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Care Oregon- HRSN

Updated over 3 weeks ago

Tentative Launch Date: Winter 2025

Type: HRSN Meal Benefit

State(s): Oregon

You will see the program type in FFD under the Plan Name

Member population:

The member population will be very small. Some of these members will receive MNT only and some will receive MTM and MNT.

RD Requirements:

Health Plan Credentialing

State Medicaid Enrollment

Foodsmart Credentialing Requirements

Oregon Practitioner Credentialing/Recredentialing Application
Care OR Application
Copies of licensure, insurance, CDR

Medallion Credentialing Application, Copies of CDR, license in home state and where pt resides, CV

Benefits Overview:

There will be 2 programs:

  • HRSN MNT Only

  • HRSN MNT and MTM

Video Required

# of Allowed Visits

# of Allowed Units per Visit

Schedule Cadence

Billing Codes

No

HRSN MNT Only- as clinically appropriate (visits for 1 year)

HRSN MNT and MTM- as clinically appropriate (visits for 1 year)

4 units

Every 3-4 weeks or as clinically necessary

Initial: 97802

Follow Up: 97803

Nutriquiz Required

SNAP Required?

Risk Assessment Required?

Yes

Recommended if patient does not have

No

Food Benefits:

Foodsmart Bucks

Foodboxes/MTM

Food Selection Instructions

None

HRSN MNT and MTM-

Up to 3 meals per day for up to 6 months

To qualify for meals the member must have a qualifying condition (see below)

If you believe your member should qualify for MTM benefits and currently does not please have the member reach out to their CareOregon health plan.

FAQS:

What is a Qualifying Condition?

Below is a list of the medical and social risk factors, as well as the life transitions that qualify for getting medically tailored meal support:

  • Older adults (65+) with multiple chronic conditions, malnutrition risk, or safety concerns

  • Individuals with serious mental health or substance use disorders requiring ongoing treatment or recent inpatient care (last 12 months)

  • Members with severe, chronic, or life-threatening medical conditions requiring intensive or ongoing treatment

  • Members experiencing homelessness or housing instability

  • Members transitioning to dual Medicaid–Medicare eligibility

  • Members with a history of child welfare involvement or interpersonal violence (domestic, sexual, or psychological)

  • Pregnant or postpartum members (up to 12 months) with high-risk medical, nutrition, mental health, or social needs

  • Children under age 6 with health risks, family stress, or mental health concerns

  • Members with intellectual, developmental, or physical disabilities impacting daily functioning or housing stability

  • Members needing help with activities of daily living or eligible for long-term services and support (vascular dementia, Huntington’s disease, Muscular Dystrophy, Alzheimer’s, cerebral palsy, blindness, wheelchair dependence, pervasive developmental disorders, etc.)

  • Members with frequent emergency or crisis service use (2+ visits in 6 months)

  • Young adults with complex medical or behavioral health needs

Which Foodsmart programs would be helpful for this plan?

Sample Visit Topics:

Visit Number

Topics

Must Complete

1

Get to Know, NutriQuiz (baseline measurements + reminder to get lab work done), Food Insecurity Screening, Introduction to Foodsmart Program

Nutriquiz

2

SNAP application (if applicable

3

MNT / Foodsmart Programing

4

Connection to Community Resources

Retake NQ + Food Insecurity Screening in FFD.

Please see the following link of Overview of Health Plans for info on all health plans.

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