OR MEDICAID MARKET
Oregon
forecast
RFP release reported for fall 2027
Last verified: unavailable
Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 69
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Access Dental Plan, LLC | not reported | 1,562 (2018) | 0.2% calculated | not reported |
| not reported | Access Dental Plan, LLC | not reported | 0 (2019) | 0.0% calculated | not reported |
| not reported | Advanced Health | not reported | 29,736 (2024) | 2.3% calculated | 343 appeals resolved |
| not reported | Advantage Dental Services | not reported | 0 (2023) | 0.0% calculated | not reported |
| AllCare Health | AllCare Health Plan | not reported | 67,814 (2024) | 5.2% calculated | 538 appeals resolved |
show all 69
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| AllCare Health | AllCare PACE | not reported | 147 (2024) | 4.0% calculated | not reported |
| CareOregon | CareOregon Dental | not reported | 0 (2020) | 0.0% calculated | not reported |
| not reported | Cascade Health Alliance | not reported | 27,279 (2024) | 2.1% calculated | 292 appeals resolved |
| Centene | Trillium Community Health Plan | not reported | 37,347 (2024) | 2.9% calculated | 1 sanctions, 506 appeals resolved |
| Centene | Trillium Community Health Plan - Tri-County | not reported | 48,296 (2024) | 3.7% calculated | 1 sanctions, 543 appeals resolved |
| Centene | Trillium Community Health Plan – Tri-County | not reported | 27,870 (2022) | 2.8% calculated | not reported |
| not reported | Columbia Pacific | not reported | 37,190 (2024) | 2.8% calculated | 1 sanctions, 369 appeals resolved |
| not reported | Yamhill Community Care | not reported | 23,337 (2018) | 2.6% calculated | not reported |
| not reported | Eastern Oregon CCO | not reported | 74,566 (2024) | 5.7% calculated | 1 sanctions, 777 appeals resolved |
| not reported | FamilyCare | not reported | 114,626 (2017) | 12.6% calculated | not reported |
| not reported | Greater Oregon Behavioral Health, Inc. | not reported | 0 (2020) | 0.0% calculated | not reported |
| not reported | Capitol Dental Care, Inc. | not reported | 0 (2023) | 0.0% calculated | not reported |
| not reported | Family Dental Care | not reported | 0 (2023) | 0.0% calculated | not reported |
| not reported | HealthShare of Oregon | not reported | 433,927 (2024) | 33.1% calculated | not reported |
| not reported | Managed Dental Care of Oregon | not reported | 0 (2023) | 0.0% calculated | not reported |
| InterCommunity Health Network | InterCommunity Health Network | not reported | 83,620 (2024) | 6.4% calculated | 1 sanctions, 1,523 appeals resolved |
| not reported | Jackson Care Connect | not reported | 64,541 (2024) | 4.9% calculated | 494 appeals resolved |
| not reported | ODS Community Health Inc. | not reported | 16,208 (2022) | 1.6% calculated | not reported |
| not reported | ODS Community Health, Inc. | not reported | 0 (2023) | 0.0% calculated | not reported |
| PacificSource | PacificSource Community Solutions - Central Oregon | not reported | 47,885 (2018) | 5.3% calculated | not reported |
| PacificSource | PacificSource Community Solutions - Columbia Gorge | not reported | 11,891 (2018) | 1.3% calculated | not reported |
| PacificSource | PacificSource Community Solutions - Central Oregon | not reported | 75,250 (2024) | 5.7% calculated | not reported |
| PacificSource | PacificSource Community Solutions – Central Oregon | not reported | 69,571 (2022) | 6.9% calculated | not reported |
| PacificSource | PacificSource Community Solutions - Columbia Gorge | not reported | 12,361 (2017) | 1.4% calculated | not reported |
| PacificSource | PacificSource Community Solutions - Columbia Gorge | not reported | 17,245 (2024) | 1.3% calculated | not reported |
| PacificSource | PacificSource Community Solutions – Columbia Gorge | not reported | 16,086 (2022) | 1.6% calculated | not reported |
| PacificSource | PacificSource Community Solutions - Lane (CCO) | not reported | 93,578 (2024) | 7.1% calculated | not reported |
| PacificSource | PacificSource Community Solutions – Lane (CCO) | not reported | 84,627 (2022) | 8.4% calculated | not reported |
| PacificSource | PacificSource Community Solutions - Marion Polk (CCO) | not reported | 143,135 (2024) | 10.9% calculated | not reported |
| PacificSource | PacificSource Community Solutions – Marion Polk (CCO) | not reported | 132,918 (2022) | 13.2% calculated | 1 sanctions, 1,311 appeals resolved |
| not reported | PrimaryHealth of Josephine County | not reported | 0 (2020) | 0.0% calculated | not reported |
| not reported | Providence Elder Place | not reported | 3,566 (2024) | 96.0% calculated | not reported |
| not reported | Providence ElderPlace | not reported | 1,252 (2017) | 100.0% calculated | not reported |
| not reported | Umpqua Health Alliance | not reported | 40,562 (2024) | 3.1% calculated | 497 appeals resolved |
| not reported | Western Oregon Advanced Health | not reported | 19,177 (2017) | 2.1% calculated | not reported |
| not reported | Willamette Valley Community Health | not reported | 0 (2020) | 0.0% calculated | not reported |
| not reported | Yamhill Community Care | not reported | 34,914 (2024) | 2.7% calculated | 272 appeals resolved |
| not reported | Access Dental Plan, LLC | not reported | 1,967 (2016) | 0.2% calculated | not reported |
| not reported | Advantage Dental Services | not reported | 22,655 (2016) | 2.4% calculated | not reported |
| not reported | AllCare Health Plan | not reported | 48,493 (2016) | 5.1% calculated | not reported |
| not reported | Capitol Dental Care, Inc. | not reported | 14,416 (2016) | 1.5% calculated | not reported |
| not reported | CareOregon Dental | not reported | 1,985 (2016) | 0.2% calculated | not reported |
| not reported | Cascade Health Alliance | not reported | 16,360 (2016) | 1.7% calculated | not reported |
