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Washington County presents 18‑month behavioral health plan, flags state funding shortfall
Summary
County staff told the Board of Commissioners that a new 18‑month county financial assistance agreement (CFAA) with the Oregon Health Authority sets requirements and reporting; a cost study shows OHA funds about 43% of program costs, CareOregon cut about $4 million, and the division plans $29 million in service contracts and quarterly OHA reporting.
Nicole Cone, division manager for Behavioral Health at Washington County, told the Board of County Commissioners that the county’s new county financial assistance agreement (CFAA) with the Oregon Health Authority lays out contract requirements and an 18‑month performance period beginning Jan. 1, 2026. The agreement is paired with a 75‑page comprehensive local plan that Cone said will guide county services, metrics and budgets during the performance period.
The CFAA, Cone said, is intended to give the county more flexibility than the previous structure of more than 60 discrete service elements. “Historically, we received our dollars in what are called service elements… it didn’t accurately reflect the work that we were doing,” Cone said, arguing the new structure lets the county align spending to community need and to measurable outcomes.
Cone cited a recent cost study indicating the Oregon Health Authority funds…
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