MedicaidAdministrativeMedium impact
Updates to CH-006 Referral Form
Oregon Health Plan·OR · Psychiatry, Family Medicine, Internal Medicine·Provider
Effective date
May 18, 2026
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated the CH-006 referral form for 1915(i) Home and Community Based Services. The form now includes new sections for FFS managed care enrollment, requesting provider information, care coordination, and specific procedure codes, while removing SRTF 90-day reauthorization and signature requirements.
Action Required
Immediately: Providers and billing staff must begin using the updated CH-006 form and instructions for all 1915(i) HCBS requests, assessments for individuals in adult foster homes or residential programs with SMI, and referrals for Youth Aged Transitions and Secure Residential Treatment Facilities. Download the new form from Comagine Health website and update internal referral processes to include the new required sections.