Winter 2008 Edition by wuyunqing


                                                                     PacificSource Health Plans Provider Newsletter 

                        System Upgrade Progress                               Exceptional, personal service remains our
                                                                              top priority. We appreciate your patience
                        Continues                                             as we work through these challenges, and
                        Our claims system upgrade is well underway,           encourage you to contact your PacificSource
                        and we’d like to give you a brief update on           Provider Service Representative if you have
                        aspects of the project that affect you.               any questions or feedback.

                        Members on PacificSource small group and              InTouch Updates
                        individual policies (about 30 percent of
                        our business) were transitioned to the new            To ensure the security of our members’ health
                        system last summer, and we plan to do the             information, and to remain compliant with
                        same with our remaining members in the                HIPAA regulations, your InTouch password
                        coming year. In the meantime, we’ll continue          will expire every 90 days. InTouch will
                        to operate on two systems simultaneously              warn you at Log in when your password
                        until the upgrade is completed.                                                                     Continued on next page
                        Claims: As you may be aware, the upgrade
                        resulted in a backlog of claims in the new
                        system. We’ve resolved the majority of
                                                                                  In This Issue
                        technical issues and continue to make
                        steady progress on this inventory. In the                 Our Provider Service
                        12-week period from mid-September to                      Representatives  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 2
                        mid-December, we reduced our claims                       SBA Billing Address  .  .  .  .  .  .  .  .  .  .  .  . 2
                        inventory in the new system by 75 percent.
                        We are progressing toward achieving an                    Meet Hilary Meek  .  .  .  .  .  .  .  .  .  .  .  .  . 3
                        optimal claims inventory level early this                 Meet Michelle Cochran .  .  .  .  .  .  .  .  . 3
                        year. Fortunately, for the 70 percent of
                                                                                  AlternaCare Savings Program .  .  .  . 4
                        our business not yet on our new system,
                        we’ve been able to maintain our usual high                Updated Provider Directory  .  .  .  .  . 4
                        standards for claims turnaround times.                    Extended Free & Clear Program .  . 4
                        InTouch for Providers: A secure,                       Our Portland Office is Moving!  .  . 4
                        provider-only area of our Web site,
                                                                                  PacificSource Honored With
                        InTouch allows you to verify patient
                                                                                  Community Caring Award  .  .  .  .  .  . 4
                        eligibility and check on claims status, EOPs,
                        preauthorizations, referrals, and more.                   Upcoming Community Events  .  .  . 5
                        While all of these features are available
                                                                                  PacificSource Form Changes .  .  .  .  . 5
                        for members covered under large group
                        policies, you may have experienced                        Provider Manual Updates  .  .  .  .  .  . 5
                        difficulties accessing certain information for            New Technologies Update  .  .  .  .  .  . 5
                        members with small group or individual
                        policies (ID numbers that begin with a 1                  Ambulatory Surgery Centers’
                        or 2). At press time, we have restored the                Modifier  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 5
                        functionality of member eligibility searches.             Preauthorization List Changes  .  .  . 5
                        We continue to work diligently to resolve
                        the technical challenges preventing you                   Educational Opportunities  .  .  .  .  .  . 5
                        from viewing EOPs, benefit summaries, and                 Drowning in Paper?  .  .  .  .  .  .  .  .  .  .  . 7
                        optional benefits. In the meantime, our
                        Customer Service Department will gladly                   New Providers at Your Clinic?  .  .  . 7
                        provide this information to you by phone,                 New Large Employer Groups  .  .  .  . 7
                        e-mail, or fax.
Discover the Source.   PacificSource newsletters are provided for general information only, and are not to be used to determine
                             benefits. If you are insured by PacificSource, your benefits are determined only by your policy.
                               Our Provider Service Representatives
                               Ingenix Conference and ICD-10 Changes
                               Debbie and Hilary recently attended the Ingenix Essentials Conference in Las Vegas,
                               which centered on the extensive 2008 code updates. Just to give you a taste of what
                               we all will face regarding these changes, here is a short overview:

