MedicaidDocumentationHigh impact
Mental health assessments required for all individuals seeking services through a community mental health program
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
May 30, 2023
We identified it
Jun 20, 2026
Summary
Oregon requires all Community Mental Health Programs to complete comprehensive mental health assessments for new patients and annual assessments for continuing patients. The assessments must include specific screening criteria for substance use, mental health conditions, trauma, suicide risk, and detailed ASAM criteria for substance use disorder services.
Action Required
Immediately: Providers must update mental health assessment templates to include all required screening elements (substance use, problem gambling, mental health conditions, chronic medical conditions, trauma symptoms, suicide risk). For substance use disorder services, incorporate ASAM Criteria Third Edition multidimensional assessment with level of care determinations. Billing team must ensure assessments are completed by Qualified Mental Health Professionals (QMHP) before submitting claims. Incomplete assessments will affect Comagine eligibility determinations and service authorizations.