| not reported | Columbia Pacific | not reported | 24,380 (2016) | 2.6% calculated | not reported |
| not reported | Eastern Oregon CCO | not reported | 47,627 (2016) | 5.0% calculated | not reported |
| not reported | Family Dental Care | not reported | 1,954 (2016) | 0.2% calculated | not reported |
| not reported | FamilyCare | not reported | 121,983 (2016) | 12.8% calculated | not reported |
| not reported | Greater Oregon Behavioral Health, Inc. | not reported | 4,111 (2016) | 0.4% calculated | not reported |
| not reported | HealthShare of Oregon | not reported | 221,257 (2016) | 23.3% calculated | not reported |
| not reported | InterCommunity Health Network | not reported | 53,996 (2016) | 5.7% calculated | not reported |
| not reported | Jackson Care Connect | not reported | 28,928 (2016) | 3.0% calculated | not reported |
| not reported | Managed Dental Care of Oregon | not reported | 2,034 (2016) | 0.2% calculated | not reported |
| not reported | ODS Community Health Inc. | not reported | 7,208 (2016) | 0.8% calculated | not reported |
| not reported | PacificSource Community Solutions - Central Oregon | not reported | 51,327 (2016) | 5.4% calculated | not reported |
| not reported | PacificSource Community Solutions - Columbia Gorge | not reported | 12,638 (2016) | 1.3% calculated | not reported |
| not reported | PrimaryHealth of Josephine County | not reported | 10,952 (2016) | 1.2% calculated | not reported |
| not reported | Providence Elder Place | not reported | 1,156 (2016) | 100.0% calculated | not reported |
| not reported | Providence Elder Place | not reported | 1,392 (2018) | 100.0% calculated | not reported |
| not reported | Trillium Community Health Plan | not reported | 90,217 (2016) | 9.5% calculated | not reported |
| not reported | Trillium Community Health Plan | not reported | 86,031 (2018) | 9.6% calculated | not reported |
| not reported | Umpqua Health Alliance | not reported | 26,338 (2016) | 2.8% calculated | not reported |
| not reported | Western Oregon Advanced Health | not reported | 19,567 (2016) | 2.1% calculated | not reported |
| not reported | Willamette Valley Community Health | not reported | 96,467 (2016) | 10.2% calculated | not reported |
| not reported | Yamhill Community Care | not reported | 22,857 (2016) | 2.4% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
OHP - Oregon Health Plan (Comprehensive MCO + MLTSS)
OHP - Oregon Health Plan (Comprehensive MCO + MLTSS) 26
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Advanced Health | Advanced Health | Advanced Health | Coos and Curry Counties | CMS reported 29,736 (2024) | 2.3% | -1,227 (-4.0%) | +0.0 pts | 2022: 26,401; 2023: 30,963; 2024: 29,736 |
| Advantage Dental Services | Advantage Dental Services | Advantage Dental Services | Statewide except Tillamook County | not reported | not reported | not reported | not reported | 2023: 0 |
| Advantage Dental Services | Advantage Dental Services | Advantage Dental Services | Statewide, except Tillamook County | not reported | not reported | not reported | not reported | 2022: 24,911 |
| AllCare Health Plan | AllCare Health Plan | AllCare Health Plan | Curry, Douglas (97410 and 97442 only), Jackson, and Josephine Counties | CMS reported 67,814 (2024) | 5.2% | -2,051 (-2.9%) | +0.1 pts | 2023: 69,865; 2024: 67,814 |
| AllCare Health Plan | AllCare Health Plan | AllCare Health Plan | Curry, Douglas (97410, 97442 only), Jackson, and Josephine Counties | not reported | not reported | not reported | not reported | 2022: 59,277 |
show all 26
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Capitol Dental Care, Inc. | HealthShare of Oregon | HealthShare of Oregon | Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes, Hood River, Jackson, Jefferson, Josephine, Klamath, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Umatilla (97880 excluded), Wasco (97001 and 97057 excluded), Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2022: 17,638; 2023: 0 |
| Cascade Health Alliance | Cascade Health Alliance | Cascade Health Alliance | Klamath (97731, 97733, 97737, 97739, 97425 excluded) County | CMS reported 27,279 (2024) | 2.1% | -996 (-3.5%) | +0.0 pts | 2023: 28,275; 2024: 27,279 |
| Cascade Health Alliance | Cascade Health Alliance | Cascade Health Alliance | Klamath (97731, 97733, 97737, 97739, and 97425 excluded) County | not reported | not reported | not reported | not reported | 2022: 24,607 |
| Columbia Pacific | Columbia Pacific | Columbia Pacific | Clatsop, Columbia, and Tillamook Counties | CMS reported 37,190 (2024) | 2.8% | -2,113 (-5.4%) | -0.0 pts | 2023: 39,303; 2024: 37,190 |
| Eastern Oregon CCO | Eastern Oregon CCO | Eastern Oregon CCO | Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, and Wheeler Counties | CMS reported 74,566 (2024) | 5.7% | -2,911 (-3.8%) | +0.1 pts | 2023: 77,477; 2024: 74,566 |
| Family Dental Care | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2022: 4,110; 2023: 0 |
| HealthShare of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | CMS reported 433,927 (2024) | 33.1% | -30,190 (-6.5%) | -0.6 pts | 2023: 464,117; 2024: 433,927 |
| InterCommunity Health Network | InterCommunity Health Network | InterCommunity Health Network | Benton, Lincoln, and Linn Counties | CMS reported 83,620 (2024) | 6.4% | -4,612 (-5.2%) | -0.0 pts | 2023: 88,232; 2024: 83,620 |
| Jackson Care Connect | Jackson Care Connect | Jackson Care Connect | Jackson County | CMS reported 64,541 (2024) | 4.9% | -3,240 (-4.8%) | +0.0 pts | 2023: 67,781; 2024: 64,541 |
| Managed Dental Care of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2023: 0 |
