Medicaid

The FamilyCare Mental Health Organization manages Oregon Health Plan benefits for members living in Clackamas, Multnomah and Washington Counties. Mental health and addiction services for adults, children and families are provided and include inpatient, outpatient and home-based services. Services are delivered through a broad network of community based contracted providers. To access services, please refer to the list of providers in your member handbook. If you would like assistance in choosing a provider, please contact us at 800-458-9518 or 503-345-5704.

If you are a FamilyCare member living outside this service area, please refer to your coverage letter for the name of the mental health organization providing your coverage.

● How to Access Mental Health or Substance Abuse Treatment

Mental Health
There are a number of contracted mental health providers in the tri-county area. Please refer to the contracted provider list to specifically see what services are offered through each agency. Members are encouraged to call provider intake lines to schedule an intake appointment (no pre-authorization required for outpatient services with contracted providers). If you would like assistance in choosing a provider, or feel that more intensive services may be indicated, please contact us at 800-458-9518 or 503-345-5704.

Substance Abuse Treatment
Detox and outpatient therapy are covered benefits that do not require pre-authorization when provided by a contracted provider.Please refer to the provider list for contracted agencies. If you would like assistance in choosing a provider, or feel that more intensive or long term services may be indicated, please contact us at 800-458-9518 or 503-345-5704.

Children's Mental Health System: Explanation of Levels of Care

Adult's Mental Health System: Explanation of Levels of Care

Integrated Services Array (ISA) Criteria 

● Services that require pre-authorization

Youth: Home-Based Services, Respite, Psychiatric Day Treatment Services (PDTS) Community Based Crisis Stabilization Services (CBCSS), Psychiatric Residential Treatment Services (PRTS), Subacute, Inpatient Hospitalization.

Adult: Intensive Outpatient, Respite, Intensive Case Management, Inpatient Hospitalization

*Neuropsychological/Psychological Testing for youth and adults requires pre-authorization as well as submission of supporting clinical documentation. Please see request forms below.

*FamilyCare does not necessarily fund all services listed in community resource section.

FamilyCare Mental Health and Addictions Provider List 
Adult Mental Health Initiative (AMHI) Information
National Alliance on Mental Illness
Oregon Family Support Network (OFSN) 
Rose City Resource
Resources Galore
Glossary of Terms and Acronyms

Integrated Services Array (ISA) Referral Packet 
Request for Neuropsychological Testing
Request for Psychological Testing Instructions
Request for Psychological Testing Form
Morrison Respite Referral (To be completed by Mental Health Provider)
Chemical Dependency Services Authorization Form
Mental Health Authorization Forms
Release of Information Authorization Form