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Provider Digest | Volume 199

Date: 01/14/26

Trillium Provider Listening Session: CCO Transition in Lane County

As PacificSource Community Solutions (PacificSource) prepares to end its role as a coordinated care organization (CCO) in Lane County, Trillium Community Health Plan (Trillium) is committed to working with the Oregon Health Authority (OHA), PacificSource, providers, and community-based organizations to ensure a smooth transition for new members transitioning to our health plan.

To learn more, Trillium invites our Lane County provider partners to attend a virtual Provider Listening Session on Thursday, January 22, 12:00-1:00 p.m.

What’s happening: PacificSource will end its role as a coordinated care organization in Lane County in early 2026. This means Oregon Health Plan (OHP) members currently covered by PacificSource will move to Trillium. Trillium, PacificSource, and OHA are working to ensure a smooth process that supports both members and providers. Learn more about these changes. 

About the listening session: Trillium invites affected Lane County providers to attend a virtual listening session on January 22. This session will provide important information about what to expect, answer your questions, and gather your feedback to support a smooth transition for you and your patients. 

Provider Listening Session (Virtual Only):

For more information about the transition:

We look forward to connecting with you. If you have any questions about the upcoming listening session, please contact us at ORProviderExperience@trilliumchp.com.

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Trillium Provider Orientation Sessions

Please join our Provider Engagement team for a hosted virtual orientation session for all new contracted providers and currently contracted providers who would like updates for 2026.

All sessions will contain the same content and will cover the following topics important to providers, including:

  • Trillium website – tips and tour of resources  
  • Introduction to provider portals      
  • Credentialing     
  • Claims submission     
  • Prior authorization check tool   
  • Interpreter services     
  • Family planning and women’s healthcare services   
  • Population Health case management services      
  • Behavioral Health services    
  • Free clinical trainings      
  • Access and availability provider appointment standards     
  • How to connect with your dedicated Provider Engagement Account Manager 

Note: If you need accommodations or would like to schedule an individual session for your team/provider group, please contact ORProviderExperience@TrilliumCHP.com.

We look forward to connecting with you!

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2026 Medicaid Behavioral Health Provider Directed Payment Program Update 

In preparation for annual changes to the Oregon Heatlh Authority's Behavioral Health Directed Payment Program (BHDP), please review the below information about what to expect in 2026. In addition, Trillium updates our Behavioral Health webpage with this information each January to ensure our network of contracted behavioral health providers has timely access to the latest details, guidelines, and resources.
 
What is the status of the 2026 BHDP rate increases?

  • Per the Oregon Heatlh Authority's (OHA's) 2026 BHDP guidance, the 2026 directed payment structure is not final until approved by the Centers for Medicare & Medicaid Services (CMS). As of late December, CMS has not provided that approval. Trillium will update our website upon hearing from OHA with next steps for 2026.

What steps do providers need to take?

  • For Trillium contracted providers, Trillium will continue reimbursing at our contracted rates and will adhere to all OHA reimbursement guidelines. While providers may no longer qualify for BHDP rates as of January 1, 2026, reimbursement will not automatically revert to 100% of DMAP unless contractually specified. We regularly review reimbursement methodologies in alignment with OHA expectations and will notify providers in advance of any changes.

Who do I contact at Trillium if I have questions?

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