IHN-CCO

Welcome to your new Oregon Health Plan, InterCommunity Health Network Coordinated Care Organization (CCO)

En español

Your new health plan brings all kinds of care under one group. This means that no matter where you get care — from a counselor, a doctor, a hospital— we know you as our member. Now as one group, we can look for new and better ways to help you prevent and manage health problems.

You will have more support when you need it
You will get the tools you need to help yourself
You can be rewarded with better health

Your benefits

IHN-CCO Member Handbook
IHN-CCO Member Handbook - En español
IHN-CCO Mental Health Member Handbook
IHN-CCO Mental Health Member Handbook - En español

P R I O R A U T H O R I Z A T I O N
Coverage of certain medical services and surgical procedures requires Samaritan InterCommunity Health Network's written authorization before the services are performed.
IHN-CCO 2012 Prior Authorization List
IHN-CCO 2013 Prior Authorization List

U R G E N T C A R E O P T I O N S
When you need medical care right away for a sudden illness or injury, check this booklet for the locations, phone numbers and hours of local clinics that provide urgent care.
List of urgent care, walk-in and pediatric clinics
List of urgent care, walk-in and pediatric clinics - En español

Help us decide what to do

InterCommunity Health Network CCO is working to find answers to problems that may be getting in the way of good health. You can help us by becoming involved with our Community Advisory Council. Click here to learn more.

Your network providers

Primary Care Physician (PCP) Directory
Specialty Provider Directory

Your pharmacies and covered drugs

P H A R M A C I E S
IHN-CCO has a national network of contracted pharmacies. Most major chain pharmacies and many independently-owned pharmacies are contracted with IHN-CCO and can fill prescriptions for our members. To find out about a specific pharmacy please contact Customer Service for help.

F O R M U L A R Y
Your IHN-CCO Formulary contains a listing of covered drugs, prior authorization requirements and any drug quantity limits. This formulary does not contain the names of all medications available in the market. If your medication is not listed, please contact Customer Service for assistance.
2013 Formulary

Your member forms

Hearing Request Form: Request an Administrative Hearing from Department of Medical Assistance Programs (DMAP).

IHN-CCO Appeal Request Form: Request a medical appeal with
IHN-CCO.
Administrative Hearing or Appeal Request Instructions: How to request an Administrative Hearing or an Appeal.

Medication Exception & Authorization Form: Request medically necessary medications that are not normally covered on IHN-CCO’s formulary and for medications that require prior authorization.

Prescription Reimbursement Form: Request reimbursement for covered medications that you have received and paid for out of your pocket.

Primary Care Provider (PCP) Change Card: Choose or change a PCP.

Primary Care Provider (PCP) Change Card (SPANISH)

Prior Authorization-Referral Form: Request an authorization for medical services.

Authorized Representative Form: You have the right to choose an Authorized Representative.

Request for Health Plan Records Form: This form is required to be completed when you are requesting any Health Plan documentation from us.

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