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Provider Digest | Volume 210

Date: 04/01/26

HINT Provider Networking Event & Resource Fair

The Hispanic Interagency Networking Team (HINT) of Clackamas County is hosting a networking event and resource fair in May, offering an opportunity to connect and build relationships with service providers dedicated to serving the Latinx community. 

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CMS Prior Authorization Change Summary

To help increase access to care, the Centers for Medicare & Medicaid Services (CMS) implemented new prior authorization (PA) response time requirements for all providers effective January 1, 2026. Changes include:

  • Standard prior authorization requests must be completed within 7 calendar days, with a possible extension up to 14 calendar days under certain circumstances.
  • Expedited/Urgent prior authorization requests must be completed within 72 hours. 

With shorter response times for supporting clinical information requests, we request your partnership in submitting all necessary clinical information at the time of the authorization request.

Additional Information

  • Complete clinicals include Diagnosis, History and Current Condition, Treatment Plan and Interventions, and Relevant Diagnostic Tests.
  • Response times can be lessened if all information is submitted with the authorization request.
  • Missing clinical information may lead to a denial due to inadequate supporting records.
  • Submitting prior authorization requests via the secure Provider Portal allows for faster review.

You can view clinical policies and criteria on Trillium's Policies & Criteria webpage.
 
To access Trillium's prior authorization list and metrics for calendar year 2025, please visit our website:

If you have any questions, please contact your assigned Provider Engagement Account Manager or email ORProviderExperience@TrilliumCHP.com.

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OHA Workshop for Providers: Navigating Vaccine Conversations

The Oregon Health Authority (OHA) is offering a comprehensive workshop designed to equip healthcare providers and immunizers with essential skills for effective vaccine discussions. This program offers an in-depth introduction to the principles of Motivational Interviewing (MI), focusing on its application to conversations about vaccines.

Participants will engage in interactive activities and real-world scenarios that illustrate the core concepts of MI, emphasizing collaboration and empathy. They will learn to skillfully use questions and reflective listening to encourage meaningful dialogue with patients. Additionally, the workshop covers approaches for providing information and advice that align with MI principles, ensuring that interactions are supportive and patient centered.

Continuing medical education: The American Academy of Family Physicians (AAFP) has reviewed Navigating Vaccine Conversations: The Motivational Interviewing Approach and deemed it acceptable for AAFP credit.

Facilitator: Carrie Bader, MPH, Boost Oregon Motivational Interviewing trainer

Training dates and locations: 

  • Portland:
  • Medford:
  • Bend:
    • June 5, 8:30 a.m.–4 p.m.
    • Central Oregon Community College, Health Careers Center, Room 230, 2600 NW College Way, Bend, OR
    • Register for Bend training

For more information, please visit the OHA website.

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Trillium Provider Orientation Sessions

Please join our Provider Engagement team for a hosted virtual orientation session for all new contracted providers and currently contracted providers who would like updates for 2026.

  • Every other Wednesday through April 22, 2026 (choose which date works best for you)
  • 12:00-1:00 p.m.
  • Register for Trillium Provider Orientation

All sessions will contain the same content and will cover the following topics important to providers, including:

  • Trillium website – tips and tour of resources  
  • Introduction to provider portals      
  • Credentialing     
  • Claims submission     
  • Prior authorization check tool   
  • Interpreter services     
  • Family planning and women’s healthcare services   
  • Population Health case management services      
  • Behavioral Health services    
  • Free clinical trainings      
  • Access and availability provider appointment standards     
  • How to connect with your dedicated Provider Engagement Account Manager 

Note: If you need accommodations or would like to schedule an individual session for your team/provider group, please contact ORProviderExperience@TrilliumCHP.com.

We look forward to connecting with you!

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