                               •    CPT: 244 new codes added (102 in Category II), 50 codes deleted (22 in the
                                    Surgery section), and 314 codes revised (127 in the Surgery section).
                               •    HCPCS: 190 new codes and many new modifiers (mostly for reporting purposes
                                    for CMS's PQRI program).
                               •    ICD-9: 142 new codes and hundreds of changes to instructional notes, includes,
    Debbie Smith                    excludes, revisions to existing code descriptions, and index changes and
                                    additions. Many of the new ICD-9 codes are in Audiology/Speech.
                               With this many changes, new books are an obvious must for 2008.
                               ICD-10 was a hot topic at the conference. We got a glimpse of some ICD-10
                               codes, and they are going to be much more specific than ICD-9. The codes will
                               identify right or left, specific sites, regions, and much more. ICD-10 there will be
                               120,000 codes with full descriptions, almost nine times the current number of
                               ICD-9 codes. With this level of specificity, the physician or provider documentation
                               needs to reach a whole new level. But don’t panic yet! ICD-10 is not likely to go
                               into effect earlier than 2011, and HHS has agreed to give us a two-year notice prior
                               to implementation. However, I encourage you to be proactive and start preparing
                               now by identifying what your practice needs to do to implement ICD-10, including
                               possible software upgrades or new software purchases.
    Hilary Meek
                                                            If you’d like more ideas of how to prepare for ICD-10,
                                                            or have other questions, please feel free to contact your
                                                            Provider Service Representative. We’ll be glad to help!

                                                            Stephanie De Less Out on Maternity Leave
                                                            I am out of the office on maternity leave and expect
                                                            to be back in late March. While I am out of the office,
                                                            please feel free to contact Debbie Smith or Hilary Meek.
                                                            You can reach Debbie at (800) 624-6052, ext. 2439, or
                                                            by e-mail at You can reach
                                                            Hilary at (800) 624-6052, ext. 3805, or by e-mail at
                                                   They will be happy to assist
                                                            you in my absence. Thank you!

    Michelle Cochran               Stephanie De Less

                       is nearing the 90-day expiration period. You
                       can change your password at that point or
                                                                         SBA Billing Address Reminder
                       ask to be reminded later. Choosing to change      Select Benefit Administrators, Inc. (SBA) is
                       your password immediately will take you to        a PacificSource subsidiary company, and
                       the InTouch Change Password screen. Simply        SBA members may use providers within the
                       choose a new password, and you’ll have access     PacificSource Network (PSN). It is important
                       to all your information instantly.                to send claims for these members to SBA, not
                                                                         to PacificSource. This will help to speed claim
                       In addition, we’ve upgraded InTouch to            processing time. SBA’s billing address is: PO
                       make the eligibility search function more user    Box 230519, Portland, OR 97281-0519.
                       friendly, and we are currently addressing other
                       issues as they are brought to our attention.      If you have questions, you are welcome to call
                       We appreciate your patience and cooperation       SBA’s Customer Service Specialists at (888) 532-
                       as we continue to refine and enhance the          5332, or e-mail
                       InTouch system.
Meet Hilary Meek, Idaho’s                             in Las Vegas in November. “To me, education
                                                      is a very important component to being a
New Provider Service                                  helpful Provider Service Representative,”
Representative                                        explains Hilary.
                            Hilary Meek fell          In her free time, Hilary loves the active lifestyle
                            in love with Boise        that Boise encourages. She played volleyball
                            when she moved            while at BSU, and now she is also a loyal fan
                            here to attend Boise      of BSU footbalI. (“I’ve definitely enjoyed their
                            State University          recent successes,” Hilary admits.) She also
                            to pursue her BBA         enjoys skiing, hiking, and running. In fact,
                            degree in Business        she completed the P.F. Chang’s Rock ‘n’ Roll
                            Management.               Arizona Marathon in Phoenix on Sunday,
                            She enjoyed the           January 13.
                            people, the lifestyle,
                            and, happily, job         “We are very pleased that Hilary joined our
Hilary Meek                 opportunities in her      team,” says Provider Network Manager
                            field. After graduation   Sandie Longtin. “Hilary is a great fit for the
Hilary began her healthcare career at Blue            Provider Network Department, and she
Cross of Idaho, in their claims and provider          continues to prove herself to be a valuable
departments. Recently, she made the leap to           resource for providers.”
PacificSource, the new carrier in town.
                                                      Please feel free to contact Hilary with any
“I am really excited to be a part of the              questions or concerns you may have. You
PacificSource team,” says Hilary. “It is              can reach her at (208) 908-5805 or e-mail at
encouraging to be a part of a company that is
so customer oriented. It empowers me to do
my best to serve our provider community.”             Meet Michelle Cochran,
As a Provider Service Representative in               Eastern Oregon’s
Boise, Hilary faces unique challenges as              New Provider Service
PacificSource is just beginning to put
down roots in Idaho. “As a liaison between
providers and PacificSource, I’ve been                                           Michelle Cochran
fielding a lot of calls from providers wanting                                   is your new
to know how to become an in-network                                              Provider Service
provider. I’m also in the preliminary stages                                     Representative.
of scheduling various educational luncheons                                      Michelle has worked
to communicate how we can better partner                                         in our Customer
with the local providers, as well as answer                                      Service Department
any questions or concerns.”                                                      for more than two
                                                                                 years, so she is
Outside the office, Hilary continues to                                          very familiar with
educate herself on the healthcare world. She                                     PacificSource and its
recently began pursuing her MBA and will              Michelle Cochran           customers.
also be getting her CPT certification next
year. She also attended the Ingenix Essentials                                 Until Michelle as
Coding, Billing, and Compliance Conference            been thoroughly trained in provider issues,
                                                      you’re welcome to contact our other Service
                                                      Representatives, Debbie Smith and Hilary
   PacificSource Performance                          Meek. You can reach Debbie at (800) 624-
  at a Glance—November 2007                           6052, ext. 2439, or by e-mail at dsmith@
                                             You can reach Hilary at
Enrollment                                            (800) 624-6052, ext. 3805, or by e-mail at
Total Enrollment:          150,134
Medical Members:           137,519                    We’re sure that with her prior experience,
Dental Members:             48,129
                                                      Michelle will quickly pick up the skills
Customer Satisfaction        Actual    Target         she needs to be an efficient and helpful
Member Satisfaction:         92.1%        93%         Representative for you. Thank you for your
Provider Satisfaction:       97.6%        95%         patience as we make this transition.

