Oregon Health Plan
Psychiatrist that accepts the Oregon Health Plan
The Oregon Health Plan is Oregon’s Medicaid program, and it covers psychiatric evaluation and medication management at no cost to you. This practice is contracted with five OHP plans and sees adults 18 and up by video.
Before you ask your doctor
You do not need a referral to be seen
The Oregon Health Authority states it directly: behavioral health services under OHP need no referral from your primary care provider and no prior authorization. You do not have to see a PCP first, get on their waitlist, or have your CCO approve the appointment before it happens.
That is the single most common reason people on OHP put psychiatric care off for months. If you are 18 or over and you have OHP, that is enough to start.
Plans accepted
The five OHP plans this practice is contracted with
Your CCO is printed on your OHP member card. If yours is on this list, you can be seen. If it is not, say so when you call and you will get a straight answer rather than an appointment that gets cancelled later.
CareOregon
The plan that handles behavioral health for Health Share, Columbia Pacific and Jackson Care Connect. If CareOregon is the name on your card, this is the one.
Health Share of Oregon
Clackamas, Multnomah and Washington counties. Portland, Gresham, Beaverton, Hillsboro and Oregon City.
Trillium Community Health Plan
Lane, western Linn and western Douglas counties, plus Clackamas and Multnomah. Eugene, Springfield, Cottage Grove and the Portland metro.
Columbia Pacific CCO
Clatsop, Columbia and Tillamook counties. Astoria, Seaside, St Helens and Tillamook.
Jackson Care Connect
Jackson County. Medford, Ashland, Central Point and Talent.
If you are not sure
How to find out which CCO you are on
Most OHP members do not know their CCO by name, and you do not need to know it before you get in touch. If you want to check first, it is printed on your OHP member card, beside or underneath your member ID. You can also log into your ONE account at benefits.oregon.gov and look at your coverage details.
Some OHP members are not on a CCO at all. That is Open Card, where the state pays providers directly instead of through a plan. Tell us that when you call and it gets checked with the practice rather than guessed at.
What OHP pays for here
Evaluation and medication management, at no cost to you
Every patient starts with a full psychiatric evaluation rather than a fifteen-minute intake. That appointment is where the diagnosis gets made, and a rushed one is the usual reason somebody spends years on a medication that was never matched to the right condition.
After that, ongoing medication management with the same prescriber. Follow-ups cover what is working, what side effects have turned up, whether the dose is right, and whether the original diagnosis still fits. OHP covers the medication as well as the appointment.
Standalone talk therapy without medication management is not offered here. If weekly therapy on its own is what you need, your CCO can connect you with someone who does it, and we would rather say that now than at the end of your first appointment.
What happens next
From getting in touch to a first appointment
Online booking on this site runs through Headway, and Headway does not work with Medicaid plans, so OHP scheduling is handled by the practice directly. The first step is a short secure form rather than a calendar.
-
Fill in the intake form
A short secure form with your details and your OHP plan. The practice contacts you to schedule. Questions first? Text (503) 987-3135 or email admin@orangepacificmh.com.
-
Coverage gets checked
Your CCO is confirmed against the plans the practice is contracted with. This is the step that stops a first appointment turning into a bill or a cancellation.
-
The evaluation
About an hour by video. History, what the symptoms are interfering with, and the conditions that imitate psychiatric illness get checked rather than assumed away.
-
Ongoing care
Follow-ups with the same prescriber, closer together at first. Refills are handled inside that relationship rather than through a separate request queue.
Questions
Questions about OHP and psychiatric care
Is the Oregon Health Plan the same as Medicaid?
Yes. OHP is the name Oregon uses for its Medicaid program, so if you have OHP you have Medicaid. Most members are enrolled in a coordinated care organization, which is the plan name printed on your member card.
Does OHP cover seeing a psychiatrist?
Yes. The Oregon Health Authority lists evaluations and consultations, medication management and medication itself as covered behavioral health benefits under OHP. There is no copay for covered services.
Do I need a referral from my primary care doctor?
No. The Oregon Health Authority states that behavioral health services under OHP need no referral from a primary care provider and no prior authorization.
Which OHP plans do you accept?
CareOregon, Health Share of Oregon, Trillium Community Health Plan, Columbia Pacific CCO and Jackson Care Connect. Your plan name is on your OHP member card.
I live in Bend. Can I be seen on OHP?
Not on OHP at the moment. Deschutes, Crook and Jefferson counties are served by PacificSource Community Solutions, which is not one of the five plans this practice is contracted with. Self-pay and commercial insurance are a different question and those are available anywhere in Oregon.
Why can I not book online like other patients?
Online booking on this site runs through Headway, and Headway does not work with Medicaid plans. OHP patients are scheduled directly by the practice instead, which is why this page asks you to fill in a short intake form instead.
Can I be seen by video on OHP?
Yes. Every appointment at this practice is by telehealth. You need a private space and a workable connection, and you need to be physically in Oregon at the time of the appointment.
Do you see patients under 18 on OHP?
No. This practice treats adults ages 18 and up, in every state and on every plan.
Who you will see
Your prescriber
Tim Korm, PMHNP-BC
Board-certified psychiatric mental health nurse practitioner. NPI 1447717657, licensed as an APRN-NP in Oregon.
I’ve helped clients with mental health challenges for over 15 years in various psychiatry settings. I prescribe medications for mental health symptoms with your preferences in mind, and treatment is tailored to you as a unique individual.
Get started on OHP
No referral, no prior authorization and no copay. Have your OHP member card to hand if you can, and if you cannot find it that is not a reason to wait.