Live well with Moda Health member care resources
As your partner on your journey to better health and wellness, we provide health tools and individualized support to empower you to live and feel your best. All Moda Health medical plans include access to a variety of resources, including:
Care coordination
Care coordination registered nurses work directly with facilities and providers to facilitate preauthorization of scheduled procedures, inpatient stays, and follow-up care as needed for members during urgent or emergent admissions. During the time a member is receiving care or is hospitalized, care coordination nurses may refer them to a case management nurse if they require additional assistance and coordination for complex or catastrophic conditions.
The hospital calls Moda Health to notify us of all urgent/emergent hospital admissions within 48 hours, or as soon as possible.
Case management
Case management is a voluntary service for members experiencing complex conditions or catastrophic events and need assistance from a case management registered nurse or behavioral health specialist. Case managers can help by working with members and their families as patient advocates to:
- Explain and maximize available benefits
- Communicate with providers
- Work with the facility case managers to coordinate discharge plans
- Contact patients at home to confirm and support the provider's treatment plan
- Connect members with community resources
Members can self-refer to case management or be referred by a family member, caregiver, provider or facility staff. To make a referral to case management, please call Moda Health Healthcare Services case management at 503-948-5561 or 800-592-8283. You can also email fax a referral to 503-243-5105 or complete and submit our online referral form. You'll be asked to provide the following information:
- Member name and ID number (this can be found on your Moda Health ID card)
- Contact name and number
- Reason for the referral
Once a referral is received, a case manager will evaluate the member's situation and contact the member within five (5) business days.
Sprout at Work Well-being App
Get started on a fun and engaging digital wellness platform designed to support your physical, emotional, and social well-being. Begin your journey with your annual Health Risk Assessment. Then set personalized health goals, interact with colleagues in social streams, and even earn rewards through wellness challenges.
Access the Sprout at Work program in your Member Dashboard
Oral health resources
Access the Delta Dental Oral Health Library to learn more about oral health care for infants, toddlers, children, young adults, adults and older adults.
We're sorry, this information is not available in . Please use the dropdown at the top of the page if you would like to view information for another state.
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.