Coordinated Care Request for Information

The Oregon Health Authority (OHA) has issued a Request for Information (RFI) #6097-0 for the Oregon Health Plan (OHP), seeking comprehensive insights from potential Coordinated Care Organizations (CCOs) to inform future procurement and contracting processes. The RFI aims to gather detailed information about healthcare service delivery across Oregon's Medicaid system, which currently covers approximately 1.4 million residents through 16 regional CCOs. Key areas of focus include service area considerations, community partnerships, health equity, traditional health worker integration, language accessibility, children's services, care coordination, behavioral health, and oral health services. Responses are due by April 16, 2025, with the intent to develop a procurement strategy for CCO contracts beginning in 2027. The OHA is specifically seeking detailed insights into providers' experiences, challenges, and innovative approaches across various healthcare domains, with the ultimate goal of improving member experiences, ensuring high-quality comprehensive care, promoting health equity, strengthening community partnerships, and maintaining responsible stewardship of public resources.

The RFI does not specify specific set-aside designations or explicit restrictions on responding organizations, but it appears to be targeting existing healthcare service providers and Coordinated Care Organizations with demonstrated capabilities in Medicaid service delivery. While no specific budget range is explicitly stated, the scope suggests a potentially significant contract value given the comprehensive nature of services covering 1.4 million Oregonians. The document emphasizes interest in providers who can demonstrate expertise in addressing complex healthcare challenges, including social determinants of health, workforce barriers, school-based health services, and strategies for serving diverse and underserved populations. The RFI is explicitly noted as an informational gathering exercise and will not result in an immediate contract award, but will be used to develop a future Request for Application (RFA) process. Respondents are encouraged to provide strategic, detailed responses that align with OHA's 2030 strategic goals and demonstrate innovative approaches to comprehensive healthcare service delivery.