Members Handbook – Machine Readable
This is the machine-readable version of the 2026 Member Handbook.
Appeals and Hearings Flowchart
Learn more about the process we follow for appeals and hearings.
Community Advisory Council Application
Use this form to apply to be a member of our Community Advisory Council.
Patient Privacy and Security Resources – Supporting Payers Educating their Patients
CMS resource guide supporting health plan payers in educating members about patient privacy, data security, and rights under the Interoperability and Patient Access Final Rule.
Health Risk Assessment – Spanish
Los formularios de evaluación de riesgos para la salud, disponibles en inglés y español, ayudan a los miembros de Umpqua Health Alliance a compartir información sobre su salud, así como sus necesidades de atención y de apoyo.
Health Risk Assessment – English
Health Risk Assessment forms in English and Spanish help Umpqua Health Alliance members share information about their health, care needs, and support needs.
GMR Appointment Verification Form – Spanish
Utilice este formulario para solicitar el reembolso del kilometraje de combustible para el transporte médico no urgente (NEMT).
NEMT & BCB Brochure – Spanish
Obtenga más información sobre cómo obtener viajes gratuitos a sus citas.
UHA Riders Guide – Spanish
Obtenga más información sobre cómo obtener viajes gratuitos a sus citas.
UHA Riders Guide
Learn more about getting free rides to your appointments.
NEMT & BCB Brochure
Learn more about getting free rides to your appointments.
GMR Appointment Verification Form
Use this form to request gas mileage reimbursement for non-emergency medical transport (NEMT).