What is an HRSN Service Provider?
HRSN Service Providers are organizations that deliver one more types of HRSN services to members. Learn more about the services available through this program, provider qualifications, and how to become part of our network below.
HRSN Services
Provider Qualifications
In general, for all HRSN benefits, HRSN Service Providers must:
- Have knowledge of principles, methods and procedures of the service, or comparable services meant to support individuals in meeting related needs.
- Have the ability to appropriately deliver the service within a reasonable timeframe.
- Have the ability to participate in Closed Loop Referrals.
- Be accessible to Members, including having the operating hours and staff necessary to meet the Members’ needs.
- Demonstrate ability or experience to effectively serve at least one of OHA’s Priority Populations.
- Demonstrate provision of culturally and linguistically appropriate, responsive and trauma-informed services.
- Provide documentation that demonstrates a history of responsible financial administration.
For questions about HRSN Service Provider qualification requirements, contact our Provider Relations team at UHNProviderServices@umqpuahealth.com.
How to Become a Provider
If your organization is interested in becoming an HRSN Service Provider for Umpqua Health, you can request an application form by emailing UHContracting@umpquahealth.com.
Enroll with OHA
You will need to enroll in OHA’s MMIS Provider Portal as an HRSN Service Provider. Follow OHA’s MMIS Provider Portal Provider Enrollment Guide and apply online. For help, find information and forms on the Provider Enrollment webpage or call the Provider Enrollment Team at 800-336-6016, option 6 to ask questions.
If approved, OHA will send a “welcome” letter. The letter will list your provider ID. It also has links to helpful information. If your application is missing any information, OHA will contact you and tell you what is needed.
Certification & Contracting
After you enroll in MMIS and submit your completed application to us, we will conduct a Certification process to ensure you meet all HRSN Service Provider qualifications. Note that if you are a registered dietician or a traditional health worker, you will also need to complete our Provider Credentialing process.
If your application is approved, our Contracting Department will work with you to establish an HRSN Service Provider Agreement.
Onboarding
Once a contract is in place, our Provider Relations team will engage you in our HRSN Service Provider onboarding process. On a high level, this includes:
- General HRSN program training
- Service-specific training based on your contract (Climate, Housing, etc.)
- Privacy & Security training
- Fraud, Waste & Abuse training
- Getting access to necessary systems & resources
- Completing a pre-launch readiness assessment
- Collaboratively completing your first Closed Loop Referrals, service deliveries and invoices
HRSN Service Provider FAQ
No, HRSN Service Providers can be focused on one or more HRSN benefits.
“Closed Loop Referral” means the process of exchanging information between and among CCO, FFS Program, OHA, a Member, HRSN Service Providers, and other similar organizations, to make referrals and communicate about the status of referrals for a Member. HRSN Service Providers must be able to participate in closed-loop referrals.
UHA supports multiple closed-loop referral pathways, including:
- Fax
OHA has published an HRSN Fee Schedule that outlines the maximum payment amounts for each service. When you receive a Closed Loop Referral from us, we will indicate the approved budget for the service. You can find the current fee schedule under “Billing for HRSN Services” on OHA’s webpage.
You can submit an invoice to UHA within 120 calendar days of delivering an HRSN service. You will receive payment within 30 days of submitting your invoice. If your invoice is rejected for any reason, you can correct and resubmit within 120 days. If you have any questions or concerns about invoices you’ve submitted, you can contact our claims team at UHAClaims@ayin.com or call UHA at 541-229-4842.
OHA has a variety of resources available, which you can find at:
- HRSN Service Provider General Information
- HRSN Service Provider Trainings
In partnership with OHA, UHA has a new funding opportunity to support local organizations in building capacity to meet Health-Related Social Needs. Learn more on our CCBF page .
More Questions?
For more information about becoming an HRSN Service Provider, you can contact our Provider Relations team.