| ODS Community Health, Inc. | MODA Health | MODA Health | Baker, Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes (97733, 97735 excluded), Hood River, Jackson, Jefferson, Josephine, Lane, Linn (97759 excluded), Malheur, Marion, Multnomah, Polk (97370 excluded), Tillamook, Wallowa (97828, 97846 only), Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2023: 0 |
| PacificSource Community Solutions - Central Oregon | PacificSource Community Solutions - Central Oregon | PacificSource Community Solutions - Central Oregon | Crook, Deschutes, Jefferson, and Klamath (97731, 97733, 97737, 97739 only) Counties | CMS reported 75,250 (2024) | 5.7% | -4,923 (-6.1%) | -0.1 pts | 2023: 80,173; 2024: 75,250 |
| PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | Hood River and Wasco Counties | CMS reported 17,245 (2024) | 1.3% | -920 (-5.1%) | -0.0 pts | 2023: 18,165; 2024: 17,245 |
| PacificSource Community Solutions - Lane (CCO) | PacificSource Community Solutions - Lane (CCO) | PacificSource Community Solutions - Lane (CCO) | Lane County | CMS reported 93,578 (2024) | 7.1% | -4,975 (-5.0%) | -0.0 pts | 2023: 98,553; 2024: 93,578 |
| PacificSource Community Solutions - Marion Polk (CCO) | PacificSource Community Solutions - Marion Polk (CCO) | PacificSource Community Solutions - Marion Polk (CCO) | Marion and Polk Counties | CMS reported 143,135 (2024) | 10.9% | -7,402 (-4.9%) | +0.0 pts | 2023: 150,537; 2024: 143,135 |
| Trillium Community Health Plan - Tri-County | Trillium Community Health Plan - Tri-County | Centene | Multnomah, Washington and Clackamas Counties | CMS reported 48,296 (2024) | 3.7% | not reported | not reported | 2024: 48,296 |
| Trillium Community Health Plan - Tri-County | Trillium Community Health Plan - Tri-County | Centene | Multnomah, Washington, and Clackamas Counties | not reported | not reported | not reported | not reported | 2023: 43,373 |
| Trillium Community Health Plan | Trillium Community Health Plan | Centene | Douglas (97424, 97493, 97436, 97441, 97467, 97473 only), Lane, and Linn (97446 only) Counties | CMS reported 37,347 (2024) | 2.9% | -3,226 (-8.0%) | -0.1 pts | 2023: 40,573; 2024: 37,347 |
| Trillium Community Health Plan | Trillium Community Health Plan | Centene | Douglas (97424, 97493, 97436, 97441, 97467, and 97473 only), Lane, and Linn (97446 only) Counties | not reported | not reported | not reported | not reported | 2022: 35,514 |
| Umpqua Health Alliance | Umpqua Health Alliance | Umpqua Health Alliance | Douglas (97441, 97467, 97473 excluded) County | CMS reported 40,562 (2024) | 3.1% | -1,083 (-2.6%) | +0.1 pts | 2022: 35,350; 2023: 41,645; 2024: 40,562 |
| Yamhill Community Care | Yamhill Community Care | Yamhill Community Care | Polk (97101, 97304, 97347, 97371, 97378, 97396 only), Washington (97119, 97123, 97132, 97140 only), and Yamhill Counties | CMS reported 34,914 (2024) | 2.7% | -2,812 (-7.5%) | -0.1 pts | 2022: 33,164; 2023: 37,726; 2024: 34,914 |
OHP - Oregon Health Plan (Comprehensive MCO)
OHP - Oregon Health Plan (Comprehensive MCO) 52
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Access Dental Plan, LLC | not reported | unmatched | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2016: 1,967 |
| Advanced Health | Advanced Health | Advanced Health | Coos and Curry Counties | not reported | not reported | not reported | not reported | 2020: 22,075 |
| Advanced Health | Advanced Health | Advanced Health | Coos and Curry counties | not reported | not reported | not reported | not reported | 2021: 24,780 |
| Advantage Dental Services | Advantage Dental Services | Advantage Dental Services | Statewide except Tillamook County | not reported | not reported | not reported | not reported | 2016: 22,655; 2020: 17,585 |
| Advantage Dental Services | Advantage Dental Services | Advantage Dental Services | Statewide except Tillamook county | not reported | not reported | not reported | not reported | 2021: 22,510 |
show all 52
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| AllCare Health Plan | AllCare Health Plan | AllCare Health Plan | Curry, Douglas (97410, 97442 only), Jackson, and Josephine Counties | not reported | not reported | not reported | not reported | 2016: 48,493; 2020: 49,461 |
| AllCare Health Plan | AllCare Health Plan | AllCare Health Plan | Curry, Douglas (97410, 97442 only), Jackson, and Josephine counties | not reported | not reported | not reported | not reported | 2021: 55,138 |
| Capitol Dental Care, Inc. | HealthShare of Oregon | HealthShare of Oregon | Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes, Hood River, Jackson, Jefferson, Josephine, Klamath, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Umatilla, Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2020: 12,562 |
| Capitol Dental Care, Inc. | HealthShare of Oregon | HealthShare of Oregon | Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes, Hood River, Jackson, Jefferson, Josephine, Klamath, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Umatilla, Wasco, Washington, and Yamhill counties | not reported | not reported | not reported | not reported | 2021: 16,449 |
| Capitol Dental Care, Inc. | not reported | unmatched | Benton, Clackamas, Clatsop, Columbia, Hood River, Jackson, Josephine, Klamath, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Umatilla, Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2016: 14,416 |
| CareOregon Dental | CareOregon | CareOregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2016: 1,985; 2020: 0 |
| Cascade Health Alliance | Cascade Health Alliance | Cascade Health Alliance | Klamath (97731, 97733, 97737, 97739, 97425 excluded) County | not reported | not reported | not reported | not reported | 2016: 16,360; 2020: 20,258 |
| Cascade Health Alliance | Cascade Health Alliance | Cascade Health Alliance | Klamath (97731, 97733, 97737, 97739, 97425 excluded) county | not reported | not reported | not reported | not reported | 2021: 22,768 |
