Health & Wellness

Elder Care Lodges

At our lodges, a wide range of services are available in a comfortable setting where privacy is respected and maximum independence is supported. Each client has a private room with a private bath, phone, and cable TV. There is a whirlpool bath in each lodge. Three home-cooked meals are served daily in our dining room; housekeeping and laundry services are also provided.

We hold recreational and wellness activities planned around our resident's interests. To be eligible for the Lodges you must be a tribal member, tribal spouse or other Native Americans and need assistance with activities of daily living.

Contact Adult Foster Care at  503-879-1694

Mission Statement

To provide comprehensive, culturally appropriate Behavioral Health services to Native families. The Confederated Tribes of Grand Ronde Behavioral Health Program (CTGR-BHP) is a fully integrated outpatient mental health and alcohol & drug assessment and treatment program licensed by the State of Oregon.

Types of Services

Using a holistic approach, we offer assessments, referral to residential, and outpatient treatment programs, individual, group, family therapy, crisis counseling/intervention, peer support and aftercare services.

Services

• Treatment Plans
• Assessment & Placement
• Care Coordination & Collaboration
• Traditional Services
• Transportation Coordination
• Aftercare Treatment
• Peer Support Services

Assessment

Assessment is the formal process of evaluating a client’s needs for counseling or referral. Following assessment, treatment of client’s meeting the American Society of Addiction Medicine (ASAM) – II R criteria for outpatient services receive psycho-education on alcohol and drugs at level I for outpatient counseling and education. Mental health clients are eligible for evaluation for psychotherapy, and psychiatric medication management of behavioral disorders.

What to Expect

Initially, clients referred to our program are recorded and processed. Client intake referrals are then discussed by the treatment team and assigned in our weekly staffing meeting. Once assigned, a counselor/therapist contacts the client for an intake session. On average appointments are for 50 minutes, but assessments can take up to two hours.

Once the initial contact, intake, and assessment phase is completed, the client is either referred to specialized treatment or begins a regular schedule of alcohol and drug treatment or mental health counseling. Clients coming into our program for medications only will be assigned to a counselor for an assessment. Once this is completed the client’s case will be discussed with the Psychiatrist and the treatment team to determine the best course of treatment.

Assessment is a formal process that requires several steps:

• A clinical interview
• A psycho-social interview
• Alcohol & drug psychometric testing
• Completion of a treatment plan and/or a formal written report
• Referral to specialized inpatient alcohol and drug treatment or mental health treatment as indicated

The following treatment methods are available and used:

• Level I alcohol & drug treatment
• Mental health counseling sessions are once or twice a week for depression, anxiety, acute and chronic stress
• Dual-diagnosis treatment for co-occurring alcohol/drug and mental health disorders is provided through the treatment team approach
• Psychiatric monitoring and management of medication is provided three times a week

We emphasize a culturally sensitive method that respectfully integrates tribal spirituality and cultural awareness into the full range of behavioral health assessment and treatment.

Health Education 

• Nutrition
• Chronic Disease
• Brain Health
• Elder Justice
• Group Exercise

Health Screening

• Blood Pressure Checks
• Blood Sugar Monitoring
• Cognitive Screenings
• Fall Risk Assessments
• Home Safety Evaluations
• Home Oxygen Assessments

Support Services

• Medical Transportation (Elder Preference, all others subject to cancellation)
• Non-Medical Transports (Tribal Elders only, based on availability, subject to cancellation)
• Medication Management
• Medication Delivery
• Case Management
• Wellness Visits
• Fall Detection Device Monitoring and Set Up
• Brain Health Support
• Elder Justice Support
• Caregiver Training and Support
• Community and Emergency
• Preparedness Support
• Farm Share
• Emergency Room and Post Hospital Discharge Calls
   

Care Giver Support

• Respite Care Funding – based on eligibility
   

The Dental Department strives to educate and improve the overall health /dental health of our patients through comprehensive, quality dental services. Our department provides emergency and comprehensive exams, preventive and periodontal services, crown and bridgework, silver and tooth-colored fillings, root canals, extractions, dentures, and any tooth procedures within our scope that would help to improve and/or maintain the health of our patients. Your first new patient exam appointment will include a review of your medical history, thorough soft tissue exam, an oral cancer exam, dental charting of all teeth, and x-rays. Diagnosis and treatment needed will be explained to you at this first visit. Appropriate follow-up visits will be scheduled until needed treatment is complete.

