For Climate, you must be in one or more of the following groups:

• An adult or youth discharged within the past year from mental health or substance use disorder Institution of Mental Disease.
• An adult or youth released within the past year from incarceration.
• Involved in the child welfare system at some point in your life.
• Within the next three (3) months or past nine (9) months, you are transitioning from Medicaid-only to dual coverage (receiving both Medicaid and Medicare).
• Houseless or at risk of becoming houseless.
• A young adult, aged 19-26, with Special Healthcare Needs (eligible starting in 2025).

You must also:

• Have a health condition that makes climate events challenging or dangerous.
• Live in a place with electricity.
• Be able to use the device safely.

Available starting November 1^st, 2024.

For support with rent and utilities, you must:

• Be currently housed with a written agreement or lease signed by you and your landlord.
• Be at risk of becoming houseless and need support to maintain your current housing.

For changes to your home to ensure it meets your health needs (such as adding a ramp or grip bars), or for services that remove health and safety risks (such as pest removal), you must be in one of the following groups:

• An adult or youth discharged within the past year from mental health or substance use disorder Institution of Mental Disease.
• An adult or youth released within the past year from incarceration.
• Involved in the child welfare system at some point in your life.
• Within the next three (3) months or past nine (9) months, you are transitioning from Medicaid-only to dual coverage (receiving both Medicaid and Medicare).
• At risk of becoming houseless.
• A young adult, aged 19-26, with Special Healthcare Needs (eligible starting in 2025).

For all Housing services, you must also:

• Have a health condition that would be improved as a result of the service.

Available starting January 1^st, 2024. More information coming soon.

If you are an Umpqua Health Alliance (UHA) member, we can help you complete the eligibility screening process. The first step is to complete the HRSN Assistance Request Form. You can complete this form yourself, or you can work with your primary care provider, a community organization, or someone you trust to complete the form.

You can download a copy of the form, fill it out, and then return it to UHA via one of the following:

• Email: HRSN@umpquahealth.com
• Fax: 541-677-5881
• Mail or in-person: 3031 NE Stephens Street, Roseburg, OR 97470

Sharing Additional Information

As part of the screening process, you may need to provide more documents or information to help us decide if you qualify.

Once your HRSN Assistance Request Form is received by UHA, you will receive a decision from us within 14 days.

• If you qualify, we will refer you to the appropriate HRSN service provider to help you get what you need. It may take up to 30 days to receive services or equipment. You’ll receive these services at no cost, and you can opt out of receiving these services at any time.
• If you don’t qualify, we will send you a letter by mail. If you think we’ve made a mistake, you can ask for an appeal. You also may be eligible for these services through another program.

Device Delivery

If your HRSN services involve delivery of a device to your home (for example, an air conditioner, power supply unit, etc.):

• You will receive a call before the delivery to let you know when the equipment will be available.
• You will need to verify your address to receive the equipment.
• You can ask for help installing your device(s).
• You will receive a call to make sure you received your services or equipment, and that everything works properly.
• If you’re eligible for a climate device, use this document to show your landlord that you have legal rights to install portable cooling devices.

Get Help When Needed

• You can contact your UHA Care Coordinator to fix or replace your equipment, or to request more benefits.
• Your Care Coordinator will also check in with you every six (6) months to understand if your services are meeting your needs, or if you need other services.

If you have questions about the HRSN Benefit program that aren’t answered above, please contact us at hrsn@umpquahealth.com.

Helpful Links

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.

Minimum Qualifications

To provide specific HRSN services, HRSN Service Providers must:

• For Climate, have the ability to appropriately deliver climate devices or, when applicable, install devices in Members’ homes in a reasonable timeframe.
• For Housing, have knowledge of principles, methods, and procedures of the services covered under the waiver, or comparable services meant to support individuals in obtaining and maintaining stable housing.
• For Nutrition, have knowledge of principles, methods and procedures of the services covered under the waiver, or comparable services meant to support an individual in meeting their nutritional needs. Additionally, comply with best practice guidelines, industry standards, and all laws governing food safety.
• For Outreach & Engagement, have knowledge of principles, methods, and procedures of these services or comparable services meant to outreach to and engage the populations covered under the waiver and connect them to benefits and services to meet their needs.

Additionally, all HRSN Service Providers must:

• 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 a full list of all HRSN Service Provider qualification requirements, contact our Provider Relations team at UHNProviderServices@umqpuahealth.com.

Application, Certification & Onboarding

If your organization is interested in becoming an HRSN Service Provider for UHA, you can request an application form by emailing UHContracting@umpquahealth.com.

After submitting your completed application:

1. We will conduct a Certification process to ensure you meet all HRSN Service Provider qualifications. Note that if you are a nutrition education provider or a traditional health worker, you will also need to complete our Provider Credentialing process.
2. If your application is approved, we will establish an HRSN Service Provider Agreement between UHA and your organization.
3. Finally, our Provider Relations team will onboard your staff to begin providing HRSN Services to our members.

Provider Enrollment

You will also 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 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 the application is missing any information, OHA will contact you and tell you what is needed.

HRSN Service Providers must be able to participate in closed-loop referrals. “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.

UHA supports multiple closed-loop referral pathways, including:

• Community Information Exchange (CIE) through the Unite Us Platform
• Email, fax & telephone

• 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 120 days.
• Contact our claims team at UHAClaims@ayin.com or call UHA at 541-229-4842.
• You can view the HRSN Fee Schedules here.

In partnership with OHA, UHA has a new funding opportunity to support local organizations in building capacity to meet Health-Related Social Needs.

• If you need help, you can contact our team at UHNProviderServices@UmpquaHealth.com or call at 541-229-4842, option 2 for provider support.
• Provider Trainings – As an Umpqua Health Provider, it is important to understand our policies and procedures.
• Oregon Health Authority Website
• HRSN Member Journey
• HRSN Provider Journey
• HRSN Provider Fact Sheet
• OHA HRSN Provider Trainings