| Columbia Pacific | Columbia Pacific | Columbia Pacific | Clatsop, Columbia, and Tillamook Counties | not reported | not reported | not reported | not reported | 2016: 24,380; 2020: 27,706 |
| Columbia Pacific | Columbia Pacific | Columbia Pacific | Clatsop, Columbia, and Tillamook counties | not reported | not reported | not reported | not reported | 2021: 31,460 |
| Eastern Oregon CCO | Eastern Oregon CCO | Eastern Oregon CCO | Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, and Wheeler Counties | not reported | not reported | not reported | not reported | 2016: 47,627; 2020: 55,417 |
| Eastern Oregon CCO | Eastern Oregon CCO | Eastern Oregon CCO | Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, and Wheeler counties | not reported | not reported | not reported | not reported | 2021: 62,850 |
| Family Dental Care | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2016: 1,954; 2020: 2,710 |
| Family Dental Care | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington counties | not reported | not reported | not reported | not reported | 2021: 3,745 |
| FamilyCare | not reported | unmatched | Clackamas, Marion (97002, 97032, 97071, 97362, 97375, 97381 only), Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2016: 121,983 |
| Greater Oregon Behavioral Health, Inc. | Greater Oregon Behavioral Health, Inc. | Greater Oregon Behavioral Health, Inc. | Baker (97869 excluded), Clatsop, Columbia, Douglas, Gilliam, Grant, Harney, Hood River, Lake, Malheur (97710 excluded), Morrow, Sherman, Umatilla, Union, Wallowa, Wasco, and Wheeler (97848 excluded) Counties | not reported | not reported | not reported | not reported | 2020: 0 |
| Greater Oregon Behavioral Health, Inc. | not reported | unmatched | Baker (97869 excluded), Clatsop, Columbia (97231 excluded), Douglas, Gilliam (97830, 97843 excluded), Grant, Harney, Hood River, Lake (97758 excluded), Malheur (97710 excluded), Morrow, Sherman, Umatilla, Union, Wallowa, Wasco, and Wheeler (97848 excluded) Counties | not reported | not reported | not reported | not reported | 2016: 4,111 |
| HealthShare of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2016: 221,257; 2020: 349,810 |
| HealthShare of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington counties | not reported | not reported | not reported | not reported | 2021: 386,779 |
| InterCommunity Health Network | InterCommunity Health Network | InterCommunity Health Network | Benton, Lincoln, and Linn Counties | not reported | not reported | not reported | not reported | 2016: 53,996; 2020: 61,034 |
| InterCommunity Health Network | InterCommunity Health Network | InterCommunity Health Network | Benton, Lincoln, and Linn counties | not reported | not reported | not reported | not reported | 2021: 70,084 |
| Jackson Care Connect | Jackson Care Connect | Jackson Care Connect | Jackson County | not reported | not reported | not reported | not reported | 2016: 28,928; 2020: 50,292 |
| Jackson Care Connect | Jackson Care Connect | Jackson Care Connect | Jackson county | not reported | not reported | not reported | not reported | 2021: 57,067 |
| Managed Dental Care of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2016: 2,034; 2020: 2,630 |
| Managed Dental Care of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington counties | not reported | not reported | not reported | not reported | 2021: 3,657 |
| ODS Community Health Inc. | MODA Health | MODA Health | Baker, Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes (97733, 97735 excluded), Hood River, Jackson, Jefferson, Josephine, Lane, Linn (97759 excluded), Malheur, Marion, Multnomah, Polk (97370 excluded), Tillamook, Wallowa (97828, 97846 only), Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2016: 7,208; 2020: 11,015 |
| ODS Community Health Inc. | MODA Health | MODA Health | Baker, Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes (97733, 97735 excluded), Hood River, Jackson, Jefferson, Josephine, Lane, Linn (97759 excluded), Malheur, Marion, Multnomah, Polk (97370 excluded), Tillamook, Wallowa (97828, 97846 only), Wasco, Washington, and Yamhill counties | not reported | not reported | not reported | not reported | 2021: 14,709 |
| PacificSource Community Solutions - Central Oregon | PacificSource Community Solutions - Central Oregon | PacificSource Community Solutions - Central Oregon | Crook, Deschutes, Jefferson, and Klamath (97731, 97733, 97737, 97739 only) | not reported | not reported | not reported | not reported | 2016: 51,327; 2020: 54,888; 2021: 63,683 |
| PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | Hood River and Wasco Counties | not reported | not reported | not reported | not reported | 2016: 12,638; 2020: 13,139 |
| PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | Hood River and Wasco counties | not reported | not reported | not reported | not reported | 2021: 14,842 |
| PacificSource Community Solutions - Lane (CCO) | PacificSource Community Solutions - Lane (CCO) | PacificSource Community Solutions - Lane (CCO) | Lane County | not reported | not reported | not reported | not reported | 2020: 62,980 |
| PacificSource Community Solutions - Lane (CCO) | PacificSource Community Solutions - Lane (CCO) | PacificSource Community Solutions - Lane (CCO) | Lane county | not reported | not reported | not reported | not reported | 2021: 75,719 |
| PacificSource Community Solutions - Marion Polk (CCO) | PacificSource Community Solutions - Marion Polk (CCO) | PacificSource Community Solutions - Marion Polk (CCO) | Marion and Polk Counties | not reported | not reported | not reported | not reported | 2020: 108,199 |
| PacificSource Community Solutions - Marion Polk (CCO) | PacificSource Community Solutions - Marion Polk (CCO) | PacificSource Community Solutions - Marion Polk (CCO) | Marion and Polk counties | not reported | not reported | not reported | not reported | 2021: 122,013 |
