How Do I Know if I am Eligible?

• To qualify for HRSN benefits, I must be a current Umpqua Health Alliance member.
• You cannot be receiving the same or similar benefit through state-, local-, or federally funded programs.
• You must be in one or more of the eligible groups. This means at least one (1) of the following applies to me:
  • I am an adult or youth discharged within the past year from mental health or substance use disorder Institution of Mental Disease.
  • I am an adult or youth released within the past year from incarceration.
  • I have been involved in the child welfare system at some point in my life.
  • Within the next three (3) months or past nine (9)months, I am transitioning from Medicaid-only to dual coverage (receiving both Medicaid and Medicare).
  • I am houseless or at risk of becoming houseless.
  • I am a young adult, aged 19-26, with Special Healthcare Needs (starting in 2025).
• For climate benefits, you must be experiencing at least one (1) of the required benefit specific risk factors. This means at least one (1) of the following applies to me:
  • I am younger than 6 years old.
  • I am 65 years old or older.
  • I am currently pregnant.
  • I have a sensory, physical, intellectual, or developmental disability.
  • I need assistance with activities of daily living (ADLs), instrumental activities of daily living (iADLs), or am eligible for long-term services and supports (LTSS).
  • I receive in-home hospice care.
  • I have complex physical health needs, like a chronic heart or lung.
  • condition, kidney disease, diabetes, or a condition that makes me at risk.
  • for blood clots or a stroke.
  • I have multiple sclerosis.
  • I have Parkinson’s.
  • I have had a spinal cord injury.
  • I have schizophrenia.
  • I have bipolar disorder.
  • I have an alcohol or substance use disorder.
  • I have major depressive disorder and have needed crisis services.
  • hospitalization, or residential treatment in the past 12 months.
• There are additional eligibility criteria for specific HRSN benefits. You must have at least one need related to climate, housing, or nutrition as required by OHP.

Learn about Health-Related Social Needs (HRSN) benefits and start the process.

If I am an UHA member, I can:

• Complete the eligibility and screening process.
  • An organization in my community, my case manager, or someone can refer me for these benefits by completing the HRSN Assistance Request Form. This form can be returned to UHA via:
    • Online: Coming Soon!.
    • Email: HRSN@umpquahealth.com
    • Fax: 541-677-5881
    • Mail or in person: 3031 NE Stephens Street, Roseburg, OR 97470
    • Phone: 541-299-4842
  • I can also complete the Assistance Request Form myself. I can also ask a representative or my UHA care coordinator for help. I can self-attest to these questions.​
  • I may need to share documents or other information that shows my eligibility in case UHA needs them for verification.
  • I will need to allow UHA to send my eligibility results and personal information to HRSN providers.
• Receive decision from UHA.
  • I will learn whether I’m eligible and what to do next from UHA within 14 days of completing my screening and submitting my forms.
  • If I’m eligible, UHA will contact me to let me know and refer me to the appropriate HRSN provider to help me get what I need.
• Plan for delivery.
  • I will receive a call in advance to let me know when my services or equipment will be available.
  • I will need to verify my address to receive my services or equipment where I live.
  • I can also ask for help installing my device.
• Confirm I’ve received my services or equipment.
  • I will receive a call to make sure I received my services or equipment, and everything works.
• Create my care plan.
  • If I would like to, I can work with a UHA care coordinator to create a care plan when it is convenient for me. This is not required. However, creating a care plan can help you keep benefits you are already eligible for and find others you may be eligible for.
  • I can meet with my care coordinator in person or by phone to review and update my plan every 12 months.​
• Use my benefits and get help when needed.
  • I can contact my care coordinator to fix or replace my equipment or receive more benefits.
  • My care coordinator will check in with me every six (6) months to understand if my benefits are meeting my needs or if I may need other benefits.

Become an HRSN Service Provider

UHA is looking to contract with Community Benefit Organizations and providers to become a HRSN Provider for climate, housing, and nutrition benefits. Contact UHA at UHReports@umpquahealth.com if you are interested. You can also visit our Community Engagement & Impact site.

HRSN Service Providers

HRSN providers are organizations that will provide HRSN services in a way that is culturally and linguistically appropriate, responsive and trauma informed. All contracted HRSN providers must meet certain provider qualifications. More information on the process and qualifications to becoming an HRSN Provider will be found in the HRSN Provider Guidance document that will become available on the OHA’s 1115 Medicaid Waiver website.

