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Manuals, Forms and Resources

Manuals

Resources

Claims and Payment

Member ID Cards

CCO Metrics

The Oregon Health Authority (OHA) uses quality health metrics to show how well Coordinated Care Organizations (CCOs) are improving care, making quality care accessible, eliminating health disparities, and curbing the rising cost of health care. Measures fall into one or more categories:

  • CCO Incentive measures, for which CCOs are eligible to receive payments based on their performance each year (CCO Quality Incentive Program pay-for-performance measures); and
  • State Quality measures, which OHA has agreed to report to the Centers for Medicare and Medicaid Services (CMS) as part of Oregon's 1115 Medicaid waiver. 

Learn about CCO metrics and how plans perform on the CCO Metrics page of the OHA website.

Pharmacy

Prevention and Well Care

  • Living Well Self-Management Programs Living Well is a series of Self-Management Programs developed by Stanford University to help you live and cope with a range of chronic conditions. Workshops include Living Well with Chronic Conditions, Living Well with Diabetes, and Living Well with Chronic Pain.
  • Trillium Community Health Plan promotes adherence to the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) periodicity schedule. View the Recommendations for Preventive Pediatric Health Care schedule of screenings (PDF) from the American Academy of Pediatrics.
  • Trillium is pleased to introduce the Choosing Wisely initiative. The American Board of Internal Medicine (ABIM) Foundation encourages practitioners and patients to "Choose Wisely." This initiative seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments and procedures. Please visit choosingwisely.org to download informational resources for your patients and clinicians to promote shared-decision making.