| PrimaryHealth of Josephine County | PrimaryHealth of Josephine County | PrimaryHealth of Josephine County | Douglas (97410, 97442 only), Jackson and Josephine Counties | not reported | not reported | not reported | not reported | 2020: 0 |
| PrimaryHealth of Josephine County | not reported | unmatched | Douglas (97410, 97442 only), Jackson (97497, 97525, 97527, 97530, 97537 only), and Josephine Counties | not reported | not reported | not reported | not reported | 2016: 10,952 |
| Trillium Community Health Plan - Tri-County | Trillium Community Health Plan - Tri-County | Centene | Multnomah, Washington and Clackamas counties | not reported | not reported | not reported | not reported | 2021: 16,039 |
| Trillium Community Health Plan | Trillium Community Health Plan | Centene | Douglas (97424, 97493, 97436, 97441, 97467, 97473 only), Lane, and Linn (97446 only) Counties | not reported | not reported | not reported | not reported | 2020: 34,586 |
| Trillium Community Health Plan | Trillium Community Health Plan | Centene | Douglas (97424, 97493, 97436, 97441, 97467, 97473 only), Lane, and Linn (97446 only) counties | not reported | not reported | not reported | not reported | 2021: 35,134 |
| Trillium Community Health Plan | not reported | unmatched | Benton (97448, 97456 only), Douglas (97424, 97493, 97436, 97441, 97467, 97473 only), Lane, and Linn (97446 only) Counties | not reported | not reported | not reported | not reported | 2016: 90,217 |
| Umpqua Health Alliance | Umpqua Health Alliance | Umpqua Health Alliance | Douglas (97441, 97467, 97473 excluded) County | not reported | not reported | not reported | not reported | 2016: 26,338; 2020: 29,659 |
| Umpqua Health Alliance | Umpqua Health Alliance | Umpqua Health Alliance | Douglas (97441, 97467, 97473 excluded) county | not reported | not reported | not reported | not reported | 2021: 32,690 |
| Western Oregon Advanced Health | not reported | unmatched | Coos, Curry, and Douglas (97459 only) Counties | not reported | not reported | not reported | not reported | 2016: 19,567 |
| Willamette Valley Community Health | Willamette Valley Community Health | Willamette Valley Community Health | Benton (97361 only), Clackamas (97002, 97032, 97071, 97362, 97375 only), Linn (97346, 97350, 97352, 97358, 97360, 97383 only), Marion, Polk, and Yamhill (97304 only) | not reported | not reported | not reported | not reported | 2016: 96,467; 2020: 0 |
| Yamhill Community Care | Yamhill Community Care | Yamhill Community Care | Polk (97101, 97304, 97347, 97371, 97378, 97396 only), Washington (97119, 97123, 97132, 97140 only), and Yamhill Counties | not reported | not reported | not reported | not reported | 2020: 28,597 |
| Yamhill Community Care | Yamhill Community Care | Yamhill Community Care | Polk (97101, 97304, 97347, 97371, 97378, 97396 only), Washington (97119, 97123, 97132, 97140 only), and Yamhill counties | not reported | not reported | not reported | not reported | 2021: 31,332 |
| Yamhill Community Care | not reported | unmatched | Clackamas (97002, 97071, 97140 only), Marion (97137 only), Polk (97101, 97304, 97347, 97371, 97378, 97396 only), Tillamook (97347 only), Washington (97119, 97123, 97132, 97140 only), and Yamhill Counties | not reported | not reported | not reported | not reported | 2016: 22,857 |
OHP – Oregon Health Plan (Comprehensive MCO + MLTSS)
OHP – Oregon Health Plan (Comprehensive MCO + MLTSS) 12
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Columbia Pacific | Columbia Pacific | Columbia Pacific | Clatsop, Columbia, and Tillamook Counties | not reported | not reported | not reported | not reported | 2022: 33,998 |
| Eastern Oregon CCO | Eastern Oregon CCO | Eastern Oregon CCO | Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, and Wheeler Counties | not reported | not reported | not reported | not reported | 2022: 68,206 |
| HealthShare of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2022: 411,941 |
| InterCommunity Health Network | InterCommunity Health Network | InterCommunity Health Network | Benton, Lincoln, and Linn Counties | not reported | not reported | not reported | not reported | 2022: 76,806 |
| Jackson Care Connect | Jackson Care Connect | Jackson Care Connect | Jackson County | not reported | not reported | not reported | not reported | 2022: 60,883 |
show all 12
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Managed Dental Care of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2022: 4,076 |
| ODS Community Health Inc. | MODA Health | MODA Health | Baker, Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes (97733, 97735 excluded), Hood River, Jackson, Jefferson, Josephine, Lane, Linn (97759 excluded), Malheur, Marion, Multnomah, Polk (97370 excluded), Tillamook, Wallowa (97828, 97846 only), Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2022: 16,208 |
| PacificSource Community Solutions – Central Oregon | PacificSource Community Solutions – Central Oregon | PacificSource Community Solutions - Central Oregon | Crook, Deschutes, Jefferson, and Klamath (97731, 97733, 97737, 97739 only) | not reported | not reported | not reported | not reported | 2022: 69,571 |
| PacificSource Community Solutions – Columbia Gorge | PacificSource Community Solutions – Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | Hood River and Wasco Counties | not reported | not reported | not reported | not reported | 2022: 16,086 |
| PacificSource Community Solutions – Lane (CCO) | PacificSource Community Solutions – Lane (CCO) | PacificSource Community Solutions - Lane (CCO) | Lane County | not reported | not reported | not reported | not reported | 2022: 84,627 |
