The Oregon Health Authority says Oregon Health Plan members can seek behavioral health services without a primary care referral and ask their CCO for care coordination.
Oregon Health Plan behavioral health information
The Oregon Health Authority states that the Oregon Health Plan, or OHP, covers behavioral health services for substance use, problem gambling and mental health disorders. According to the agency’s OHP Behavioral Health Coverage page, members do not need a referral from a primary care provider to seek these services.
The Oregon Health Authority’s page describes behavioral health coverage broadly and identifies several types of mental health care that may be included. The source does not give service-specific coverage details for any particular treatment approach.
Services listed by the Oregon Health Authority
According to the Oregon Health Authority, mental health care under OHP includes care coordination, emergency services, evaluations, hospital stays, medication management, medication, residential treatment and therapy.
The Oregon Health Authority lists these services as part of its overview of mental health care available through OHP. The page does not state which services are appropriate for an individual member, how quickly services must be provided, or whether particular providers are available in every community.
The source also does not describe coverage requirements, authorization processes, or eligibility standards for individual therapies. Members seeking information about a specific service may need to contact their coordinated care organization, or CCO, as directed by the Oregon Health Authority.
How members can seek help
The Oregon Health Authority says OHP members who need help should contact their CCO and ask for care coordination. Care coordination is included in the agency’s list of mental health care services.
The agency also directs members to use the Oregon Behavioral Health Directory. The Oregon Health Authority’s guidance does not require members to first obtain a referral from a primary care provider before seeking behavioral health services.
For OHP members trying to understand their options, the page provides two stated routes for getting started: contacting their CCO for care coordination or using the Oregon Behavioral Health Directory. The Oregon Health Authority does not identify a preferred route for every situation.
What this means for Oregon patients
For people looking for treatment locally, the Oregon Health Authority says OHP members can seek behavioral health support without a primary care referral and can ask their CCO for care coordination; this directory lists 39 published clinics in Oregon.
This is general information, not medical advice.
More Oregon reporting on access & coverage.
This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.