    New AlternaCare Savings                            Extended Free & Clear
    Program                                            Program Offers Chantix
    All PacificSource members now can take                  Free & Clear® Quit For Life™, our tobacco
    advantage of discounts on the following                    cessation program, is now a contract
    alternative and complementary healthcare                                       benefit for all groups.
    products:                                                                       All members will
                                                                                    have two covered
    • Alternative care, including acupuncture,                                      attempts for
      chiropractic, naturopathy, massage, and                                   tobacco cessation, even
      more. Members that see an AlternaCare                            if they previously attempted to
      provider can receive up to a 30                         quit using Free & Clear under the pilot
      percent discount just by showing their           program. This benefit is being offered to all
      PacificSource member ID card.                    PacificSource members with medical coverage.
    • Professional-grade vitamins and natural
      health supplements are discounted up to          In addition to an 8-week supply of nicotine
      25 percent.                                      patches or gum, or a 12-week supply of Zyban,
                                                       we’ve also added coverage for a 12-week
    • Enjoy up to 80 percent off subscriptions to      supply of Chantix. Chantix and Zyban must be
      health and fitness magazines.                    prescribed by a doctor and are subject to the
    • Healing Kitchen offers healthful recipes and     member’s pharmacy copayment.
      food remedies for a variety of conditions.
                                                       For more information, contact Free & Clear
    • Browse the Reference Library for                 toll-free at (866) QUIT-4-LIFE (784-8454).
      information on therapies, foods,
      supplements, and drugs.                          Our Portland Office is Moving!
    If your patients are interested in alternative     Our Portland staff will relocate to new office
    programs, using AlternaCare is easy. They          space this month. The new space at Triangle
    simply visit our Web site, www.pacificsource.      Corporate Park in Tigard will allow the
    com. They will find the AlternaCare link in the    PacificSource staff in Portland to share a single
    For Members/Health & Wellness section.             location with our subsidiaries, Manley and Select
                                                       Benefits Administrators, Inc. The new address
    Updated Provider Directory                         will be Triangle Corporate Park, 13010 SW 68th
    Our Provider Directory has a new look and          Parkway, Suite 140, Tigard, OR, 97223. Our
    feel. Not only can the directory process your      phone and fax numbers will remain the same.
                                 patients’ requests
                                 more quickly now,     PacificSource Honored With
                                 we’ve also added
                                 a number of new
                                                       Community Caring Award
                                 features, including   The Eugene, Oregon, Chamber of Commerce
                                 a search by           has honored PacificSource with its Emerald
                                 condition option      Award for Community Caring, for contributions
                                 and the ability to    to the Eugene/Springfield, Oregon,
                                 save searches.        community’s vitality and quality of life. The
                                                       Chamber selected PacificSource from a field
                                Because we             of 29 nominees in this category based on our
                                are currently          charitable foundation’s work, the involvement
                                promoting the          of our employees in charitable initiatives,
                                updated Provider       and our community giving program. We are
                                Directory to our       honored to be recognized for this work.
                                members, now
                                is a great time        We continue to be committed to enhancing
                                to make sure           the quality of life in all the communities we
                                your information       serve by providing financial support, in-kind
                                is correct and         donations, and employee volunteer assistance
    up-to-date. If you have any changes for            to nonprofit organizations that promote healthy
    the directory, please contact your Provider        lifestyles. If you would like to nominate an
    Service Representative.                            organization in your community, please contact
                                                       Laura Brennan at

