The Oregon Behavioral Health Support Program ensures that adults in Oregon with severe and persistent mental illness (SPMI) are actively involved in directing their treatment through person-centered care planning.
We will work with eligible individuals to create person-centered service plans. We will follow up with them quarterly to determine how their plans are working and if they’re receiving the services and supports they need.
This work also includes:
- Providing needs assessments and person-centered service planning for individuals transitioning from secure residential treatment facilities or the Oregon State Hospital
- Supporting the State Plan personal care services program by conducting a similar assessment and service planning process, while enrolling State Plan personal care attendants to assist individuals in this program
- Performing continued stay reviews for people in the Oregon State Hospital and secure residential treatment facilities
- Providing authorizations for fee-for-service individuals in crisis respite settings
Providers, please submit your prior authorization (PA) requests via MMIS.
CH-001: Referral Request for Oregon Mental Health Benefits — Qualification Determination
This form may be used to refer an individual for OBHSP Services, including 1915(i), non-1915(i), non-Medicaid, or State Plan Personal Care (SPPC PC 20) services.
CH-002: Discharge Notification for Behavioral Health Services
Please submit when an individual moves out of an adult foster care or residential treatment program for behavioral health services.
CH-003: Individually-Based Limitation
An individually based limitation (IBL) is based on specific assessed need and only implemented with the informed consent of the individual or, as applicable, the legal representative of the individual, as described in OAR 411-004-0040. The complete rule can be found here. IBLs are only for individuals in home and community-based settings.
CH-006: Plan of Care Request for Behavioral Health Residential or Personal Care Services
This form includes information required for a plan of care for adult foster homes or residential personal care/habilitation services. For an initial referral, this form may accompany Comagine Health Referral Form (CH-001).
CH-007: PA-Rehab — Psychosocial Rehabilitation Services (PRS)
Please complete this form to request prior authorization of Psychosocial Rehabilitation Services (outpatient rehabilitation).
CH-008: Crisis Respite Request
To be completed by crisis respite providers. Comagine Health will provide authorizations for Crisis Respite stays for individuals who are in residential and adult foster home settings. Please see form for more information.
CH-009: SRTF Criteria Checklist
Please complete this form to request an authorization for the individuals who will be transitioning to an SRTF. The Independent and Qualified Agent (IQA) will review this request and process it for the individual staying at the identified facility.
OHA Policies and Tools
- Behavioral Health Services Rules and Guidelines
- Tools for Oregon Health Plan Providers
- Tools for Behavioral Health Providers
Starting July 1, 2020, Comagine Health has assumed responsibility for assessments from the current contractor, KEPRO.
Providers, our Provider Training webinar was held on Thursday, June 25, 2020.
COVID-19 has changed the way we planned to conduct our individual assessments. Instead of meeting in person with members, we will hold virtual meetings either by video or phone call.
To support these efforts, we first need to determine your telemedicine capabilities before we begin conducting member assessments in July. The following survey will inform our planning efforts to better understand any hardware, software, or connectivity needs of our providers: https://www.surveymonkey.com/r/OBHSPtelehealth.
We look forward to working with you. Please contact us with any questions.