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Contracting & Credentialing

Group and Individual Provider Networks

Medicare Provider Networks

Complementary and Alternative Medicine (CAM)

Dental


Group and Individual Provider Networks

Participating

The Participating (PAR) network is used for traditional indemnity plans in Oregon and in Clark, Skamania, and Klickitat counties in southwest Washington. The PAR network is offered by Regence BCBSO, Regence Life and Health, Regence BCBSO affiliates, other Blue Cross or Blue Shield Plans (Blue Plans) through The BlueCard® Program, and Regence BCBSO subsidiaries.

We are actively contracting with psychiatrists and psychiatric mental health nurse practitioners who have prescriptive authority to be included on our PAR network. However, the network is currently closed to other new behavioral health provider applicants.

Preferred Provider Plan (PPP, PPO)

The Preferred Provider Plan (PPP) network is used for preferred plans in Oregon and southwest Washington. The PPP network is offered by Regence BCBSO, Regence Life andHealth, Regence BCBSO affiliates, Blue Plans through The BlueCard Program, and Regence BCBSO subsidiaries.

We are actively contracting with psychiatrists and psychiatric mental health nurse practitioners who have prescriptive authority to be included on our PPP network. However, the network is currently closed to other new behavioral health provider applicants.

Access

The Access network is used for preferred plans offered by Regence BCBSO in Multnomah, Washington, Clackamas, and Columbia counties in Oregon, and Clark County, Washington. The Access network is by invitation only, and is maintained based on performance and utilization standards. This network is offered by Regence BCBSO and other Blue Plans through The BlueCard Program.

We are actively contracting with psychiatrists and psychiatric mental health nurse practitioners who have prescriptive authority to be included on our Access network. However, the network is currently closed to other new behavioral health provider applicants.

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Medicare Provider Networks

Regence MedAdvantage

Our MedAdvantage product uses the Regence BCBSO MedAdvantage network for in-network services with no referral requirements to access specialty care. Regence MedAdvantage provides all Part A and B benefits with additional covered services in one plan.

We are actively contracting with physicians, health care professionals and facilities for our Regence MedAdvantage network. This includes psychiatrists and psychiatric mental health nurse practitioners who have prescriptive authority. However, the network is currently closed to other new behavioral health provider applicants.

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Complementary and Alternative Medicine (CAM) Provider Networks

Complementary and Alternative Medicine (CAM) includes the following provider types:

  • Acupuncturists
  • Chiropractic Physicians
  • Massage Therapists
  • Naturopathic Physicians
Participating

The Participating (PAR) network is available to acupuncturists, chiropractic physicians, massage therapists and naturopathic physicians. The PAR network for CAM providers applies to members enrolled in the Federal Employee Plan, other Blue Cross or Blue Shield plans through The BlueCard Program and members enrolled in Innova and Engage plans.  This network is not closed and we are actively contracting with CAM providers to be included on our PAR network.

Preferred Provider Plan (PPP, PPO)
The Preferred Provider Plan (PPP, PPO) network is available to acupuncturists, chiropractic physicians, massage therapists and naturopathic physicians. The PPP, PPO network for CAM providers applies to members enrolled in the Federal Employee Plan, other Blue Cross or Blue Shield plans through The BlueCard Program and members enrolled in Innova and Engage plans.  This network is not closed and we are actively contracting with CAM providers to be included on our network.
Regence MedAdvantage

Our Regence MedAdvantage network is available to chiropractic physicians. Our MedAdvantage product uses the Regence BCBSO MedAdvantage network for in-network services with no referral requirements to access specialty care. Regence MedAdvantage provides all Medicare Part A & B benefits with additional covered services in one plan.   We are actively contracting with chiropractic physicians to be included in our MedAdvantage PPO network.

 

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