| PacificSource Community Solutions – Marion Polk (CCO) | PacificSource Community Solutions – Marion Polk (CCO) | PacificSource Community Solutions - Marion Polk (CCO) | Marion and Polk Counties | not reported | not reported | not reported | not reported | 2022: 132,918 |
| Trillium Community Health Plan – Tri-County | Trillium Community Health Plan – Tri-County | Centene | Multnomah, Washington, and Clackamas counties | not reported | not reported | not reported | not reported | 2022: 27,870 |
Oregon Health Plan (OHP) (Comprehensive MCO)
Oregon Health Plan (OHP) (Comprehensive MCO) 32
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Access Dental Plan, LLC | Access Dental Plan, LLC | Access Dental Plan | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2017: 1,748; 2018: 1,562; 2019: 0 |
| Advanced Health | Advanced Health | Advanced Health | Coos, Curry, and Douglas (97459 only) Counties | not reported | not reported | not reported | not reported | 2018: 19,039; 2019: 19,362 |
| Advantage Dental Services | Advantage Dental Services | Advantage Dental Services | Statewide except Tillamook County | not reported | not reported | not reported | not reported | 2017: 20,950; 2018: 18,440; 2019: 18,650 |
| AllCare Health Plan | AllCare Health Plan | AllCare Health Plan | Curry, Douglas (97410, 97442 only), Jackson, and Josephine Counties | not reported | not reported | not reported | not reported | 2017: 48,103; 2018: 48,272; 2019: 49,534 |
| Capitol Dental Care, Inc. | HealthShare of Oregon | HealthShare of Oregon | Benton, Clackamas, Clatsop, Columbia, Hood River, Jackson, Josephine, Klamath, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Umatilla, Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2017: 13,088; 2018: 11,293; 2019: 11,368 |
show all 32
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| CareOregon Dental | CareOregon | CareOregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2017: 1,802; 2018: 1,617; 2019: 1,980 |
| Cascade Health Alliance | Cascade Health Alliance | Cascade Health Alliance | Klamath (97731, 97733, 97737, 97739, 97425 excluded) County | not reported | not reported | not reported | not reported | 2017: 16,425; 2018: 16,913 |
| Cascade Health Alliance | Cascade Health Alliance | Cascade Health Alliance | Klamath County (97731, 97733, 97737, 97739, 97425 excluded) | not reported | not reported | not reported | not reported | 2019: 17,740 |
| Columbia Pacific | Columbia Pacific | Columbia Pacific | Clatsop, Columbia, and Tillamook Counties | not reported | not reported | not reported | not reported | 2017: 23,527; 2018: 23,511; 2019: 24,064 |
| Eastern Oregon CCO | Eastern Oregon CCO | Eastern Oregon CCO | Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, and Wheeler Counties | not reported | not reported | not reported | not reported | 2017: 47,606; 2018: 47,766; 2019: 51,008 |
| Family Dental Care | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2017: 1,707; 2018: 1,612; 2019: 1,909 |
| FamilyCare | FamilyCare | FamilyCare | Clackamas, Marion (97002, 97032, 97071, 97362, 97375, 97381 only), Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2017: 114,626 |
| Greater Oregon Behavioral Health, Inc. | Greater Oregon Behavioral Health, Inc. | Greater Oregon Behavioral Health, Inc. | Baker (97869 excluded), Clatsop, Columbia (97231 excluded), Douglas, Gilliam (97830, 97843 excluded), Grant, Harney, Hood River, Lake (97758 excluded), Malheur (97710 excluded), Morrow, Sherman, Umatilla, Union, Wallowa, Wasco, and Wheeler (97848 excluded) Counties | not reported | not reported | not reported | not reported | 2017: 3,782 |
| Greater Oregon Behavioral Health, Inc. | Greater Oregon Behavioral Health, Inc. | Greater Oregon Behavioral Health, Inc. | Baker (97869 excluded), Clatsop, Columbia, Douglas, Gilliam, Grant, Harney, Hood River, Lake, Malheur (97710 excluded), Morrow, Sherman, Umatilla, Union, Wallowa, Wasco, and Wheeler (97848 excluded) Counties | not reported | not reported | not reported | not reported | 2018: 3,583; 2019: 1,361 |
| HealthShare of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2017: 206,451; 2018: 308,598; 2019: 311,436 |
| InterCommunity Health Network | InterCommunity Health Network | InterCommunity Health Network | Benton, Lincoln, and Linn Counties | not reported | not reported | not reported | not reported | 2017: 52,070; 2018: 52,584; 2019: 54,952 |
| Jackson Care Connect | Jackson Care Connect | Jackson Care Connect | Jackson County | not reported | not reported | not reported | not reported | 2017: 28,970; 2018: 29,923; 2019: 31,536 |
| Managed Dental Care of Oregon | HealthShare of Oregon | HealthShare of Oregon | Clackamas, Multnomah, and Washington Counties | not reported | not reported | not reported | not reported | 2017: 1,774; 2018: 1,600; 2019: 1,817 |
| ODS Community Health Inc. | MODA Health | MODA Health | Baker, Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes (97733, 97735 excluded), Hood River, Jackson, Jefferson, Josephine, Lane, Linn (97759 excluded), Malheur, Marion, Multnomah, Polk (97370 excluded), Tillamook, Wallowa (97828, 97846 only), Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2017: 6,596; 2018: 7,676 |
| ODS Community Health, Inc. | MODA Health | MODA Health | Baker, Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes (97733, 97735 excluded), Hood River, Jackson, Jefferson, Josephine, Lane, Linn (97759 excluded), Malheur, Marion, Multnomah, Polk (97370 excluded), Tillamook, Wallowa (97828, 97846 only), Wasco, Washington, and Yamhill Counties | not reported | not reported | not reported | not reported | 2019: 9,223 |
| PacificSource Community Solutions - Central Oregon | PacificSource Community Solutions - Central Oregon | PacificSource Community Solutions - Central Oregon | Crook, Deschutes, Jefferson, and Klamath (97731, 97733, 97737, 97739 only) Counties | not reported | not reported | not reported | not reported | 2019: 48,693 |
