GeoAccess Standards for Out of State Providers.xlsx

This file contains GeoAccess Standards for Out of State Providers, a medical and behavioral health network access standards document supporting Oregon's Public Employees' Benefit Board (PEBB) Request for Proposal for medical and pharmacy benefits. The standards establish geographic access requirements for healthcare providers across three service area classifications—urban, suburban, and rural—to ensure adequate network coverage for PEBB members. Medical access standards specify required distances for Primary Care Physicians (PCPs), specialists, hospitals, OB/GYN providers, and pediatricians, ranging from 2 PCPs within 10 miles in urban areas to 2 PCPs within 25 miles in rural areas. Behavioral health access standards address ABA providers, psychiatric prescribers, psychologists and master's-level clinicians (stratified by adult, child, and adolescent populations), intensive outpatient and partial hospitalization facilities, eating disorder programs, and medication-assisted treatment providers, with ABA provider requirements ranging from 2 providers within 10 miles in urban settings to 2 providers within 45 miles in rural areas.

Vendors responding to the PEBB RFP must demonstrate compliance with these geographic access standards as part of their network adequacy submissions, with the proposal deadline of November 14, 2025. The standards serve as evaluation criteria for assessing vendor network sufficiency and ensuring equitable access to care across all service areas. This procurement includes specific provisions for diverse business participation through Attachment E's Certification of Business Inclusion and Diversity (COBID), indicating potential set-aside opportunities or preferences for disadvantaged business enterprises. All proposal submissions must be completed electronically through Proposal Technologies Network, Inc.'s platform, with official documentation posted on OregonBuys.