Behavioral Health Resources

Behavioral Health Resources

Pathways of support

To improve behavioral health care for our members, we created Health Share Pathways, a single, regional network of providers with standardized administration. Pathways launched in 2016  to make it easier for members to access care and to simplify processes for providers. Providers contract directly with Health Share of Oregon. Clackamas, Multnomah, and Washington Counties administer the health plans.

This page contains manuals, forms, contact information, and updates for providers. Click on the links below to find what you’re looking for:

Pathways Provider Update Newsletter

This section contains the Health Share Pathways provider newsletter for this quarter:

Pathways Provider Update Newsletter

The Pathways Provider Manual, authorization guides, forms, and more

Regional Behavioral Health System – Provider Manual

Appendix A: Health Share Pathways Regional Practice Guidelines 

Appendix B: Inpatient/Acute Care Guidelines 

Appendix C: Mental Health Day Treatment Clinic Services Guidelines

Appendix D: Psychiatric Residential Treatment Services Guidelines 

Appendix E: Service Authorizations Guidelines & Procedures 

Appendix F: Health Share Member Handbook 

Appendix G: Regional Pathways Provider Fee Schedules (see "Behavioral Health Fee Schedules + Billing Information" section below) 

Appendix H1: Organizational Roster Information Template 

Appendix H2: Organizational Roster Attestation

Appendix I: Multnomah County Quality Management Critical Incident Report: PDF, Word

HSTAR_Higher LOC Treatment Request Form: PDF , Word 

HSTAR_PA Treatment Request Form Instructions: PDF 

HSTAR_PA Treatment Request Form, Parts A & B: PDF , Word

HSTAR_PA Treatment Request Form, Part C: PDF , Word

LOC Adult Continued Treatment Registration Form: PDF , Word

LOC Adult Initial Treatment Registration Form: PDF , Word

LOC Youth Continued Treatment Registration Form:  PDF , Word 

LOC Youth Initial Treatment Registration Form: PDF , Word

Daily Withdrawal Management Summary Form: PDF , Word

Medication Assisted Treatment (MAT) Request Form: PDF , Word

SUD Day Treatment Authorization Form: PDF , Word 

SUD Dual Diagnosis Authorization Form: PDF , Word

SUD Medically Monitored Residential Withdrawal Management 

Treatment Authorization Form: PDF , Word

SUD Residential Authorization Form: PDF , Word

ABA Referral Form A – Request for ABA Assessment (Physical Health Providers Only): PDF , Word

ABA Referral Form B – Request for ABA Treatment (ABA Providers Only): PDF , Word

CIM Access Request Form: PDF , Word

Corrected Claim Submission Overview: PDF

Oregon Medicaid Enrollment Form: PDF , Word

Oregon Medicaid Provider Enrollment Requirements: PDF

Timely Filing Waiver Request: PDF , Word

New Practitioner Add Form: PDF , Word

Provider Address Addition Form: PDF , Word

Provider Address Closure Form: PDF , Word 

Provider Address Relocation Form: PDF , Word

Provider Administrative Address Update: PDF , Word

Provider Billing Data Change Form: PDF , Word

Provider Data Management Overview: PDF

Provider Request Addition of Contracted Services Form: PDF , Word 

Organizational Provider Roster Template:  Excel

Organizational Provider Roster Attestation: PDF

Nursing Assessment Form: PDF , Word

Need more help?

If you have additional questions, you can contact the Health Share Contracting and Network Management Department at providers@healthshareoregon.org.

Applied Behavior Analysis

If you are in need of further help with ABA resources, feel free to visit our ABA page. 

Behavioral Health Fee Schedules + Billing Information

Claims Submission:

Electronic Claims

Clearing House
Health Share Payor ID
Cortex EDI
HSOCC, CMHO1, CX034, or CX 032
Gateway EDI
VMMH1 or 16259
Office Ally
CCMMH, VMMH1, or WCHHS
RelayHealth
77122

For questions regarding electronic claims submission, please contact PHTech’s EDI Team at edi.support@phtech.com.

Paper claims should be mailed to:

Health Share

P.O. Box 5490

Salem, OR 97304

Health Share requires both participating and non-participating providers to submit all claims for behavioral health services within 120 calendar days of the date of service. When Health Share is the secondary payer, the primary payer’s EOB is required and providers are allowed 365 calendar days from the date of service for claims submission.

All providers, both organizational and individual, who will appear on a claim as a submitting, rendering, or attending provider, must be enrolled in Oregon Medicaid and be issued an Oregon Medicaid enrollment number by the Department of Medical Assistance Programs (DMAP) in order to be reimbursed for services rendered. This number is commonly referred to as a “DMAP number.”  Providers may e-mail providers@healthhshareoregon.org for more information or to see if the provider/organization’s NPI is enrolled in Oregon Medicaid and has been assigned a DMAP number.

For questions regarding claim processing/payment status, you may call PH Tech Provider services at 503-584-2169.  

For questions regarding specific claim issues or denials, you may contact the behavioral health plan to which the member, or the majority of affected members, belongs:

Clackamas County: clackamasbillingsupport@multco.us
Multnomah County: billingsupport@multco.us
Washington County: billingsupport@co.washington.or.us

For more information about billing and provider requirements, please review the Pathways Provider Manual.

Contact Information

Clackamas County
Customer Service: 503-742-5335
Toll Free: 888-315-6818 or 888-651-2134 (TTY 711)
Claims Questions/Billing Support: 503-742-5365 or clackamasbillingsupport@multco.us
Fraud, Waste and Abuse Reporting: BH-Qualitymanagement@co.clackamas.or.us
Adult Protective Services: 503-650-3000 or secure email: MHAbuseReport@clackamas.us

Multnomah County
Customer Service: 503-988-5887 or 888-620-4555 (TTY 503-988-5866)
Claims Questions/Billing Support: billingsupport@multco.us
Fraud, Waste, and Abuse Reporting: 503-988-6659 or Ashlynn.martin@multco.us
Adult Protective Services: 503-988-8170 or secure email: aps-screening@multco.us

Washington County
Customer Service: 503-291-1155
Claims Questions/Billing Support: billingsupport@co.washington.or.us
Fraud, Waste and Abuse Reporting: 503-846-4515 or bhquality@co.washington.or.us
Adult Protective Services: 503-846-4515 or secure email: hhsmhprotectivesvcs@co.washington.or.us

Regional Crisis Lines:

Clackamas County Crisis Line
503-655-8585 (TTY: 800-735-2900) 

Multnomah County Crisis Line
503-988-4888 or 800-716-9769 (TTY: 503-988-5866)

Washington County Crisis Line
503-291-9111 or 800-995-0017 (TTY: 800-735-2900)

Oregon Warmline
800-698-2392
(Confidential support from trained peers. Free to all Oregonians.)

Oregon Youthline
877-968-8491
TEXT: teen2teen to 839863
(Free and confidential, 24-hour teen to teen crisis counseling and referral line for youth.)

National Suicide Prevention Lifeline
Call: 800-273-TALK (8255)
TTY: 800-799-4889
Ayuda En Español: 888-628-9454
Text: TALK to 741741
Online

Trevor Lifeline
Call: 866-488-7386
Text: TREVOR to 202-304-1200
Online

Trans Lifeline
Call: 877-565-8860
Online 

Oregon DHS Abuse Reporting
This toll-free number allows you to report abuse or neglect of any child or elderly person or persons with developmental disabilities to the Oregon Department of Human Services.
855-503-SAFE (7233)