OAR 410-136-3010: Coordinated Care Organizations

(1) The Authority contracts with Coordinated Care Organizations (CCOs) to provide medical services for clients receiving Title XIX and Title XXI services for the purpose of providing integrated and coordinated care services across physical health, dental health, and non-emergent medical transportation (NEMT). OAR chapter 410, division 120 including OAR 410-120-1210 describes services through CCOs and division 141 including OAR 410-141-3920 through OAR 410-141-3965 describes NEMT requirements through CCOs. (2) For clients enrolled in a CCO, NEMT services are included in the budget provided to a CCO by the Authority. The CCO shall provide NEMT services to its enrolled members. (3) For clients enrolled in a CCO, all transportation services must be coordinated through the member’s CCO or the CCO’s designated transportation provider prior to receiving services.