Upcoming Community                                New Technologies Update
                                                                                                      Remember, any
Events                                            NMES Considered Experimental                        new providers at
PacificSource is proud to sponsor community       Neuromuscular Electrical Stimulator (NMES)          your clinic will
events that support healthy communities and       is considered experimental or investigational       be considered
health-focused organizations. Please join us in   (E&I) and will only be covered under rare           nonparticipating
supporting these local events:                    circumstances.                                      until the
Birth To Three—Spring Fling                       Ambulatory Surgery Centers                          application is
February 23, Valley River Inn, Eugene, OR         Continue to Use SG Modifier                         submitted and
                                                                                                      approved by the
Supports Birth to Three, which strengthens        Although Medicare doesn’t require                   PacificSource
families and promotes the well-being of           ambulatory surgery centers to use the SG            Credentialing
children through parent education and             modifier when submitting claims after               Committee.
support. For more information, go to              January 1, 2008, PacificSource uses that       information for claims processing. Please
                                                  continue to use the SG modifier with your
Mardi Gras Celebration                            claims to ensure accuracy in processing.
February 8, Eugene, OR, Lane Community            Thank you.
                                                  Preauthorization List
All proceeds will be dedicated to the
Outpatient Treatment Scholarship Fund. For
more information, visit                           The following revisions were recently made to     the PacificSource Preauthorization List. Please
                                                  take a moment to review these changes, as
PacificSource Form Changes                        they may directly affect your practice and
                                                  claims payments.
Behavioral Health and Chemical
Dependency Treatment Plan forms                   • Added—Cryotherapy (CO2 slush, liquid N2)
We’ve recently update these forms to reflect        for acne (17340)
Oregon’s mental health parity regulations.        • Added—Radiation Treatment deliver,
                                                    superficial (77401—Grenz Ray, used rarely
Disabled Dependent Certification Form               for psoriasis)
We’ve created a new Disabled Dependent            • Updated—Durable Medical Equipment
Certification form to be used when an               (DME) limit is changed to $800. Effective
overage dependent qualifies for benefits            March 1, 2008.
because of a disability.
                                                  As always, the most recent preauthorization
You can always find the most up-to-date forms     list can be found in the For Providers section
on our Web site,, in        of our Web site. Just click on Preauthorization.
the For Providers/Forms section.                  From there, you can click on the Experimental
                                                  or Investigational link to go directly to our
Provider Manual Updates                           New and Emerging Technologies Policy.

The following revisions and additions were
recently made to the PacificSource Physician &
                                                  Educational Opportunities
Provider Manual.                                  Looking for opportunities to earn CE credits,
                                                  brush up on your knowledge, or network
• Filing Claims (10.2, 10.3, 10.11)               with others in your specialty? The following
• Glossary (3)                                    professional organizations offer meetings,
                                                  workshops, and other events near you.
• Member Identification (9.2)
• Product Descriptions (8.1)                      The American Academy of Professional
                                                  Coders (AAPC)
• E&M Billing Guidelines (11.6.3)
                                                  To learn more about the benefits of joining
If you have any questions or suggestions for      AAPC, visit their Web site at
the manual, please contact your Provider
Service Representative.

