Link to Owner Dr. Robert B. Pamplin Jr.



Statewide adjustments to coordinated care organization systems in the works

PMG PHOTO: ANNA DEL SAVIO - Columbia Community Mental Health, run by Executive Director Julia Jackson, will take over the Wraparound program at the beginning of 2020. The program coordinates care and resources for children who have high-level needs or have displayed high-risk behaviors.Columbia Community Mental Health will take over the Wraparound program for Columbia County, marking Greater Oregon Behavioral Health Inc.'s transition out of the county.

Oregon is now embarking on CCO 2.0, the second iteration of the coordinated care organization system Oregon has instituted to provide health care to people on the Oregon Health Plan (Medicaid).

The revised program will run from 2020 to 2024. Last month, the state announced the CCOs that were awarded contracts around the state. Columbia Pacific CCO, or CPCCO, will continue to be the CCO serving Columbia County. CPCCO also operates in Clatsop and Tillamook counties and is operated by CareOregon, which manages four CCOs serving 300,000 Oregonians.

GOBHI had previously administered the Wraparound, or "Wrap" program, which connects services for children with high-level needs.

The program involves coordinating with the various health care providers that a child may see, along with family members, courts, schools and government agencies.

"We want to keep the lowest level of care possible, but there's a lot of service coordination at that level," CCMH Executive Director Julia Jackson explained.

"The only way the child can be served in the program is if the family is involved," she added. The service is voluntary, and Jackson said families are very connected with the program.

"This is a program we implemented that makes a critical difference in families' lives and offers hope during trying times," Kevin Campbell, GOBHI CEO, wrote in a press release announcing the program change.

"I think this is going to be a very difficult transition for them," Jackson said of the families in the Wraparound program.

While CCMH officially takes over the program in January, GOBHI and CCMH will begin the process now, Jackson said.

"Our outpatient department is huge right now," she said at a board meeting. Because of the size, outpatient services see the most struggles in quality control.

"Wrap has kind of pushed it over the edge a bit," Jackson said, noting that CCMH will now split outpatient services into a department for children and families and a separate department for adults, to better monitor quality of services.

The roughly 60 children in the program will likely have a change in providers, as CCMH won't automatically take on the current Wraparound providers at GOBHI.

"GOBHI has done a great job with the Wrap program ... We did not try to get in there and take it from GOBHI. It was just a natural chain of events based on the CCO contract happening that GOBHI is prepared to transition out of the county," Jackson explained at a CCMH board meeting.

"GOBHI had been the CCO-contracted provider for CareOregon. When (GOBHI) declared that they had submitted the RFP to be a standalone CCO... that's when CPCCO decided to end the contract with GOBHI," she said.

The state evaluation of CPCCO identified deficiencies the organization will need to address in the coming years. For behavioral health services, the state wrote that CPCCO's application lacked sufficient information on how CPCCO would "work with providers to eliminate barriers" to behavioral health or monitor services.

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