IHN-CCO Health Related Social Needs Form
Health Related Social Needs (HRSN) benefits are for members with life changes listed by Oregon Health Plan.
The life changes covered for HRSN benefits are one of the following:
- Young Adults with Special Health Care Needs (YSHCN) ages 19-20 (starting 1/1/25) with a complex health care condition;
- A member with current or past involvement in the Oregon child welfare system;
- A member who is leaving an in the past 12 months;
- A member who is new to having both Medicaid and Medicare health plans in the upcoming 3 months or past 9 months;
- A member who has been released from incarceration; including prison and jail in the last 12 months;
- Members who are at risk of homelessness;
Clinical Risk Factors:
- Members must have a qualifying health condition to get this benefit.
- Examples:
- Complex Behavioral Health Needs
- Complex Medical Health Needs
- Needs help with Activities of Daily Living
- Examples:
Social Risk Factors:
- The member lives in their own home or apartment, lives with friends or family, or lives in a camper or trailer. (A camper or trailer will need a constant power source, can be a generator);
- The member did not get the same or similar service in the last 1-3 years;
- The member can safely use the device in their home;
- Some services have specific rules. For example:
- There are rules for services that will have additional service rules. For example:
- Only members who need support paying for current housing may qualify for rent and utilities support, storage;
- Only members who are approved for rent support can have HRSN benefits to help pay utilities;
- Only members who have a health condition for which there is a medically tailored meal plan can access Medically Tailored Meals.
Covered Population + Clinical Risk Factor + Social Risk Factor = HRSN Services
When you fill out this form our team will review your information to see if you could be covered for HRSN Services.
Our team may reach out for more information. Or a community partner may contact you.
Contact info for questions:
- Customer Service: Contact us Monday through Friday, 8 a.m. to 8 p.m.
- Customer Service: 541-768-4550
- Toll free: 800-832-4580
- TTY: 800-735-2900