CCO — Coordinated Care Organization

Definition. Oregon's model for delivering Medicaid: regional organizations that, since 2012, manage physical, behavioral and oral health care for Oregon Health Plan members in their service area under a single budget.

What it means

CCOs are how most Oregon Health Plan (OHP) members get their benefits. Oregon formed them in 2012 under its Medicaid waiver. Each CCO is paid through one global budget to cover its members' physical, behavioral and oral health care. OHA says that, except for extra services and pharmacies, all CCOs offer the same OHP benefits.

You pick a CCO when you apply for OHP, or OHA assigns one in your area that is accepting members. To see which CCOs serve your county, use OHA's CCO plans page; this site doesn't name or compare CCOs.

If you have Medicare and OHP

• Your CCO doesn't change when you get Medicare. OHA says getting Medicare while on OHP doesn't change your CCO.
• Medical care: Medicare is your main coverage. People with Medicare don't have to get medical care through their CCO and can change or leave their medical CCO at any time.
• Dental and mental health: you must use a CCO for OHP dental and mental health care.
• Drugs: Part D covers your prescriptions. Most OHP members with Medicare have "OHP with Limited Drug," which pays only certain drugs Part D excludes.

To change CCOs, use your dashboard at ONE.Oregon.gov or call OHP Client Services at 1-800-273-0557 (TTY 711).