COORDINATED CARE ORGANIZATION: PacificSource Community Solutions – Central

COUNTIES SERVED: 541-382-5920, 800-431-4135 or Crook, Deschutes, Jefferson TTY 800-735-2900 and northern Klamath www.communitysolutions. (97731, 97733, 97737, 97739) pacificsource.com

Contracted • County: Legacy Meridian Park, Providence St. Vincent Medical Center • Crook County: St. Charles Prineville • California: Stanford Children’s Health — • Deschutes County: St. Charles Medical Center Lucile Packard Children’s Stanford Bend, St. Charles Medical Center Redmond • Washington state: Skyline Hospital • Grant County: Blue Mountain Hospital • Harney County: Harney District Hospital Primary care provider locations • Hood River County: Providence Hood River • Crook County: Prineville Memorial Hospital • Deschutes County: Bend, La Pine, Redmond, • Jefferson County: St. Charles Madras Sisters, Sunriver • Lane County: McKenzie-Willamette Medical • Jefferson County: Madras, Warm Springs Center, PeaceHealth Cottage Grove Community • Klamath County: Gilchrist Medical Center, PeaceHealth Sacred Heart Medical Center University District, PeaceHealth Behavioral health Peace Harbor Medical Center, PeaceHealth Sacred Heart Medical Center at RiverBend Review the provider directory to find behavioral health providers in the network. If you have Legacy Silverton Medical • Marion County: questions about any particular provider’s Center participation in PacificSource’s network, • Multnomah County: Legacy Emanuel Medical contact customer service at 800-431-4135. Center, Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center, Oregon Dental care networks Health & Science University, Shriners Hospitals Advantage Dental Services, Capitol Dental Care, for Children ODS Community Dental • Wasco County: Mid-Columbia Medical Center (continued on next page)

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Pharmacies Many area pharmacies. See a complete list on the CCO’s website. Medicare plan Multiple Medicare Advantage plans. Contact CCO for details. Provider directory www.communitysolutions.pacificsource.com/Tools/ ProviderDirectory Member handbook www.communitysolutions.pacificsource.com/Member Extra services Training and education for health improvement or management, home and living environment items or improvements, and transportation needs. Examples include, but are not limited to, gym passes, swim passes, exercise equipment, temporary transitional housing, air purifiers, and water filters More information: Contact customer service at 800-431-4135.

Please note: This information is current as of October 2, 2019. Many CCOs expanding to new areas are setting up their network of doctors, hospitals and other providers. This information was provided by the CCOs and is subject to change. For the most complete and up-to-date information on a CCO plan, go to the plan’s website or call its customer service number.

You can get this document in other languages, large print, braille or a format you prefer. Contact the Oregon Health Plan at 877-647-0027. We accept all relay calls or you can dial 711.

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OHA 2832C_9 (10/2019)