Oregon Health Plan (OHP) Coverage for Addiction Treatment in Central Oregon
Most OHP members pay nothing.
If you have the Oregon Health Plan, outpatient addiction treatment at Rock Recovery is typically covered in full. No deductible to meet first, no bill afterward.
What the Oregon Health Plan actually covers
The Oregon Health Plan is Oregon's Medicaid program, and it covers substance use disorder treatment as a health benefit, the same way it covers a broken arm or a chronic condition. That is not a technicality. It means that for most members, the outpatient treatment we provide in Redmond costs nothing out of pocket, and there is no deductible standing between you and your first appointment.
Rock Recovery is certified by the Oregon Health Authority and accepts OHP for our outpatient substance use services. That includes the assessment that starts your care, individual counseling, group treatment, early intervention, and peer support from a certified recovery mentor. You do not need a referral from a doctor to call us, and you do not need to have tried and failed at something else first.
In Deschutes, Crook, and Jefferson counties, OHP benefits are administered through a coordinated care organization, and most Central Oregon members are enrolled with PacificSource Community Solutions. If you are not sure which plan you are on, that is a completely normal thing not to know. Call us and we will look it up with you.
Covered for OHP members
Your substance use assessment
The first real appointment, where a clinician maps out what is going on and what level of care actually fits. Covered.
Outpatient treatment, ASAM Level 1
Individual counseling and group treatment for drug and alcohol use, scheduled around work and family. Covered.
Early intervention, ASAM Level 0.5
For use that has become risky but has not taken over your life yet. Getting in early is the cheapest and easiest version of this. Covered.
Peer support and recovery mentoring
Time with someone who has lived through addiction and recovery themselves, between sessions and after treatment ends. Covered.
What this costs you
| Service | What you pay |
|---|---|
| Outpatient substance use treatment (ASAM Level 1) | $0 for most OHP members |
| Early intervention (ASAM Level 0.5) | $0 for most OHP members |
| Peer support and recovery mentoring | $0 for most OHP members |
| DUII education and treatment | OHP is accepted for outpatient addiction services; DUII-specific coverage varies, so call and we will confirm before you start |
| Mental health counseling | Most major plans accepted; $225 per session self-pay with a sliding scale for those who qualify |
Coverage and accepted plans can change. We confirm your specific benefits with you before you start. See our full insurance and billing page for commercial plans and self-pay.
Do not have OHP? You may still qualify.
The Oregon Health Plan covers a large share of Oregonians, and the income limits are higher than most people assume. There is no premium for most members, and enrollment is open all year, not just during a window in the fall. If you are between jobs, working part time, self employed, or your hours just got cut, it is worth checking.
Apply at One.Oregon.govApply online at One.Oregon.gov
The state application takes most people under an hour. You can also apply by phone or on paper if that is easier.
Ask us for help with it
We do this often. Call the office and we will walk you through the application and what to have in front of you before you start.
Start care while it processes
If your application is pending, tell us. We will talk through your options so a paperwork delay does not become a reason to wait.
How to start, if you already have OHP
- 1
Call (541) 234-3081
One phone call, Monday through Friday, 8am to 7pm. Tell us what is going on in whatever words you have for it.
- 2
We verify your coverage with you
We check your plan and confirm what it covers before you commit to anything, so there are no surprises later.
- 3
Come in for your assessment
A licensed clinician meets with you, listens, and recommends a level of care. Nothing is decided about you without you.
- 4
Start treatment on a schedule that fits
Individual counseling, groups, and peer support built around your work and your family, not the other way around.
More detail on what the first visit is like is on our admissions page. If a court or probation requirement brought you here, start with DUII classes and treatment.
OHP questions, answered
Does the Oregon Health Plan cover drug and alcohol treatment?
Yes. The Oregon Health Plan covers substance use disorder treatment as a health benefit. At Rock Recovery, that includes your assessment, outpatient treatment at ASAM Level 1, early intervention at ASAM Level 0.5, and peer support, typically at no cost to you as a member.
How much does treatment cost with OHP?
For most OHP members, outpatient addiction treatment at Rock Recovery costs nothing out of pocket. There is no deductible to meet first and no copay for these services for most members. We verify your specific plan with you before you start so you know exactly where you stand.
Do I need a referral to use my OHP benefits here?
No. You can call us directly at (541) 234-3081 and schedule an assessment yourself. You do not need a doctor to refer you, and you do not need to have tried another program first. If you were referred by a court, probation officer, or attorney, bring that paperwork with you.
Which OHP plan covers Central Oregon?
OHP benefits in Deschutes, Crook, and Jefferson counties are administered through a coordinated care organization, and most members in this region are enrolled with PacificSource Community Solutions. If you do not know which plan you have, call us and we will look it up with you.
What if my OHP lapsed or I am not enrolled yet?
Tell us anyway. OHP enrollment is open year round, not just in the fall, and the income limits are higher than most people expect. You can apply at One.Oregon.gov, and we are glad to help you through the application. Call us and we will figure out the timing together.
Does OHP cover mental health counseling too?
The Oregon Health Plan covers mental health services broadly. At Rock Recovery, our mental health counseling also accepts most major commercial plans, and self-pay is $225 per session with a sliding scale for those who qualify. Call and we will confirm what your specific plan covers.