Common questions about this coverage in Oregon.
How do I find a therapist that takes OHP in Oregon?
The simplest workflow: identify your CCO (Coordinated Care Organization — HealthShare, CareOregon, Trillium, PacificSource, Yamhill, Columbia Pacific, Jackson Care Connect, AllCare, etc.) by checking your OHP card, then call 2–3 providers directly. Most will check eligibility on their end; you don't need a referral first.
Can I see any therapist with OHP, or only certain ones?
OHP coverage is divided across CCOs, and each CCO has its own provider network. The Oregon Health Plan "Open Card" (fee-for-service OHP, less common) lets you see any OHP-credentialed provider. If you have CCO OHP and want a therapist outside your CCO's network, you can sometimes request a single-case agreement, but it's easier to choose from in-network providers.
What's the difference between OHP Open Card and CCO?
Most OHP members have CCO (Coordinated Care Organization) coverage — your CCO is your "insurance company" within OHP. CCOs negotiate provider networks and manage benefits. "OHP Open Card" is straight fee-for-service Medicaid, used in transitional periods or for certain populations (some foster youth, some recent enrollees) — it has fewer network restrictions but isn't how most OHP members access care. Your OHP card lists which CCO you're assigned to, if any.
How long is the wait to see an OHP therapist in Oregon?
Calling 3–4 providers in parallel is the fastest path.
Does OHP cover telehealth therapy?
Yes — OHP covers telehealth therapy at the same rate as in-person, both video and audio-only. This expansion has been permanent since 2020. For rural Oregon clients, telehealth has dramatically increased access to specialty care (trauma, eating disorders, gender-affirming work) that historically wasn't available locally.
Can OHP cover therapy for couples or family issues?
OHP covers family therapy when there's a covered diagnosis for one identified client (depression, anxiety, ADHD, etc.) and family involvement is medically necessary. Pure "couples therapy" without an identified diagnosis is generally not covered — same as commercial insurance. Family therapy with a child or adolescent client is typically covered as part of the child's treatment plan.
How do I find an OHP therapist with actual openings?
Three reliable paths in Oregon: (1) call your CCO's member services and ask for a Behavioral Health navigator — they have real-time openings; (2) call 3–5 OHP-accepting therapists from this directory at once and book whoever responds first; (3) for urgent need, your county Community Mental Health Program is required to see you within 14 days.
Does OHP cover specialty therapy like EMDR, ketamine, or psilocybin?
EMDR is covered — it is billed as a standard 90837 / 90834 psychotherapy code, so OHP reimburses it the same as any other therapy. Esketamine (Spravato) for treatment-resistant depression is covered with prior authorization. Off-label IV ketamine, ketamine-assisted psychotherapy (KAP), and Oregon's Measure 109 psilocybin services are not covered by OHP and are paid out-of-pocket. Standard talk therapy modalities (CBT, DBT, IFS, ACT, somatic) are all covered with no special authorization.
How do I check if I qualify for OHP?
OHP eligibility is based on household income and size — the income threshold is roughly 138% of the federal poverty level for adults, higher for pregnant people and children. You can apply online at OregonHealthCare.gov, by phone at 800-699-9075, or in person at most county DHS offices. Coverage often starts within days.
What's a CCO and how do I know which one I'm in?
Coordinated Care Organizations (CCOs) are regional networks that manage OHP benefits in your area. Your CCO assignment is based on your zip code — Health Share covers most of the Portland metro, PacificSource covers parts of Central and Lane counties, Trillium covers Lane County, and so on. You can find your CCO by logging into your OHP account or by calling OHP customer service at 800-699-9075. Each CCO has its own behavioral-health provider directory.
Are there any therapists who take OHP and have short waitlists?
Often yes — but you have to look beyond the obvious. CCO-employed therapists and Community Mental Health Program (CMHP) therapists are required to see members within established time-frames (urgent care within 14 days). Group therapy is usually faster to start than individual. New private-practice therapists building a panel often have openings while established ones don't.
Will OHP know what I talk about in therapy?
No. OHP receives a billing code (the diagnosis and the type of session) but never session content. Your therapist's notes stay between the two of you and are protected by Oregon law and HIPAA. The CCO's care coordinator may reach out to you if you have a complex case to help you access services, but they don't see what you're working on in session.
How much does therapy cost with the Oregon Health Plan (OHP)?
Most OHP members pay little to nothing for outpatient mental health therapy — many pay a $0 copay. Your exact benefits run through your regional Coordinated Care Organization (CCO), so check your OHP card or CCO for specifics.
Do I need a referral or prior authorization to see a therapist on OHP?
For most outpatient mental health therapy, OHP does not require prior authorization, so you can usually start seeing a therapist directly. Some specialized or higher-intensity services may need approval through your CCO.
How many therapy sessions does OHP cover?
OHP covers medically necessary outpatient mental health care, and there isn't a fixed visit cap for standard therapy — coverage continues as long as treatment is appropriate. Specifics are managed by your CCO.
How do I find a therapist who actually takes OHP and has openings?
Not every provider accepts OHP, and panels fill up. Use the filters on this page to show only therapists who accept OHP / Oregon Medicaid and are currently accepting new clients, and consider telehealth to widen your options statewide.
Does OHP cover anxiety counseling?
Yes. Anxiety treatment is part of OHP's behavioral health benefit, so counseling for anxiety is covered like any other outpatient mental health care, including evidence-based approaches such as cognitive behavioral therapy and EMDR, in person or by telehealth. Most members pay nothing out of pocket. Use the OHP filter on this directory to find Oregon therapists who treat anxiety and are accepting new clients.
Do Oregon therapists accepting OHP offer telehealth services?
This enables individuals across the state to access therapy from the comfort of their homes, regardless of their location.
Do Oregon therapists accepting OHP offer sliding scale fees?
This accommodates clients who may not qualify for OHP or have other financial considerations, making mental health services more accessible.
What evidence-based approaches do Oregon therapists accepting OHP use?
Therapists accepting OHP in Oregon commonly use evidence-based practices such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing (MI). These approaches are recognized for their effectiveness in treating a variety of mental health concerns.