Provider Newsletter

Yamhill Community Care (YCCO) would like to share the following important information and updates for Providers:

New Updates & Reminders!

YCCO Provider Handbook has been updated!

Available 8/1/2025

The Yamhill CCO Provider handbook is a resource that contains information on your responsibilities as a Yamhill CCO network Provider, health plan benefit information, and required policies and procedures.

Please pay special attention to sections 9.7 and 9.8 for updates to the grievance and appeal process.

Care Coordination & Community Health Hub



As a provider, you can support your patient by requesting a Care Coordinator, Care Manager or a Community Health Worker. Our Community Health Hub is equipped to address the needs of your patients and connect them with valuable resources.

Referrals can be made by anyone in your office, local community partners, or through healthcare professionals involved in the patient’s care.

To request a Care Manager or a Community Health Worker for your patient or their eligible family members, simply contact Customer Service at 1-855-722-8205 or fill out the form.

Care Management and Community Health Hub Request

Once the referral is made, your patient will receive personalized, one-on-one support tailored to their specific needs.

Important billing update

Effective 7/1/2025, YCCO will pay standard DMAP rates for any provider who has not completed their YCCO credentialing from June 1, 2024 to April 1, 2025. 

 Behavioral Health Prior Authorization Changes

Currently YCCO has an administrative PA referral via the CIM system requirement for payment of outpatient behavioral health services, this process will be removed beginning 8/1/2025 and no longer be required to be paid for the previously indicated services.  

The BH Services that require prior authorization have been added to the YCCO PA List. The YCCO PA List is located on the website here  https://yamhillcco.org/providers/policies-and-forms/ as well as via CIM in the Provider Services section.  

The BH Grid currently on the YCCO website will be retired on 08/1/2025 and will be removed. 

Family Core

Are you working with someone who is pregnant or has a child under 5 that lives in Yamhill County? Do they need parenting support, early childhood education, health resources, or birth and post-partum support? Fill out a FamilyCore referral at: https://yamhillfamilycore.org/request-services/. Someone will get in touch with them shortly! 

New One Pager Available for Language Services

There is a new one pager available from Passport to Languages for Providers.

Individual Technical Assistance from Passport is also available to any clinic in the YCCO network. Please see details here:

Passport to Languages for Providers

Community Resources, Trainings and Events

FREE CEUs & Trainings

• YCCO 2025 Free CEU's Trainings
• Behavioral Health & Aging 101 Free On Demand Virtual Training Modules
• What You Want to Know Wednesday 3.0 Summer Speaker Series
• Behavioral Health & Aging Conference (Sept. 16-17).
• ECHO link https://www.oregonechonetwork.org/programs
• Trauma Informed Trainings

Medicaid Program Updates

Fee-for-service percentage rates for Type A and B hospitals (8/1/2025)

Fee-for-service pass-through rates for DRG hospitals (8/1/2025)

Recent rule revisions

OARs 410-125-0141, 410-125-0195, 410-120-1295: Rescinds the wage index rule changes enacted July 1, 2025, restoring the rules to their prior state before that effective date. OHA will immediately start the permanent rulemaking process; this will allow for further community engagement in the rulemaking process.

OAR 410-121-0040: Updates the Oregon Medicaid Pharmaceutical Services Prior Authorization Criteria, implementing recommendations from the Pharmacy and Therapeutics Committee.

Standing Items and Reminders

YCCO seeks an OB/Gyn or women's health provider to join the credentialing committee

Invitation to Meaningful Language Access Metric Technical Assistance / Office Hours

YCCO invites you to bring your questions and concerns about language access service and data collection, particularly as it relates to the OHA metric and the data requests you are receiving from us.

• Need help understanding the spreadsheet template?
• Wondering why we’re asking for this information?
• Have questions about how to share the data more effectively?

We will be available the first Wednesday of the month at noon to answer questions you may have regarding language access.

First Wednesdays at 12:00 PM

    Meeting ID: 275 360 845 694

    Passcode: CE2Fj77i

For more information, email QualityImprovement@yamhillcco.org.

OHA Health Care Interpreter Registry

Bookmark this resource! OHA has a searchable database of Health Care Interpreters: https://hciregistry.dhsoha.state.or.us/Search

This database is updated monthly and will only include interpreters who are currently active with effective certification/qualification and want to be publicly searchable with their contact information. 

For policies and forms, visit our website today.