Attention: FamilyCare and WISH Clients
Update: FamilyCare Health has agreed to extend its contract with OHA through January, 2018. The Oregon Health Authority (OHA) will begin transitioning members in Clackamas, Multnomah and Washington counties to Health Share of Oregon, and FamilyCare will close at the end of January. Health Share coverage will begin February 1, 2018 for these members. For Health Share’s announcement, please click here. For the latest updates on the transition per the Oregon Health Authority, please click here.
FamilyCare has announced that they intend to cancel their contract with the State effective 12/31/17. Quest is advising that if you are currently covered through FamilyCare that you call your case manager right away to initiate the change to another insurance carrier. If you are engaged in WISH and have FamilyCare, you are still engaged in the program.
No one should lose coverage because of FamilyCare’s closure, it will just be through a different plan. Your services with Quest are still covered.
Quest Center highly encourages you to contact your case manager or the Oregon Health Authority to begin the transition process.
Governor’s office : 503-378-4528
Oregon Health Authority (OHA):
Frequently Asked Questions
(Answers provided by FamilyCare)
1) What’s next?
Members will be enrolled in a fee for service (open card) before being enrolled with another CCO. Please call the OHA for assignment/enrollment questions. Quest advises calling your case manager directly if you have one.
2) Do I cancel appointments after 12/31/17?
Unfortunately, prior authorizations made by FamilyCare for service dates after 12/31/17 will need to be resubmitted to your new plan for reevaluation and decision. FamilyCare cannot honor decisions made if the member is not active on FamilyCare.
3) Who do I contact regarding my future benefits?
All members will be notified of their new OHP coverage starting January 1, 2018. This will include contact information.
4) What about my current case manager or care coordinator? Will I remain with the same person?
FamilyCare will work through 12/31/17 (as their health plan’s care manager) to ensure the needs of their members are met. Beyond 12/31/17, although FamilyCare is no longer the health plan’s care manger, they will act as an advocate to ensure there is continuity of care and no disruption in service.
5) Will my benefits change?
Most of the benefits will remain the same. Please call your new plan with specific questions.
6) What if I have Medicare and Medicaid?
Members on the FamilyCare Advantage RX (HMO) plan will continue to receive their plan benefits into 2018. Members on the FamilyCare Community (HMO-SNP) plan will be receiving information about their next steps soon, and you will receive additional details about this transition in the next few weeks.