                                                                             Continued on next page
    Portland Chapter                         Community College, Room B203. For more
                                               information or to be added to the e-mail
    Monthly meetings: Third Tuesday of the     list, contact Debora Shandy, CPC-A, at
    month from 12:00 p.m. to 2:00 p.m. in      (541) 928-5455 or
    downtown Portland and from 7:00 p.m.
    to 9:00 p.m. in Vancouver, Washington.     Bend Chapter
    Please contact Jonnie W. Massey, CPC,
    CPC-P, at (503) 226-8705 for details on    Monthly meetings: Second Thursday
    meeting places.                            of each month at 7:00 a.m. in the
                                               Physician’s Lounge at Bend Memorial
    • February 19, 2008: E&M Coding—           Clinic. Meetings typically include a guest
      Medical Director Perspective             speaker and participants earn one CEU
    • March 18, 2008: Healthcare Services/     per meeting. Nonmembers are welcome
      Medical Reviews/Appeals & Grievances     to attend. For more information about
                                               the local chapter meetings, contact Cindy
    • April 15, 2008: AAPC Web site/           Shaver, CPC, at (541) 526-6592.
      Internet Coding Tools
    Exam Dates:                                Boise Chapter 

    • February 16, 2008                        • Networking: February meeting date
                                                 and location TBA.
    • March 15, 2008
                                               For more information about the Boise
    • April 19, 2008                           Chapter of the AAPC, please contact
    • May 3, 2008                              Victoria Butler, CPC, at (208) 947-7707 or
    East Portland Chapter         

    Monthly meetings: Third week of each       Oregon Society of Medical Assistants
    month (day dependent on speaker) from      (OSMA)
    12:00 p.m. to 2:00 p.m. at OHSU. Please    For information about other chapters, visit
    contact Nadine Bentley Pressly, CPC, at    the Oregon Society of Medical Assistants
    (503) 494-3936 for more details.           (OSMA) Web site at
    Exam Dates:
                                               OSMA 50th Annual Convention 
    • February 23, 2008                        2008: April 10-13, 2008, at the Red
    • March 17, 2008                           Lion Inn, Eugene (Coburg Road). This
                                               event is hosted by the Lane Chapter. For
    Albany Chapter
                                               more information contact Sylvia Aldrich,
    Monthly meetings: Please contact           CMA, at (503) 944-1128 or
    Barbara Moll, CPC-A, at (541) 924-0854
    for more details.
                                               Marion-Polk Chapter
    Beaverton Chapter 
                                               Monthly meetings: Fourth Tuesday of the
    Monthly meetings: Second Thursday          month at 6:00 p.m. at Salem Hospital.
    of the month from 7:00 p.m. to 9:00        For more information, contact Kelly
    p.m. at Emanual Hospital. For more         Fanning, CMA, at
    information, contact Olena Czel, CPC, at
                                               River Cities Chapter
    (503) 418-4554.
                                               For details, contact Jocelyn Villis, CMA, by
    Willamette Valley Chapter
                                               e-mail at
    Monthly meetings: Second Wednesday of
                                               Lane Chapter 
    each month at 5:30 p.m., PeaceHealth
    Riverbend Annex, Springfield. Contact      Monthly meetings: Fourth Tuesday of the
    Eileen Downs, CPC (541) 687-8104 or        month at 6:00 p.m. at Willamette Valley                      Cancer Center. For more information, e-
    Linn-Benton/Albany Chapter

