Behavioral health
Thanks to all who attended our Moda Health Behavioral Health Provider Webinar. As a valued partner, we want to give you access to the tools, resources and information you need to continue providing the best care for your patients. We appreciate your partnership and support in helping our members find a way to better health. Together, we can be more. We can be better.
To stay up to date with provider news and future webinars, please join our email list!
Feedback?
If you would like to share your comments or suggestions for future workshop topics or locations, please email .
Forms
General forms
- Behavioral Health Authorization Request Form
- W-9 (Required if you change your Tax ID)
Behavioral Health Incentive Program
Moda Health seeks to enhance our partnership with our providers by supporting our common focus on Feedback Informed Care and Total Cost of Care as pathways of attending to the welfare of our members. Research and practice models are prompting our attention to measuring outcomes and integrating care delivery. There are incentive payments along with a focus on therapeutic alliance and social determinants of health as central parts of Moda Health's 2024 Behavioral Health Incentive Program.
Supervised Behavioral Health Providers
Moda recognizes the significant contributions of graduates who are collecting supervised hours toward independent clinical licensure. Clinics who hire SBHPs now have a clear path to register and submit service claims in broader support of our shared members. The Attestation for Provider Groups with Supervised Behavioral Health Providers guide outlines this opportunity.
Clinical guidelines
Depression
Moda Health has adopted the Institute for Clinical Systems Improvement guideline for treatment of major depression in adults in primary care.
Adjustment disorder
Recommendations for assessment and treatment of adjustment disorder.
Outpatient psychotherapy
Moda Health recommends consistent use of outcomes measures in outpatient psychotherapy.
Attention-deficit/hyperactivity disorder (ADHD) in children and adolescents
Moda Health has adopted the American Academy of Pediatrics clinical practice guideline for the diagnosis, evaluation, and treatment of ADHD in children and adolescents.
Clinical tools
Chemical dependency
Moda Health encourages all providers to screen for possible chemical dependency problems using a validated tool such as CAGE or AUDIT screening.
The CRAFFT is appropriate for screening adolescents and children for substance abuse, including prescription drug misuse.
Depression
Moda Health encourages all providers to screen for possible depression problems using a validated tool such as the PHQ-9. PHQ-9 scoring instructions.
Outcomes measures
Providers can use validated outcomes measures and supporting documentation, usually free of charge, available at ACORN and Heart & Soul of Change.
Preparing for telephonic review
Tips for ensuring a successful telephonic review for outpatient mental health services.
Medical Necessity
Moda Health Commercial Medical Necessity Criteria
Moda Health Provider Networks
Moda Health offers provider participation in multiple networks in order to meet the needs of its members, from large employer groups to individual subscribers. Participation in each network may be limited due to the number of providers who are currently in the network, and geographical location of the practice.
To view a complete list of Oregon Individual, small group and large group plans and networks, please visit our networks page.
If you are a new provider without an established relationship with Moda Health and you would like more information on how to become contracted, please visit our Become a provider page.
Contact Moda Health Behavioral Health
Moda Health Behavioral Health Customer Service
Local: 503-624-9382
Toll-free: 800-799-9391
Authorization and Treatment plan requests
Fax: 503-488-3674
Moda Health Behavioral Health
P.O. Box 5817
Portland, OR 97228-5817
Questions?
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
Questions?
If you can't find an answer, please feel free to contact our Customer Service
Employer web tools
Benefit Tracker
Check benefits, eligibility, incentive and utilization
Rate finder is now in the Producer Dashboard
Log in with your current username and password to create quotes for groups up to 50.
Producer DashboardLog in
Hello.
We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
Hello.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
Changing your location to Oregon
You can return to your previous location in the site header.