Member Resources

CHA works with the Oregon Health Authority to give you the best healthcare possible. If you need help coordinating your medical, behavioral and/or dental benefits, please call our case management department at 541.883.2947. Here are some forms and other resources you might find helpful:

• Appeal a Service Denial and Hearing Request
• Approved Drug List (Formulary)
  • Choice 90 Formulary Addition
  • Formulary Change Notification Effective 10-1-2020
• CHA's Complaint Form
  • OHP Complaint Form (Español)
• Clinical Practice Guidelines
• Declaration of Mental Health
  • Declaration of Mental Health Form Guide
• Information on HPV Vaccination
• Information on Strengthening Your Baby's Immune System
  • Cómo Fortalecen las Vacunas el Sistema Inmunitario de Su Bebé
• Intensive Care Management
• Medication Prior Authorization Request Form
  • Steps for Non-Covered Medications
• Notice of Hearing Rights
• OHP Administrative Hearing Request
• OHP Client Agreement to Pay
• Other OHP Forms
• Prioritized List
• Produce Connection Sites
• Provider Directory (English and Español)
• State of Oregon Advance Directive Form
  • For more information about Advanced Directives, visit Oregon Health Decisions

Upon request, these material will be made available in other languages, large print, audio format, or a format that you prefer free of charge and within five business days.