    Monthly meetings: Third Wednesday of
    each month at 6:00 p.m., Linn-Benton

Drowning in Paper? New Large Employer                                         plus their enrolled dependents. Benefit
                                                                              information is printed on the patient’s
Computer-run offices were Groups                                              ID card. If you have any questions,
supposed to be “paperless,”        To keep you informed of potential new      please feel free to contact our Customer
yet we printing our more paper     patients, as well as possible coverage     Service Department.
than ever before. The Get More     changes for existing patients, we
Done Web site offers these tips    publicize new large employer groups        ** At press time, the numbers of covered
to stay organized:                 that have recently enrolled with us.       lives for these groups have not been
                                                                              finalized. The number listed reflects the
• Handle each piece of paper       * “Covered lives” means the                number of estimated enrolled employees,
  only once if possible.           approximate total of enrolled employees    without including enrolled dependents.
• Throw away earlier drafts. You
  will not need them, and they
  serve only to confuse.           Covered Organization                           Location         Effective Date
• Only print the document          Lives*
  pages you need.                  35         Ace Hotel Portland                  Portland         August 1, 2007
• Limit your correspondence        48         Bend Electric Inc.                  Bend             August 1, 2007
  to one page, or make phone
                                   51         Timeless Media Group                Eugene           September 1, 2007
  calls instead.
                                   35         Powley Plumbing Inc.                Klamath Falls    September 1, 2007
New Providers at                   27         Orca Builders Inc.                  Newport          September 1, 2007
Your Clinic?                       94         Building Solutions LLC              Bend             September 1, 2007
Any new providers at your          27         Sheet Metal Solutions Inc.          Tangent          September 1, 2007
clinic will be considered
                                   1113       Bethel School District              Eugene           October 1, 2007
nonparticipating until the
credentialing application is       22         Orthopedic Specialists PC           Portland         October 1, 2007
submitted and approved by          44         Polyform Inc.                       Salem            October 1, 2007
the PacificSource Credentialing
                                   34         Medford Truss Company               White City       November 1, 2007
Committee. And remember,
all participating providers need   80         Ambulatory Surgery Center of        Roseburg         November 1, 2007
to be recredentialed every                    Roseburg LLC
three years. It currently takes    28         Lachenmeier Enloe Rall and Heinson Portland          November 1, 2007
an average of 45 to 90 days                   Partnership Att.
to complete the credentialing      87         NW Geosynthetics                    Portland         November 1, 2007
process. Please be sure to
provide all the required           158        Structured Communication Systems Portland            November 1, 2007
information to aid in processing              Inc.
time. You can find the Oregon      38         Scappoose Sand and Gravel Co.       Scappoose        November 1, 2007
Practitioner Credentialing and     26         Surco Log Inc.                      Springfield      November 1, 2007
Recredentialing Applications in
                                   27         Westover Inns                       Wilsonville      December 1, 2007
the For Providers/Forms section
our Web site. Or contact our       1782       Douglas County                      Roseburg         January 1, 2008
Credentialing Department at        70         Westside Church                     Bend             January 1, 2008
(800) 624-6052, ext. 2270.         402        Bow Tech Technologies               Junction City    January 1, 2008
                                   91**       Westmark                            Lake Oswego      January 1, 2008
                                   80**       Smolich Motors                      Bend             January 1, 2008
                                   202        Tum A Lum Lumber                    Bend             January 1, 2008
                                   130        Diamond Home Hardware and           Klamath Falls    January 1, 2008
                                   44         D And H Logging, Inc.               Coos Bay         January 1, 2008
                                   61         NWD, Inc.                           Grants Pass      January 1, 2008
                                   53         Cascade Title Co.                   Eugene           January 1, 2008
                                   51         Triumph Northwest                   Albany           January 1, 2008
                                   93         Fremont Millwork                    Klamath Falls    January 1, 2008
                                   137        Herbert Lumber Company              Riddle           January 1, 2008

                   Discover the Source.
              PO Box 7068 • Eugene OR 97401-0068

 Not sure who to contact with questions? Just clip and save for easy reference .
PacificSource Customer Service                                        PacificSource Health Services
(541) 684-5582 from Eugene; (888) 977-9299 from other areas             (541) 684-5584 from Eugene; (800) 624-6052 from elsewhere
E-mail:; Fax (541) 225-3631                        E-mail:; Fax (541) 225-3625
• Questions about member benefits or eligibility                        • Requests for preauthorization and referral authorization
• Questions about the status of a specific claim or EOP                 • Case management
PacificSource Provider Service Representatives
Phone (541) 684-5580 from Eugene or (800) 624-6052 from other areas
E-mail:; Fax (541) 225-3643
Your Provider Service Representative is available to provide support and education to your office staff. Please feel free to contact your
representative any time you have an administrative question or wish to report a change in your practice (address, phone number,
name, tax ID number, open/closed practice status, etc.).
If your office is in:                                               Your Service Representative is:
Oregon Counties: Benton, Coos, Curry, Douglas, Jackson,                 Stephanie De Less
Josephine, Lane, Lincoln, or Linn                                       (541) 684-5566 / (800) 624-6052, ext. 2566
Oregon Counties: Clackamas, Clatsop, Columbia, Marion,                  Debbie Smith
Multnomah, Polk, Tillamook, Washington, or Yamhill                      (541) 684-5439 / (800) 624-6052, ext. 2439
Washington Counties: Clark, Cowlitz, Klickitat, Pacific, Skamania,
or Wahkiakum
Oregon Counties: Baker, Crook, Deschutes, Gilliam, Grant, Harney,       Michelle Cochran
Hood River, Jefferson, Klamath, Lake, Malheur, Morrow, Sherman,         (541) 330-8896 / (800) 624-6052, ext. 2817
Umatilla, Union, Wallowa, Wasco, or Wheeler                   
Idaho Counties: Ada, Boise, Canyon, Elmore, Gem, Owyhee,                Hilary Meek
Payette, or Washington                                                  (208) 342-3709 / (888) 492-2875,

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