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Provider Digest | Volume 148

Date: 11/27/24

New Housing Benefit for Trillium Medicaid Providers

Through Oregon’s Health-Related Social Needs (HRSN) Initiative, Coordinated Care Organizations (CCOs), providers, community organizations, and others offer a set of non-medical services through Medicaid to Oregon Health Plan (OHP) members. HRSN services include housing-related supports, nutrition services, and climate devices for qualifying individuals experiencing a life transition.

Trillium's HRSN housing benefit launched on November 1, 2024 and helps keep people in their homes. 

Possible support for qualifying Trillium Medicaid members includes:

  • Help with rent payments
  • Help with utility setup and payments
  • Home changes for health and safety
  • And more

To qualify for HRSN Housing benefits, at a minimum, the Oregon Health Authority (OHA) requires that individuals must: 

  • Be an Oregon Health Plan member AND 
  • Have at least one of the following health conditions AND 
    • Complex physical health condition 
    • Complex behavioral health condition 
    • Developmental or intellectual disability 
    • Difficulty with self-care and daily activities 
    • Experience of abuse or neglect 
    • 65 or older 
    • Under age 6 
    • Pregnant or gave birth in the past 12 months 
    • Repeated use of emergency room or crisis services 
  • Meet other benefit-specific requirements, depending on the benefit.

To learn more about eligibility requirements for the HRSN housing benefit, visit the Oregon Health Authority's Housing Benefits webpage.

To learn more about Trillium's HRSN housing benefit or refer a Trillium member, visit www.trilliumohp.com/hrsn.

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Oregon Older Adult Behavioral Health Initiative

The Behavioral Health Initiative for Older Adult and People with Physical Disabilities, funded by the Oregon Health Authority, has professionals who specialize in behavioral health for older adults and people with disabilities in local and regional community mental health programs around the state. The goal is to improve timely access to care from qualified providers who work together to provide coordinated, quality and culturally responsive behavioral health and wellness services. To learn more:

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Join Trillium's Clinical Advisory Panel

Share your expertise on how to advance health equity, improve health outcomes, and strengthen the provider experience by joining Trillium's Clinical Advisory Panel!

The role of the Clinical Advisory Panel (CAP) is to ensure broad community provider advocacy and engagement. In addition, the CAP explores how Trillium and providers can collaborate to build networks of care consistent with the goals of the quintuple aim: better health outcomes, high-quality care, improved provider and member experience, lower cost, and health equity.

Download the Trillium Clinical Advisory Panel Flyer (PDF) to learn more.

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Trillium Medicaid Clinical Policies Update

Effective December 1, 2024, Trillium Community Health Plan will be retiring the Medicaid clinical policies listed in this notice (PDF).

You can find all active Medicaid clinical policies on our Policies & Criteria webpage. (Note: After December 1, the policies listed in this notice (PDF) will no longer be posted on our website.)

Thank you for your partnership in helping our members stay healthy. If you have any questions, please contact your assigned Trillium Provider Engagement Representative.

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