2025 Quality Pool Distribution Plan - Template - Due August 29, 2025

Sep 1, 2026

2025 Quality Pool Distribution Plan template for Oregon coordinated care organizations, created by the Oregon Health Authority to meet contract deliverables. It requires each CCO to answer all questions and publicly share its Quality Pool and Challenge Pool distribution strategies and processes. The plan explains how funds are allocated to participating providers, including SDOH-E and public health partners, and details evaluation methods, prior payment considerations, and planned future process changes beyond MY2024.

LanguageEnglish

CategoryPresentations

FormatDOCX

Pages2

Reading Time1 min

AccessFree to download

Purpose

Instructions

Process

Questions

2025 Quality Pool Distribution Plan Template Due: August 29, 2025 Purpose Exh. B, Pt. 10, Sec. 4, Para. e in the 2025 Coordinated Care Organization (CCO) contract describes the requirement for each CCO to create a written distribution plan for its Quality Pool and Challenge Pool earnings. The CCO must also make its plan publicly available. The purpose of the plan is to inform the CCO’s Participating Providers, including Social Determinants of Health and Equity (SDOH-E) and public health partners, about CCO strategies and processes for distribution of Quality Pool funds. The Oregon Health Authority (OHA) has developed this reporting template to ensure CCOs meet the contract requirements and to give Participating Providers and other interested parties clear and consistent information about CCO strategies for Quality Pool distribution. Instructions The CCO must answer all questions in this template to satisfy the contract requirements. Supporting materials and links may be provided, but they must only supplement the answers provided in the template document. A person reading the CCO’s responses provided in this template should have a clear and complete picture of the CCO’s Quality Pool distribution, without reliance on any other sources. Unless otherwise noted in a specific question, this template pertains only to Quality Pool funds received in 2025 (Distribution Year 2025) for achievement of 2024 incentive metrics (Measurement Year 2024). All references to “Quality Pool” within this template include both Quality Pool and Challenge Pool earnings. Process The completed Quality Pool Distribution Plan template is due to OHA via the CCO Contract Deliverables HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Foha-cco.powerappsportals.us%2F&data=05%7C02%7CJENNIFER.C.DAVIS%40oha.oregon.gov%7C6bc5a9d68b394cb477b708dc7aade113%7C658e63e88d39499c8f4813adc9452f4c%7C0%7C0%7C638520134431619511%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=OX7JRIZBS405m7TSf4xaP3sAURiF6c0GoeUhBm8mE6A%3D&reserved=0" \h Portal by August 29, 2025. (The submitter must have an OHA account to access the portal). The CCO must also make the completed template publicly available on its website. OHA will review the submitted template for completeness. If any response is found to be incomplete, OHA will notify the CCO via the portal. The CCO will then have 30 days to provide the requested additional information. The CCO should not publicly post its completed template until it receives confirmation from OHA that no additional information is needed. Questions? Any questions about the template should be directed to HYPERLINK "mailto:metrics.questions@odhsoha.oregon.gov" metrics.questions@odhsoha.oregon.gov. Provide an overview of the methodology and/or strategy your CCO uses to distribute Quality Pool and Challenge Pool earnings to Participating Providers, including SDOH-E and public health partners. Click here to enter text. Describe your CCO’s process for evaluating the contributions of Participating Providers and how they may qualify for CCO distribution of Quality Pool earnings. Click here to enter text. Does your CCO’s distribution strategy consider payments made previously to Participating Providers (such as up-front funding to a clinic or non-clinical partner that is intended to help the CCO achieve metrics related to the Quality Pool)? If yes, please describe. Click here to enter text. Describe any changes your CCO plans to make to its process for distributing Quality Pool funds in future years (beyond MY2024). Click here to enter text. Please provide a link to where the 2025 Quality Pool Distribution Plan (this document) will be publicly available on your CCO’s website. Click here to enter text.

FAQs

What is the purpose of the 2025 Quality Pool Distribution Plan template?

It informs participating providers, including SDOH-E and public health partners, about CCO strategies and processes for distributing Quality Pool funds, while ensuring contract-required reporting is met.

What time frame does this template cover for Quality Pool funds?

It pertains to Quality Pool funds received in 2025 (Distribution Year 2025) for achieving 2024 incentive metrics (Measurement Year 2024).

How is the completed plan submitted and reviewed by OHA?

The completed template is due to OHA via the CCO Contract Deliverables portal by August 29, 2025, and OHA reviews it for completeness. If responses are incomplete, OHA requests additional information, and the CCO should not publicly post the final version until OHA confirms no further details are needed.

Sep 1, 2026

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