCare Clinic

To become a CCare clinic(s), agencies must meet the CCare Certification
Requirements and complete an Application for Certification. The Certification Requirements provide the foundation for high-quality services based on national standards of care and align with best practices and recommendations for
comprehensive client-centered, culturally-responsive preventive care. CCare clinics
must also be enrolled in the Oregon Health Plan OHP, offer the same services to OHP clients, and bill OHP.

To become certified:

Read the CCare Certification Packet thoroughly.
Contact the RH Program at rh.program@oha.oregon.gov.

For strategies and resources for meeting the certification requirements, see the Companion Document for CCare Certification Requirements.

Annual CCare Post-Award Forum

On May 14th, 2024, the Reproductive Health Program, as outlined in 42 CFR 431.420(c), will hold a post-award forum to solicit comments on the progress of its 1115 family planning demonstration waiver Oregon ContraceptiveCare (CCare). The 2023 Annual Monitoring Report is available here. Members of the public may provide comments regarding CCare on May 14th from 3:00 to 4:00 through Microsoft Teams (click here to join the meeting) or by phone at 971-277-2343, phone conference ID: 452 481 083#. Comments or questions may also be directed to the RH Program in writing, on or before May 14th at rh.program@oha.oregon.gov.

What is AbortionCare?

AbortionCare is a program that uses Reproductive Health Equity Act (RHEA) funding to provide abortion services and post-procedure contraceptives to a subset of clients enrolled in the RH Access Fund. AbortionCare clinics receive reimbursement for AbortionCare services provided to clients enrolled in the RH Access Fund who qualify for RHEA funding.

How to Become an AbortionCare Clinic

To become an AbortionCare clinic(s), agencies must meet the AbortionCare Certification Requirements and complete an Application for Certification. The Certification Requirements provide the foundation for high-quality services based on national standards of care and align with best practices and recommendations for comprehensive client-centered, culturally-responsive preventive care.

To become certified:

Read the AbortionCare Certification Packet thoroughly.
Contact the RH Program at rh.program@oha.oregon.gov.

For strategies and resources for meeting the certification requirements, see the Companion Document for AbortionCare Certification Requirements.