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Flexible Services Funding Request Form

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The document is a Flexible Services Funding Request Form for Health-Related Services, designed to facilitate requests for funding related to health and social support services. It includes sections for member information, request details, and the requesting party's contact information. The form requires details about the requested item or service, its relevance to the member's care plan, and any attempts to secure other funding sources. It emphasizes that these funds are a last resort option and outlines the need for documentation to support the request.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does CareOregon cover gym memberships?

Please call Provider Customer Service at 503-416-4100 or 800-224-4840.

What is the phone number for care oregon flex funds request?

Call toll- free 800-224-4840 or TTY 711.

What is a funding request form?

[COMPANY NAME] FUNDING REQUEST FORM A funding request template is used to formally request financial support, investment, or funding for a specific project, initiative, or business.

What is OHP Flex Funds?

Health Related Service Fund (HRSF), or Flex Health-related services (HRS) are non-covered services under Oregons Medicaid plan that are not administrative requirements and are intended to improve care delivery and overall member and community health and well-being.

What is the flex fund?

Flexible funds (flex funds) can fill gaps in the system of care by facilitating the purchase of goods or services that would otherwise not be available to a family.

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