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Provider Digest | Volume 123

Date: 05/15/24

2024 Social Needs Screening Inventory Survey for Trillium Medicaid Providers

This year Trillium is launching this Social Needs Screening Inventory Survey to gather responses necessary to pass the new Social Needs Screening and Referral CCO incentive metric. The survey will be used to conduct an environmental scan to help us identify how members are being seen, the capacity of health-related social needs referrals, resources available, and the gaps that must be addressed. 

Organizations who complete this survey by May 31st may be eligible to earn a bonus which is outlined within Trillium's 2024 CCO Quality Pool Bonus Funds Program.

Note: If you would like to gather the information before taking the online survey, please view the Social Needs Screening Inventory Survey in PDF format.

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Lane County Public Health Alert: Increased Testing Needed for Pertussis/Whooping Cough

Lane County Public Health (LCPH) has observed a concerning surge in pertussis cases throughout the county, with over 20 confirmed cases currently under investigation across various age groups, including infants. Several schools have reported cases and outbreaks, prompting proactive measures such as contact tracing and school exclusion of unimmunized students.

In light of these developments, LCPH urgently advises clinicians and clinical support staff to thoroughly review immunization protocols and infection control measures for managing this highly contagious bacterium. It is imperative to promptly test individuals exhibiting symptoms indicative of pertussis, particularly those with a history of exposure or presenting with severe coughing.

Please review LCPH guidance and testing recommendations (PDF). 

Reporting: Laboratory confirmed and presumptive cases must be reported to Lane County Public Health within one working day to ensure rapid case isolation and contact investigation. (A presumptive case is a patient with a clinical syndrome consistent with pertussis for at least 14 days, or anyone with a cough illness of any duration and linked to a lab confirmed case.)

Please call Lane County Public at 541-682-4041 to report a case. This number is operational 24 hours per day, 365 days per year.

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For Trillium Medicaid Providers: 2024 CCO Quality Pool Bonus Funds Program

The Oregon Health Authority (OHA) Quality Incentive Program uses quality metrics to demonstrate how well CCOs are improving the health of the communities they serve. Incentive metrics are integral to the success of the CCO model, encouraging health plans and their partners to develop innovative approaches to serve Oregon Health Plan members. These metrics measure quality of care, access to care, health equity, and health outcomes for individuals enrolled in CCOs. OHA develops the measures and establishes a quality pool fund for each CCO by withholding a percentage of aggregate capitation and kick back payments made to the CCO during the calendar year. CCOs are then eligible to earn back up to 100% of the withhold based on overall plan performance. Each CCO establishes the methodology for distributing the incentive funds to participating partners.

Trillium’s universal methodology is developed in partnership with the provider community and is reviewed and approved by both Trillium Boards of Directors. The methodology outlined in the 2024 Trillium CCO Quality Pool Bonus Funds Program document (PDF) is effective for the 2024 reporting year and is subject to change based on OHA updates and plan priorities.

Please be sure to review the current document as there have been some changes for 2024. If you have any questions, please connect with your Quality contact.
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Our Journey: Lane County Intertribal Quarterly Cultural Collective Event 

"Our Journey" is an intertribal quarterly cultural collective event with the goal to create a cross-cultural space for both tribal and non-tribal peoples to learn, grow, share, and celebrate work that is being done in Lane County with an emphasis on health and improvement for the Federally Recognized Tribes and American Indian and Alaskan Native residents.

This family-friendly event is hosted by Buffy Hurtado, enrolled member and citizen of the Confederated Tribes of Warm Springs and PacificSource Tribal Liaison.

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Oregon Health Leadership Council:Telehealth Service Recommendations for Dental Health 

The Oregon Health Leadership Council (OHLC) has released its Telehealth Service Recommendations for Dental Health. This document was developed through the collaborative efforts of providers and clinical experts on OHLC's Best Practice Committee and associated Telehealth Workgroup. It serves as a complement to their Telehealth Service Recommendations for Adult Primary Care, Pediatric Primary Care, and Behavioral Health. 

The goal of this document is to provide information and guidance to dental professionals (including dentists, hygienists, orthodontists, and others) and medical primary care providers on the following:

  1. Determining which dental health services may be clinically appropriate for telehealth care, and which telehealth modalities are recommended for these services.
  2. The benefits of dental telehealth care and tips on how to effectively implement telehealth in your practice.

You can download the recommendations in PDF format.

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Responses Due July 15, 2024: Trillium Medicaid Bi-Annual Capacity Review

Have you completed the Trillium Provider Capacity Survey yet?

Oregon Health Authority (OHA) requires Trillium to report in-network provider capacity on a bi-annual basis to ensure members in our communities have access to high-quality healthcare. The survey is only four questions and takes  approximately 2 minutes to complete.

Please take the survey by July 15, 2024.

Thank you for your partnership in helping our members stay healthy!

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Reminder: Lane County Trillium Medicaid Behavioral Health Provider Availability Survey

In the Lane County CCO region, Trillium Behavioral Health has transitioned from monthly phone calls to an online survey to assess provider availability and your program openings. This will streamline the process for you as well as ensure we are able to provide members with the most accurate provider information. You should expect to receive the survey link via email on the first Monday of every month.

As always, we deeply appreciate the valuable work that you are doing for our Trillium members and our community at large. At the top of each survey, you will find contact information for Emma St. Clair and Erinn Stevens. Please reach out to both of them directly if you have any questions or concerns. We look forward to partnering with you on this new process!

Complete the Lane County Trillium Behavioral Health Provider Availability Survey

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