School Medicaid Administrative Claiming

Agreement Administrator
OHA - Oregon Health Authority
635 Capitol St NE, Ste 350
Salem, Oregon
97301

ContactJewelee M BellPhone1 (503) 945-9869Fax EmailJ​E​W​E​L​E​E​.​M​.​B​E​L​L​@​d​h​s​o​h​a​.​s​t​a​t​e​.​o​r​.​u​s​



Agreement #
OHA-164347-20

Agreement Start Date
07/01/2020
Expiration Date
06/30/2025
Agency Number
P03950
All dates are mm/dd/yyyy


Subject Matter
The ESD shall directly, and through subcontracts with individual public-school districts,
provide to Medicaid-eligible and potentially Medicaid-eligible students (grades K-12)
and their families with allowable Title XIX administrative activities that support the
administration of Title XIX of the State Medicaid Plan.

Agreement Value
$5,000,000.00


Secondary Organization
Clackamas ESD (ORCPP)
13455 SE 97th Avenue
Clackamas, Oregon
97015

ContactVickie CoePhone1 (503) 675-4151Fax1 (503) 675-4237Emailv​c​o​e​@​c​l​a​c​k​e​s​d​.​k​1​2​.​o​r​.​u​s​

Primary Organization
OHA - Health Systems
500 Summer Street NE, E35
Salem, Oregon
97301

ContactLinda WilliamsPhone1 (503) 945-6730Fax1 (503) 373-7689EmailL​i​n​d​a​.​J​.​W​i​l​l​i​a​m​s​@​d​h​s​o​h​a​.​s​t​a​t​e​.​o​r​.​u​s​


ContactLinda WilliamsPhone1 (503) 945-6730Fax1 (503)