Our team includes three dentists, two hygienists, five dental assistants and dental secretary. We are here to serve you! However, your cooperation is needed in order to provide you with the best care possible. Arriving on time for your appointment is critical to our patient flow. We want to have as much time as possible to give you quality dental care. Good oral hygiene is key to a successful treatment plan. Please brush your teeth prior to coming to your appointment. If you have a fear of the dentist, please let us know in advance so that we may take steps to make your visit more comfortable.

We provide services to all Native Americans. Patients who are not eligible for Contract Health Services are required to pay for any lab services incurred. We strive to see babies as soon as their first tooth erupts. This enables us to provide preventive education to the parents and helps build a positive relationship with the child.

When making an appointment, remember that we schedule four weeks in advance. Once we are booked out four weeks, we ask that patients check back the following week.

Website: www.Greatcirclerecovery.org

Treatment and recovery should be available to all who need it. For that reason, we have made our referral process simple and straightforward. 

If you or a loved one need substance abuse services, please call us for a screening. We will triage and connect you with the appropriate services to meet your needs. 

Walk ins Welcome: Monday – Friday from 6:00 AM-12:00 PM. 

The use of Fentanyl is on the rise and changing the face of the opiate pandemic. Overdosing can happen fast and sudden. If you need Narcan please see Health and Wellness for a free harm reduction kit. 

If you are a patient at Great Circle Recovery Narcan will be distributed as part of your intake. 

Hours of operation: M-F 6:00 AM – 1:00 PM; Sat 6:30 AM – 12:30 PM 

If you or someone you love needs our services, please call today! 1-888-983-9866.

Health Care Professionals 

Make a Referral: PDF fillable forms on the website 

https://www.greatcirclerecovery.org/for-providers/make-a-referral/ 

Our skilled team of licensed providers provide a variety of services which include all levels of primary care, pediatric care, diabetes care, referrals, patient education, family planning, wellness and prevention, as well as same day care appointments to attend to minor injuries and illness. 

Services

Acute Care/Sick Care

• Colds
• Chest congestion
• Ear ache
• Flu symptoms
• Sore throat
• Skin conditions
• Minor cuts, scrapes, burns
• Minor injuries and sprains
• Allergy symptoms

Preventive Care 

• Well child exams
• Adolescent exams
• Adult wellness exams
• Immunizations for all ages
• Employment, sports, and school physicals
• Tobacco cessation
• Well woman exams (Pap smears, breast exams)
• Family planning services

More

• Chronic disease management
• Medication Assisted Treatment (MAT)
• Radiology X-Ray exams
• Laboratory testing
• Diabetes education
• Foot care
• Specialty care referrals

24/7 Health Line

• Medical advice and care is available beyond clinic hours
• Call (503) 879-2002 and follow voice prompts
• After-hours nurse service coordinates care and communicates with GRHWC provider

Patient Portal

• Access the Patient Portal
• Fast reliable communication with your provider is available through secure portal
• 24/7 access to important health and education information
• Request prescription refills
• Request appointments
• Call (503) 879-2002 for more assistance

Appointments

• Call (503) 879-2002 to make an appointment
• Bring a current medical list to every appointment
• Patient registration desk will check you in to your appointment
• Please give 24 hour notice to cancel or change your appointment
• Please arrive within 10 minutes of appointment time
• Appointments Are Required to be seen

Our team of Optometrists and Support Staff are here to provide quality and prompt eye care for members of the Confederated Tribes of Grand Ronde and their families; other Native Americans; as well as employees of Grand Ronde and their families.