| PacificSource Community Solutions - Central Oregon | PacificSource Community Solutions | PacificSource Community Solutions | Crook, Deschutes, Jefferson, and Klamath (97731, 97733, 97737, 97739 only) | not reported | not reported | not reported | not reported | 2017: 49,001; 2018: 47,885 |
| PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | PacificSource Community Solutions - Columbia Gorge | Hood River and Wasco Counties | not reported | not reported | not reported | not reported | 2017: 12,361; 2018: 11,891; 2019: 12,238 |
| PrimaryHealth of Josephine County | PrimaryHealth of Josephine County | PrimaryHealth of Josephine County | Douglas (97410, 97442 only), Jackson (97497, 97525, 97527, 97530, 97537 only), and Josephine Counties | not reported | not reported | not reported | not reported | 2017: 9,855 |
| PrimaryHealth of Josephine County | PrimaryHealth of Josephine County | PrimaryHealth of Josephine County | Douglas (97410, 97442 only), Jackson and Josephine Counties | not reported | not reported | not reported | not reported | 2018: 9,669; 2019: 10,263 |
| Trillium Community Health Plan | Trillium Community Health Plan | Centene | Benton (97448, 97456 only), Coos (97449 only), Douglas (97424, 97493, 97436, 97441, 97467, 97473 only), Lane, and Linn (97446 only) Counties | not reported | not reported | not reported | not reported | 2018: 86,031; 2019: 87,443 |
| Trillium Community Health Plan | Trillium Community Health Plan | Centene | Benton (97448, 97456 only), Douglas (97424, 97493, 97436, 97441, 97467, 97473 only), Lane, and Linn (97446 only) Counties | not reported | not reported | not reported | not reported | 2017: 86,452 |
| Umpqua Health Alliance | Umpqua Health Alliance | Umpqua Health Alliance | Douglas (97441, 97467, 97473 excluded) County | not reported | not reported | not reported | not reported | 2017: 26,120; 2018: 26,224; 2019: 26,634 |
| Western Oregon Advanced Health | Western Oregon Advanced Health | Western Oregon Advanced Health | Coos, Curry, and Douglas (97459 only) Counties | not reported | not reported | not reported | not reported | 2017: 19,177 |
| Willamette Valley Community Health | Willamette Valley Community Health | Willamette Valley Community Health | Benton (97361 only), Clackamas (97002, 97032, 97071, 97362, 97375 only), Linn (97346, 97350, 97352, 97358, 97360, 97383 only), Marion, Polk, and Yamhill (97304 only) Counties | not reported | not reported | not reported | not reported | 2019: 99,835 |
| Willamette Valley Community Health | Willamette Valley Community Health | Willamette Valley Community Health | Benton (97361 only), Clackamas (97002, 97032, 97071, 97362, 97375 only), Linn (97346, 97350, 97352, 97358, 97360, 97383 only), Marion, Polk, and Yamhill (97304 only) | not reported | not reported | not reported | not reported | 2017: 94,575; 2018: 98,872 |
| Yamhill Community Care | Yamhill Community Care | Yamhill Community Care | Clackamas (97002, 97071, 97140 only), Marion (97137 only), Polk (97101, 97304, 97347, 97371, 97378, 97396 only), Tillamook (97347 only), Washington (97119, 97123, 97132, 97140 only), and Yamhill Counties | not reported | not reported | not reported | not reported | 2017: 23,063; 2018: 23,337; 2019: 23,491 |
PACE (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| AllCare PACE | AllCare Health Plan | AllCare Health Plan | Jackson (97501, 97502, 97504, 97525, 97535, 97537 only) and Josephine (97526, 97527, 97543 only) Counties | not reported | not reported | not reported | not reported | 2023: 155 |
| AllCare PACE | AllCare Health Plan | AllCare Health Plan | Jackson (97501, 97502, 97504, 97525, 97535, 97537 only), and Josephine (97526, 97527, 97543 only) Counties | CMS reported 147 (2024) | 4.0% | not reported | not reported | 2024: 147 |
| Providence Elder Place | Providence | Providence | Multnomah, Washington (97113, 97116, 97140, 97062, 97078, 97003, 97123, 97124, 97005, 97006, 97007, 97008, 97223, 97224. 97225, 97229 only), Clackamas (97015, 97027, 97086, 97036, 97045, 97062, 97068, 97034, 97035, 97206, 97219, 97222, 97267, 97268, 97269 only), Clatsop, and Tillamook (97130, 97131, 97147 only) Counties | CMS reported 3,566 (2024) | 96.0% | not reported | not reported | 2024: 3,566 |
PACE (Program of All-Inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Providence Elder Place | Providence | Providence | Clatsop, Multnomah, Washington (97113, 97116, 97140, 97062, 97078, 97003, 97123, 97124, 97005, 97006, 97007, 97008, 97223, 97224, 97225, 97229 only), Clackamas (97015, 97027, 97086, 97036, 97045, 97062, 97068, 97034, 97035, 97206, 97219, 97222, 97267, 97268, 97269 only), and Tillamook (97130, 97131, 97147 only) Counties | not reported | not reported | not reported | not reported | 2023: 3,213 |
PACE (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Providence Elder Place | Providence | Providence | Multnomah county, Washington county (97113, 97116, 97140, 97062, 97078, 97003, 97123, 97124, 97005, 97006, 97007, 97008, 97223, 97224, 97225, 97229 only), Clackamas county (97015, 97027, 97086, 97036, 97045, 97062, 97068, 97034, 97035, 97206, 97219, 97222, 97267, 97268, 97269 only), Clatsop county, Tillamook county (97130, 97131, 97147 only), Jackson county (97501, 97502, 97504, 97525, 97535, 97537 only), Josephine county (97526, 97527, 97543 only) | not reported | not reported | not reported | not reported | 2021: 1,551 |
| Providence Elder Place | Providence | Providence | Multnomah, Washington, Clatsop, Clackamas and Tillamook Counties | not reported | not reported | not reported | not reported | 2018: 1,392; 2020: 1,618 |
| Providence Elder Place | not reported | unmatched | Multnomah, Washington, Clatsop and Tillamook Counties | not reported | not reported | not reported | not reported | 2016: 1,156 |
