Provider Networks

Providence maintains several provider networks. Refer to the list below to find out more about a particular network.

Providence Provider Networks

Commercial

Commercial Networks are available to Providence Health Plan members enrolled in an Individual & Family plan or coverage through an employer plan. Providers must have a commercial contract to be considered in-network for these members.

Medicare Advantage

The Medicare Advantage network is for Medicare approved plans offered through a private health care company such as Providence Health Assurance. Providers must be contracted for Medicare under a Providence Health Assurance contract to be considered in-network for these members.

Medicaid

Providence Health Assurance participates in Health Share of Oregon, a coordinated care organization that serves Oregon Health Plan (Medicaid) members in Clackamas, Multnomah and Washington counties. Please note: Behavioral health providers must contract directly with Health Share of Oregon to serve these members.

Behavioral health

Providence Health Plan is proud to partner with local behavioral health providers to support our members through telehealth and in-person support. For providers who are interested in joining our network, click the below link to learn more about how to contract with us.

Alternative health

Providence Health Plan delegates administration of alternative care to American Specialty Health (ASH). Providers must be contracted with ASH to be considered participating with Providence Health Plan. For more information, call 888-511-2743 or visit ASH online.