HIPAA compliant, BAA available

Measurement-Based Care for Oregon Mental Health Teams

For community mental health programs, CCO network clinics and private practices from Portland to Pendleton. Oregon pays its coordinated care organizations for screening with a standardized depression tool; HiBoop sends that tool by email or QR code, scores it the moment it comes back and follows each client's results over time. US customer data stays in Google Cloud US regions.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
US data stays in the US
SOC 2 Type II
Standardized tools, scored instantly
100+
validated assessments
BAA
signed for HIPAA covered entities
US
cloud regions for US customer data
$25
per month

Oregon Pays for Measurement Through Its CCOs

  • The Oregon Health Plan delivers care largely through regional coordinated care organizations (CCOs), and each year the Oregon Health Authority pays the CCOs a quality bonus against incentive measures chosen by its Metrics and Scoring Committee. Screening for Depression and Follow-Up Plan is a 2026 incentive measure: people aged 12 and older screened with an age-appropriate standardized depression tool, with a follow-up plan documented when the screen is positive. Substance use treatment initiation and engagement, and mental health assessments for children in ODHS custody, are also on the 2026 list.

    The legislature has also told the state to measure behavioural health quality directly. Under ORS 413.017, as amended by House Bill 2086 in 2021, a Behavioral Health Committee must establish quality metrics for behavioural health services delivered by CCOs, providers and counties, and set incentives to improve them, with goals including timely access and fewer hospitalizations. The committee's adopted measures were not published at the time of writing, so this page describes only the duty the law sets.

    Either way, the work in a clinic looks alike: a standardized screen at the visit, the same tool repeated as treatment goes on, and a record that a quality team can count. HiBoop gives you the PHQ-9, PHQ-A and GAD-7, scored on submission and charted per client, with CSV and PDF exports for your own measure reporting. It does not report to OHA or to your CCO for you.

  • Depression Screening and Follow-Up

    A 2026 CCO incentive measure for people aged 12 and older, using a standardized tool

  • Behavioral Health Quality Metrics

    ORS 413.017 directs a Behavioral Health Committee to set metrics and incentives across CCOs, providers and counties

  • Substance Use Initiation and Engagement

    Another 2026 incentive measure, alongside assessments for children in ODHS custody

All regions

What HiBoop Does for Oregon Care Teams

  • Oregon delivers Medicaid through regional CCOs, runs public mental health through county programs, and lets young people seek outpatient care on their own from age 14. HiBoop handles the questionnaires; your clinicians keep every clinical decision.

  • A Standardized Screen at Every Visit

    Send the PHQ-9, or the PHQ-A for adolescents, before the appointment so the score is waiting when the visit starts. A positive result is visible in time to document the follow-up plan the CCO measure looks for.

  • Scores That Show Direction

    Repeat the same scales over a course of care and each client gets a single chart of how symptoms are moving. The trend informs your judgement in session and in supervision; it never makes the call.

  • Exports for Measure Reporting

    Pull a client's history as PDF for the record, or a caseload as CSV when your organization prepares its CCO or county reporting. The full account can be exported at any time.

  • Substance Use Screening in the Same Place

    With substance use initiation and engagement on the CCO list, the ASSIST, TAPS and CAGE-AID sit beside the depression and anxiety scales, so co-occurring needs show up on one record.

  • County Programs and Group Practices

    Community mental health programs and multi-clinic groups can bring every site under a Team or Network plan, with role-based access that keeps each clinician to the clients they serve.

  • Youth From Age 14

    Oregon lets a minor aged 14 or older obtain outpatient mental health care without a parent's consent. The PHQ-A, SCARED and CRAFFT-2.1 cover adolescent depression, anxiety and substance use.

Mental health in Oregon

Research data

  • Each figure below links to the source it comes from.

  • 31.6%

    of Oregon adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 19.9%

    of Oregonians aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 28.6%

    of Oregon adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

Research from Oregon

  • PHQ-9 with Indigenous Mexican farmworkers

    Among 123 Indigenous Mexican migrant farmworkers in Oregon, the PHQ-9 showed strong factor loadings and internal consistency, and the authors judged it culturally relevant for people with very low education and literacy.

    Donlan et al., Psychological Reports, 2010 PMID 20524542

  • Incentive metrics and SBIRT in primary care

    Using Oregon Medicaid encounter data from 2012 to 2015, screening and brief intervention rates for alcohol and drug use rose from 0.1% to 4.6% as CCOs were implemented, though completed screening was not associated with more treatment initiation.

