Integrated Delivery System (IDS)
The Marion County Integrated Delivery System (IDS) is based on a fee-for-service reimbursement system that is designed to support the medically necessary mental health needs of Oregon Health Plan (OHP) members receiving services, and support the accurate and timely reporting of OHP encounter data within the Marion County IDS agencies. The financial system is structured to allow successful business operations of the agencies in the mix of IDS network providers.
This financial system is not intended to negatively impact any OHP member or create barriers to member rights including the right to access care, continuity of care, or continued care within the agency of their choosing.
Each agency participating in the IDS is responsible for collecting and processing electronic claims/encounter data in a timely manner. Submission of claims/encounter data will be made to the Third Party Administrator (TPA), currently WVP Health Authority (WVP). Reimbursement will be provided on a claim-by-claim basis and will be according to the applicable and current fee schedule for the agency and service provided.
IDS Mission
The primary mission of the Marion County IDS is to provide coordinated OHP outpatient mental health services. The IDS strives to improve service responsiveness, consumer satisfaction, service integration, and positive clinical outcomes. The IDS is committed to providing culturally competent services to all OHP members. Because we believe that cultural issues impact effective treatment, the IDS strives to create a welcoming environment for all members, valuing their cultural background. It strives for greater community understanding of the need for and benefits from coordinated, medically necessary, well-planned treatment of behavioral health problems. The IDS uses planning, evaluation and information functions to achieve quality services and improve the quality of life for OHP members. The IDS believes in the rational use of funds to produce system services and outcomes worthy of the public’s trust.
It is expected that IDS agencies work to create and maintain an environment of cooperation with other IDS agencies. For more information about each agency, please click
here.
Expectations of Providers
All agencies of the IDS will support the Mission by committing and demonstrating, through their agency’s system operations, staff, and agency activities the following values and principles:
Access to Care - Assure that all Marion County Oregon Health Plan (OHP) Members who require medically necessary mental health services are able to access and receive predictable and equitable services that are appropriate to their level of need, no matter where or how they approach the IDS system of care.
Array of Services - Assure that a range of services needed in our community are available to Marion County OHP Members and that the services are of sufficient intensity and rehabilitation focused to meet all levels of need.
Individualized System Supports – Assure that the IDS will be organized in a manner that will support and encourage each individual receiving services to achieve his or her full potential including allowing the individual’s needs, goals, and preferences to dictate the services provided.
Child and Family Focused – Manage child and adolescent services that will support and strengthen the family system and will be guided by the best interest of the youth.
Recovery Oriented – Manage adult services that are recovery oriented and focus on developing natural systems of support.
Seamless Transition – Assure that OHP Members’ maintain their right to choose agencies and services within the IDS. Agencies will assist individuals in navigating through the IDS.
Intrasystem Coordination - Improve coordination of care among crisis services, inpatient services, and outpatient mental health and chemical dependency services to continue to reduce the utilization of crisis and inpatient services by OHP Members who are engaged in outpatient care.
Intersystem Coordination - Improve coordination with other service systems and providers (PCPs, healthcare, justice, child welfare, and schools, etc.).
Quality Improvement - Establish a quality improvement environment in which the system of care works together to plan for the service needs of the OHP population, to deliver am appropriate mix of services, to capture and analyze data regarding outcomes as related to the volume and types of services, and to actively bring about improved outcomes for OHP Members.
Culturally Competent Services and Staff – Assure that staff of each agency are sensitive and responsive to the elements of an individual’s identity, including age, ethnicity, race, language, religion, gender, sexual orientation, disability, and culture.
Outcome-Based - Establish an outcome measurement system that utilizes standard tools, performs analysis, and benchmarks Marion County IDS performance against national data.
Balance - Manage the needs of the OHP population and the associated financial risk through an approach that balances autonomy and accountability within Marion County and the IDS provider agencies.
Financial Model - Maintain a financial model that supports the goals and clinical changes within the IDS system. An important function of the IDS is a commitment to maintaining viable businesses. IDS agencies will avoid all destructive competition while maintaining agency flexibility. It is expected that IDS member agencies will not solicit staff from other IDS agencies.
Public Stewardship - Maintain a system that maximizes service to OHP Members and makes efficient use of the public’s resources.
Community & Provider Services (CAPS)
3876 Beverly Ave NE Bldg G, Salem, OR 97305
(503) 585-4977 fax (503) 361-2782
