Careoregon

Flexible Services, often referred to as "flex funds," are supplementary non-covered services that complement the benefits of the Oregon Health Plan (OHP) through Coordinated Care Organizations (CCOs) aimed at enhancing care delivery and improving the health and well-being of members. The eligibility for these services is determined by the respective CCO. Examples of services include: -Housing support (such as rent assistance, rental deposit aid with a move-in date, utility payments, and housing programs for women and children) -Short-term motel accommodations (for individuals being discharged from hospitals, facing extreme weather, awaiting a new home move-in date, or fleeing domestic violence) -Electronics like cellphones and computers -Educational materials and classes -Family and home resources (e.g., child health and safety items, parenting programs, household appliances, climate control devices) -Gym memberships and fitness classes/equipment -Support for health and substance use prevention. All flexible services are assessed individually by the CCO. It’s important to note that these services are not intended for emergencies, and CCOs are not obligated to provide them. Since flexible services are not classified as a covered benefit, denials cannot be appealed, although OHP members may file a complaint.

Intake Procedure: For more information, individuals should call or visit the website. There is no mandated timeline from the Oregon Health Authority (OHA) for the review of flexible services requests by CCOs, and processing can take four weeks or longer after submission. CareOregon clients can ask questions through an online portal, with typical response times of 3–10 days. Visit: www.careoregon.org/members/member-portal.

Fees: None.