    Rieckmann et al., Health Services Research, 2018 PMID 28568245

  • Standardized prenatal depression screening

    In a survey of Oregon certified nurse-midwives, 94% of respondents reported screening for prenatal depression and 72% used a standardized tool with more than 90% of prenatal patients, most often the Edinburgh Postnatal Depression Scale.

    Rompala et al., Journal of Midwifery and Women's Health, 2016 PMID 27541435

  • Access to mental health providers in Medicaid

    Comparing 420,947 Medicaid and 638,980 commercially insured adults in Oregon in 2014 and 2015, Medicaid enrollees had equivalent or higher rates of access to a variety of mental health providers, with the largest Medicaid-commercial gaps in rural counties.

    McConnell et al., Journal of General Internal Medicine, 2020 PMID 31659659

  • Behavioural health integration in CCOs

    A study of 5 Oregon CCOs found progress on integrating behavioural health under global budgets, but the CCOs struggled to create sustainable funding mechanisms to support integration.

    Kroening-Roche et al., American Journal of Managed Care, 2017 PMID 29087165

Where Measurement Sits in Oregon's System

  • HiBoop is separate from these programs and has no link to state or CCO systems. This is the landscape your CCO, county program and licensing board already work in.

  • CCO Incentive Measures

    2026

    OHA pays CCOs a quality bonus against measures picked each year by the Metrics and Scoring Committee. The 2026 set includes Screening for Depression and Follow-Up Plan (in the challenge pool), Substance Use Disorder Initiation and Engagement, and Assessments for Children in ODHS Custody. Screening, brief intervention and referral to treatment (SBIRT) is reported in 2026 but not incentivized.

    Depression screeningSUD engagementQuality bonus

  • Behavioral Health Committee

    ORS 413.017

    Created through House Bill 2086 (2021), the committee must set quality metrics for behavioural health services provided by CCOs, health care providers, counties and other public bodies, and create incentives to improve them. The statute lists timely access, fewer hospitalizations and fewer overdoses among the aims.

    Statutory dutyQuality metricsIncentives

  • Oregon Health Plan Billing

    Fee-for-service

    The OHP fee-for-service schedule (October 2026) carries rates for 96127, the collaborative care codes 99492, 99493 and 99494, and G2214. Those rates apply only to services billed directly to OHA; for CCO members, payment terms come from the CCO. OHA notes that a rate in the schedule does not guarantee payment, and adult coverage follows the Prioritized List of Health Services.

    9612799492 to 99494G2214

  • Certified Community Behavioral Health Clinics

    Since 2017

    Oregon was one of the eight states selected for the federal CCBHC demonstration in December 2016, and twelve clinics were certified when it began on 1 April 2017. CCBHCs receive a prospective payment system rate: one payment per Oregon Health Plan member served per day.

    Federal demonstrationDaily PPS rateCommunity clinics

  • 9-8-8 Crisis Services Tax

    ORS 403.200

    House Bill 2757 (2023) created a 9-8-8 Trust Fund and a coordinated crisis services tax of $0.40 per month on phone lines, or per retail transaction for prepaid wireless. Federal mental health and substance use block grants, administered by OHA, fund services for people who are uninsured or underinsured.

    988Crisis servicesBlock grants

Care Teams Throughout Oregon

  • HiBoop runs in a web browser, so a Portland group practice and a frontier clinic in Harney County use the same check-ins. Each line names the CCO that OHA lists for the area.

  • Portland Metro

    Health Share of Oregon serves Clackamas, Multnomah and Washington counties, where Trillium Community Health Plan also operates.

  • Salem and the Mid-Willamette

    PacificSource Community Solutions serves Marion and Polk counties.

  • Mid-Valley and Central Coast

    InterCommunity Health Network is the CCO for Benton, Lincoln and Linn counties.

  • Central Oregon

    PacificSource Community Solutions serves Crook, Deschutes and Jefferson counties and part of Klamath.

  • Southern Oregon

    AllCare CCO serves Jackson, Josephine and Curry counties, and Jackson Care Connect also serves Jackson.

  • Eastern Oregon

    Eastern Oregon CCO covers twelve counties from Umatilla and Wallowa to Malheur and Harney; email and QR code check-ins save long drives between visits.

  • North Coast

    Columbia Pacific CCO serves Clatsop, Columbia and Tillamook counties.

