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Oregon’s innovative Medicaid program allows spending on “health-related” items, an area where the state hopes to gain more flexibility in the next Medicaid round.
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The health insurers say they are the best organizations for expanding the Medicaid system to address social factors such as housing and food.
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The plan will allocate about $25 million to reward coordinated care organizations that boost the vaccine rates of their members.
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In many Oregon counties, fewer than a quarter of eligible Medicaid members have gotten even a single shot of COVID-19 vaccine.
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In Umpqua County, for example, only 17% of Oregon Health Plan members are fully vaccinated -- just below the rate in Eastern Oregon.
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Oregon Health Authority tentatively wants the taxpayer-funded insurance plan to help with housing, other needs, in addition to medical care.
Coordinated care organizations and the state are negotiating a change that could reward them for having a high rate of vaccinated members.
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House Bill 3353 seeks to give coordinated care organizations ways to fund community programs and services
The move could encourage more minorities on the Oregon Health Plan to get vaccinated against COVID-19.
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The state wants its next five-year Medicaid plan, that has to be approved by federal authorities, to allow for spending on housing, for example.
