MS1 – Member Assignment and Reassignment
Umpqua Health Alliance corporate policy (MS1) governing the assignment and reassignment of Oregon Health Plan members to primary care providers, including auto-assignment procedures and member-initiated change processes.
HIPAA Training
HHS Office for Civil Rights training materials on the HIPAA Right of Access, covering patients’ rights to their health records, provider obligations, enforcement standards, and best practices for HIPAA Privacy Rule compliance.
F18 – Third Party Liability Recovery
Umpqua Health Alliance corporate policy (F18, Version 10) establishing a comprehensive third-party liability (TPL) recovery process that meets all State and Federal requirements and contractual obligations under the CCO Contract, Exhibit B, Part 8, Section 17.
CR19 – Traditional Health Worker Requirements
Umpqua Health Alliance credentialing policy (CR19) establishing requirements for Traditional Health Workers (THWs) providing services to Oregon Health Plan members, including qualifications, training, and certification standards.
CR13 – Locum Tenens Policy
Umpqua Health Alliance credentialing policy (CR13, Version 6) governing the use of locum tenens (substitute) providers, including Oregon licensure requirements under OAR 847-008-0020, provider notification procedures, and usage limits for the Umpqua Health Network.
CR6 – Credentialing and Re-Credentialing Process
Umpqua Health Alliance credentialing policy (CR6) describing the full credentialing and re-credentialing process for network providers, including application requirements, verification procedures, committee review, and re-credentialing timelines.
CR3 – Screening of Providers
Umpqua Health Alliance credentialing policy (CR3) outlining required screening procedures for providers and subcontractors, including background checks, exclusion list searches, and ongoing monitoring for network participation.
CR1 – Practitioners Within Credentialing Scope
Umpqua Health Alliance credentialing policy (CR1) defining which practitioners fall within the organization’s credentialing scope, including eligibility criteria and requirements for network participation.
Core Competencies for Peer Workers in Behavioral Health Services
SAMHSA’s framework defining core competencies for peer workers in behavioral health services, developed to standardize peer support roles and promote recovery-oriented care across mental health and substance use disorder settings.
Compliance Hotline Poster (Spanish)
Cartel en español sobre la línea directa confidencial de cumplimiento de Umpqua Health Alliance para reportar inquietudes sobre fraude, desperdicio, abuso y privacidad, disponible al (844) 348-4702 o en línea.
Compliance Hotline Poster (English)
Poster informing employees about Umpqua Health Alliance’s confidential compliance hotline for reporting concerns related to compliance, fraud, waste, abuse, and privacy, available by phone at (844) 348-4702 or online.
CE22 – Payment and Authorization of Hospital Admissions
Umpqua Health Alliance corporate policy (CE22) governing payment and authorization of hospital admissions, including provider notification requirements, concurrent review processes, and post-discharge planning coordination.