Data sovereignty

Why Oregon clinics choose HiBoop

  • Why Oregon Clinics Pick HiBoop

    • US accounts are hosted in Google Cloud US regions, with encryption both at rest and in transit
    • SOC 2 Type II certified, and a business associate agreement is yours on request
    • Access set by role, with each view and export of client records logged
    • Care runs $25/month with no contract, and a trial needs no credit card
    • Clients answer on the phone in their pocket, through an email link or a QR code in the lobby

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    Single clinician, no contract
    $25
    USD/month
    Team
    From this price, clinicians unlimited
    $200
    USD/month
    Network
    Multi-site and county programs
    Custom
    Enterprise pricing

100+ validated scales for Oregon clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression Screening, Anxiety and Suicide Risk

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • C-SSRS Screener (Suicide Risk)

  • Substance Use

    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)
    • CAGE-AID (Alcohol and Drug Use)

  • Adolescents From 14

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Oregon Consent, Records and Telehealth Rules

  • HIPAA sets the federal minimum. Oregon adds its own rules on minors' consent, on records held by public providers, and on who may treat Oregon clients from another state. None of them certifies software; the obligations are your organization's, and HiBoop supplies the safeguards that support them.

  • What Oregon law asks of care teams

    • Let a minor aged 14 or older obtain outpatient diagnosis or treatment for a mental or emotional disorder without parental consent, and involve the parents before treatment ends unless they refuse or there are documented clinical reasons not to (ORS 109.675)
    • If you are a public provider, such as a community mental health program, keep written accounts of the people you serve confidential except as ORS 179.505 permits
    • Check the rules where your client is physically located before treating by telehealth across state lines; Oregon has not joined PSYPACT or the Counseling Compact
    • Maintain HIPAA safeguards and breach notification, and sign a business associate agreement with each vendor that handles protected health information

  • What HiBoop provides

    • A business associate agreement, signed for HIPAA covered entities
    • Google Cloud US hosting for US accounts, with data encrypted at rest and in transit
    • Role-based permissions and a log of every view and export of client data
    • SOC 2 Type II certification, with the supporting controls listed on our trust page

  • Doing due diligence on HiBoop?

    The trust page sets out our hosting, encryption, access controls and SOC 2 Type II scope. Get in touch for a BAA or for help completing your security review.

    See the trust centre

Grants & funding for Oregon mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • Oregon Health Authority (OHA)

    Oregon Health Authority — BH Transformation Grants

    Tech eligible

    Oregon’s OHA received significant ARPA funding for behavioral health transformation, issuing multiple grant waves for BH organizations to modernize care delivery, implement outcome measurement, and adopt technology. Several waves include explicit technology adoption components and digital assessment tools.

    $100K–$2MLearn more

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more
View all grants & funding

Resources for Oregon practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • ScreeningCPT 96127 Billing Guide

    Brief emotional and behavioural assessment, on the OHP fee-for-service schedule

  • Collaborative careCPT 99492 Billing Guide

    The first month of psychiatric collaborative care, with time thresholds and team roles

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands and what a positive screen should prompt

  • CCBHCCCBHC Guide

    What certified community behavioural health clinics are and how they work

Oregon Policy, Billing and Privacy Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Oregon require measurement-based care?

    No statute requires it of clinicians. We found no Oregon law that obliges outpatient providers to use standardized symptom scales over time. What exists is a payment incentive and a statutory direction: CCOs earn a quality bonus partly on standardized depression screening with documented follow-up, and ORS 413.017 tells the Behavioral Health Committee to set behavioural health quality metrics. Your CCO contract may add its own expectations, so check it.

  • Will HiBoop report our scores to OHA or our CCO?

    No. HiBoop has no connection to OHA or CCO systems. It sends and scores the scales, charts each client's results, and exports them as CSV or PDF so your team can supply what your CCO or county program asks for.

  • Can a 15-year-old start counselling without a parent in Oregon?

    For outpatient care, yes. Under ORS 109.675 a minor aged 14 or older may obtain outpatient diagnosis or treatment of a mental or emotional disorder without parental knowledge or consent. The same section asks the provider to involve the parents before treatment ends, unless they refuse or there are documented clinical reasons not to. Check the details with your counsel; HiBoop's role-based access lets you limit who on staff sees a young client's scores.

  • Can we see Oregon clients by telehealth from another state?

    Oregon has not joined PSYPACT or the Counseling Compact; the Oregon Board of Psychology and the Board of Licensed Professional Counselors and Therapists both say so on their practice pages. The psychology board notes that the jurisdiction where the client is physically located decides whether remote practice is acceptable, so check with the relevant Oregon board before treating clients there.

Official sources for Oregon

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.