| Providence ElderPlace | Providence | Providence | Multnomah, Washington, Clatsop and Tillamook Counties | not reported | not reported | not reported | not reported | 2017: 1,252 |
Program of All-Inclusive Care for the Elderly (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| AllCare PACE | AllCare Health Plan | AllCare Health Plan | Jackson (97501, 97502, 97504, 97525, 97535, 97537) and Josephine Counties (97526, 97527, 97543) | not reported | not reported | not reported | not reported | 2022: 42 |
| Providence Elder Place | Providence | Providence | Multnomah, Washington (97113, 97116, 97140, 97062, 97078, 97003, 97123, 97124, 97005, 97006, 97007, 97008, 97223, 97224, 97225, 97229 only), Clackamas (97015, 97027, 97086, 97036, 97045, 97062, 97068, 97034, 97035, 97206, 97219, 97222, 97267, 97268, 97269 only), Clatsop, and Tillamook Counties (97130, 97131, 97147 only) | not reported | not reported | not reported | not reported | 2022: 1,575 |
Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Providence Elder Place | Providence | Providence | Multnomah, Washington, Clatsop, Clackamas, and Tillamook Counties | not reported | not reported | not reported | not reported | 2019: 1,481 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Appeals, grievances, and enrollment share (2024)
Appeals, grievances, and enrollment share (2024) 16
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Advanced Health | Advanced Health | Oregon Health Plan 2024 Coordinated Care Organizations | 211 | 64 | 30.3% calculated | 527 | 1.8% | 2.1% |
| AllCare CCO | AllCare Health Plan | Oregon Health Plan 2024 Coordinated Care Organizations | 433 | 161 | 37.2% calculated | 241 | 4.4% | 4.9% |
| Cascade Health Alliance | Cascade Health Alliance | Oregon Health Plan 2024 Coordinated Care Organizations | 240 | 126 | 52.5% calculated | 163 | 1.8% | 2% |
| Columbia Pacific CCO | Columbia Pacific | Oregon Health Plan 2024 Coordinated Care Organizations | 112 | 54 | 48.2% calculated | 301 | 2.5% | 2.8% |
| Eastern Oregon CCO | Eastern Oregon CCO | Oregon Health Plan 2024 Coordinated Care Organizations | 600 | 274 | 45.7% calculated | 886 | 5.2% | 5.8% |
show all 16
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Health Share of Oregon | unmatched | Oregon Health Plan 2024 Coordinated Care Organizations | 1,604 | 664 | 41.4% calculated | 7,544 | 30.1% | 33.6% |
| InterCommunity Health Network CCO | InterCommunity Health Network | Oregon Health Plan 2024 Coordinated Care Organizations | 887 | 393 | 44.3% calculated | 863 | 5.6% | 6.2% |
| Jackson Care Connect | Jackson Care Connect | Oregon Health Plan 2024 Coordinated Care Organizations | 291 | 133 | 45.7% calculated | 567 | 4.4% | 4.9% |
| Pacific Source - Central Oregon Region | unmatched | Oregon Health Plan 2024 Coordinated Care Organizations | 506 | 123 | 24.3% calculated | 750 | 5.1% | 5.7% |
| Pacific Source - Columbia Gorge Region | Columbia Pacific | Oregon Health Plan 2024 Coordinated Care Organizations | 93 | 23 | 24.7% calculated | 141 | 1.2% | 1.4% |
| Pacific Source - Lane | unmatched | Oregon Health Plan 2024 Coordinated Care Organizations | 818 | 238 | 29.1% calculated | 2,107 | 6.2% | 6.9% |
| Pacific Source - Marion/Polk | PacificSource Community Solutions - Marion Polk (CCO) | Oregon Health Plan 2024 Coordinated Care Organizations | 880 | 214 | 24.3% calculated | 1,872 | 10.2% | 11.4% |
| Trillium Community Health Plan - Southwest | Centene | Oregon Health Plan 2024 Coordinated Care Organizations | 340 | 229 | 67.4% calculated | 684 | 2.3% | 2.6% |
| Trillium Community Health Plan - Tri-County | Centene | Oregon Health Plan 2024 Coordinated Care Organizations | 378 | 246 | 65.1% calculated | 549 | 3.9% | 4.3% |
| Umpqua Health Alliance | Umpqua Health Alliance | Oregon Health Plan 2024 Coordinated Care Organizations | 273 | 119 | 43.6% calculated | 424 | 2.6% | 2.9% |
| Yamhill Community Care | Yamhill Community Care | Oregon Health Plan 2024 Coordinated Care Organizations | 140 | 73 | 52.1% calculated | 265 | 2.4% | 2.7% |
Sanctions (2024)
Sanctions (2024) 8
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Eastern Oregon CCO | Eastern Oregon CCO | Reporting | 2024-04-29 | No | Yes, remediated |
| InterCommunity Health Network CCO | InterCommunity Health Network | Reporting | 2024-04-29 | No | Remediation in progress |
| Pacific Source - Central Oregon Region | unmatched | Reporting | 2024-04-29 | No | Remediation in progress |
| Pacific Source - Columbia Gorge Region | Columbia Pacific | Reporting | 2024-04-29 | No | Remediation in progress |
| Pacific Source - Lane | unmatched | Reporting | 2024-04-29 | No | Remediation in progress |
show all 8
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Pacific Source - Marion/Polk | PacificSource Community Solutions - Marion Polk (CCO) | Reporting | 2024-04-29 | No | Remediation in progress |
| Trillium Community Health Plan - Southwest | Centene | Reporting | 2024-04-29 | No | Yes, remediated |
| Trillium Community Health Plan - Tri-County | Centene | Reporting | 2024-04-29 | No | Yes, remediated |
Award history
- Oregon Health Plan Coordinated Care Organizations (CCO 2.0) OR-2019-CCO2.0: awarded. Oregon Health Plan Coordinated Care Organizations (CCO 2.0) (OR-2019-CCO2.0). Status recorded from the retrieved documents: awarded. Named awardees in confirmed excerpts: AllCare CCO Inc., Cascade Health Alliance, Columbia Pacific CCO, LLC, Eastern Oregon Coordinated Care Organization LLC, Health Share of Oregon, InterCommunity Health Network, Jackson County CCO, LLC, dba Jackson Care Connect, PacificSource Community Solutions - Central Oregon, and 7 more named in the source. Notice date 2019-07-09. Contract start 2020-01-01.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.