HRSN Providers will help UHA members though outreach and engagement services. They can also provide HRSN services and devices to UHA members.

• Receive service authorization.
  • UHA will review the HRSN request and complete the eligibility screening and service authorization. If authorized, UHA will notify the eligible person and refer them to you to provide the service or device.
• Submit invoice and receive payment​.
  • You will submit an invoice to UHA within 120 calendar days of delivering services or equipment.
  • You will receive payment within 30 days of submitting the invoice.​
  • If the invoice is returned, you can correct and resubmit within UHA’s required timeframe.​
  • You can call my UHA with questions or concerns.

Provide Outreach and Engagement Services

• Encourage UHA members to start the process.
  • In collaboration with UHA, you can conduct outreach to individuals who might be eligible, or members may reach out to you directly because they want to learn more.
  • If a member reaches out and is not part of UHA, you can help them find their CCO or refer them to OHP’s FFS Program if they are Open Card members.
• Fill out and send HRSN Request Forms to CCOs
  • You can work with members to fill out and submit to UHA a HRSN Request Form. People can self-attest to the questions. This form can be returned to UHA via:
    • Online: Coming Soon!
    • Email: HRSN@umpquahealth.com
    • Fax: 541-677-5881
    • Mail or in person: 3031 NE Stephens Street, Roseburg, OR 97470
    • Phone: 541-299-4842
  • You can become an HRSN Provider (see above). You can bill UHA for your services to our members.
  • You must document these activities and my time spent to submit for payment later. ​
• Receive service authorization.
  • You help will learn from UHA whether they are authorized to receive HRSN services within 14 days of completing the HRSN screening:
    • If authorized, UHA will notify the eligible person and refer them to providers for services.
    • If not authorized, UHA will notify the ineligible person by mail. You can support people in requesting an appeal or hearing if they think they are eligible.
  • You can help members check their eligibility and apply for the same or similar services through UHA’s Flexible Services.
• Submit invoice and receive payment​.
  • You will submit an invoice to UHA within 120 calendar days of delivering services or equipment.
  • You will receive payment within 30 days of submitting the invoice.​
  • If the invoice is returned, you can correct and resubmit within UHA’s required timeframe.​
  • You can call my UHA with questions or concerns.

For more information:

HRSN Services Webpage
Learn more about how Oregon is expanding Medicaid to cover more people and benefits.

Ways to Update Your Contact Information
Learn how you can update your contact information so we can reach you with updates on your benefits.

Tenants Have the Right to Install Portable Cooling Devices
Eligible for a climate device? Use this document to show your landlord that you have legal rights to install portable cooling devices.

Umpqua Health Alliance (UHA) Appeals and Hearings
Learn more about the steps you need to take to request a hearing if you disagree with a decision about your benefits.

All members have a right to know about Umpqua Health Alliance’s programs and services.

Members or potential members who do not speak English as their primary language and who have a limited ability to read, speak, write, or understand English are called Limited English Proficient or LEP. Anyone who is LEP may be entitled to language assistance for healthcare services/encounters or benefits.

We provide the following at no cost to you:

• Sign language interpreters
• Spoken language interpreters for other languages
• Written materials in other languages
• Braille
• Large print
• Audio
• Auxiliary Aids and other formats

If you need help or have questions, please call Customer Care at 541-229-4842, Toll-Free 866-672-1551, or TTY 711.

Todos los miembros tienen derecho a conocer los programas y servicios de Umpqua Health Alliance.

Los miembros o miembros potenciales que no hablan inglés como idioma principal y que tienen una capacidad limitada para leer, hablar, escribir o entender inglés se denominan dominio limitado del inglés o LEP. Cualquier persona que sea LEP puede tener derecho a asistencia lingüística para servicios de salud, encuentros o beneficios.

Proporcionamos lo siguiente sin costo alguno para usted:

• Intérpretes de lenguaje de signos
• Intérpretes de idiomas hablados para otros idiomas
• Materiales escritos en otros idiomas
• Braille
• Impresión grande
• Audio
• Ayudas auxiliares y otros formatos

Si necesita ayuda o tiene preguntas, llame al servicio de atención al cliente al 541-229-4842, al número gratuito 866-672-1551 o al TTY 711.