The COA Requirement and the July 2027 Associate Deadline: What Oregon Group Practices Need to Decide Now
Starting July 1, 2027, board-registered associates in Oregon can serve Medicaid (OHP) members only if they are licensed or work for an agency that holds an OHA Certificate of Approval (COA). If your group practice has associates seeing OHP clients and you don't hold a COA, you have about nine months to choose a path. COA applications are backlogged, so this is not a decision to leave for spring.
Practicing Across the Oregon–Washington Line: What Portland Metro Practices Need to Know
Every Portland-metro practice hits this eventually — a client moves across the river, a strong candidate is Washington-licensed only, a college student comes home for the summer. What follows is what I have confirmed with the boards' own materials as of September 2026, including one answer that surprised me.
OHP and CCO Credentialing for Group Practices: How Oregon Medicaid Actually Works
Oregon Medicaid credentialing is two separate processes and almost everyone discovers the second one late. First you enroll as a provider with the Oregon Health Authority, which covers open-card fee-for-service. Then you separately contract and credential with each Coordinated Care Organization serving the area where your clients live. Finishing step one does not get you paid by a CCO.
Can You Supervise an Associate in Oregon? (And What It Actually Requires)
To supervise a professional counselor or marriage and family therapist associate in Oregon you need three things: an active Oregon license, 30 clock hours of post-master's supervision training, and a passing score on the Board's Supervisor Law and Rules Exam. How long you have been licensed determines which path you qualify under.
How to Start a Group Therapy Practice in Oregon: Licensing, LLC & Payer Basics
Starting a group therapy practice in Oregon comes down to four things: making sure your (and your clinicians') licenses are in order, choosing and registering a business entity, getting credentialed with the payers you want to accept, and understanding Oregon's specific rules for Medicaid and behavioral health. Oregon does a few things differently than other states — especially its coordinated-care Medicaid system and a Certificate of Approval requirement — so here's what to know before you build. I've walked this path myself building Sprout Therapy PDX from solo to 40+ clinicians, and I'll flag the Oregon-specific traps along the way.