Optometry Clinic Services

Acute Care/Walk-in Appointments

• Red Eyes
• Ocular Allergies
• Corneal Foreign Body Removal
• Sudden Visual Disturbances

Preventive Care

• Well child vision exams
• Comprehensive Adult and Adolescent eye exams
• DMV, Employment, Sports, and School vision screenings
• Diabetic Eye Exams
• Ocular Disease Management
• Cataract Evaluations

More

• Dry Eye Management
• Contact Lens care and classes for new wearers
• Specialty Contact Lens (Keratoconus, RGP, Scleral, Amniotic membrane)
• Ophthalmology referrals
• Optical services
• Fully stocked Optical with over 250 frames including Ray-Bans, Guess and Sketchers
• Repairs and fitting adjustments

Patient Portal

• Access the Patient Portal
• Fast reliable communication with your provider is available through secure portal
• 24/7 access to important health and education information
• Request appointments
• Call (503)879-2097 for more assistance

Appointments

• Call (503) 879-2097 to make an appointment
• Patient registration desk will check you in to your appointment
• Please give 24 hour notice to cancel or change your appointment
• Please arrive within 15 minutes of appointment time

Mission Statement

The pharmacy program is committed to providing Tribal members, Native Americans of other tribes, Tribal Employees, and community members with quality medications, useful prescription counseling, and insightful medication chart reviews. By working cooperatively with other medical providers, our goal is to improve a patient’s quality of life by using up-to-date scientific studies, prescription and nonprescription medications, and other complementary therapies.

Getting Started

To begin receiving pharmacy services, patients need to be registered with the clinic. Contact Patient Registration for details, 503-879-2096

Prescriptions for Grand Ronde Tribal members and descendants are free of charge, unless the medication is not covered by the Tribal health benefit. Native Americans of other tribes, Non-Native American Tribal employees, and community members could be charged for their medications, depending on insurance coverage. This can be further clarified by calling the pharmacy staff, 503-879-2342.

Prescription Refills

• ​Online Portal
• Download the Grand Ronde Pharmacy App
• Call 503-879-2342 

When will my refill be ready?

Pharmacy Notifications

To be able to track prescription orders in the mail, receive text updates, or use the pharmacy lockers please fill out the Patient Contact Preference form below.

Patient Contact Preference Form

Medication Checkup

How many of these questions can you answer about your medication?

1. Why am I taking this medication?
2. What benefits should I expect?
3. What is the proper way to use this medication?
4. How often should I take this medication and for how many days?
5. Are there special storage requirements?
6. Are there drug or food interactions with this medication?
7. What are the potential side effects?
8. How can I minimize the side effects?
9. What is the unique imprint on my medication?
10. What should I do if I miss a dose of my medication?
11. What is my drug made from?

Score Yourself

Number Correct:

• 0-2: Counsel with your pharmacist today
• 3-5: Budding Pharmacist
• 6-8: Newly Graduated Pharmacist
• 9-10: Undercover Pharmacist
• 11: Master Druggist

The more you know, the healthier you can be!

Mission Statement

Purchased Referred Cares mission is to provide funding for Grand Ronde Tribal Members and eligible Descendants; allowing them to receive high quality health care beyond what is available through IHS and Tribal Health facilities.

Registration Form

Who is eligible for P/RC?

• You must be an enrolled Grand Ronde Tribal Member or a direct minor descendant (under age 19) of a P/RC eligible member, residing within the 7-county service delivery area. Those counties are as follows: Marion, Polk, Yamhill, Multnomah, Tillamook, Washington & Clackamas counties. Certain exceptions may apply. Please contact program staff for details.
• A non-Indian woman pregnant with a P/RC eligible member’s child. Rules and restrictions apply. Please contact program staff for details.
• Be enrolled in college or academic institution, vocational program or related training. NOTE: A student must first be eligible for P/RC PRIOR to leaving the service delivery area for school.
• A foster child who is placed in foster care outside of the Grand Ronde service delivery area by court order and who is eligible for P/RC at the time of the court order. Such children continue to be eligible for P/RC while in foster care, or turn 19 years of age.
• Members that are incarcerated are not eligible for P/RC coverage.
• A refusal to apply for alternate resources will result in a denial of payment.

Frequently Asked Questions

WHY DO I HAVE TO APPLY FOR ALTERNATE RESOURCES?

This is required by 42 C.F.R. 136.61, Payer of last resort. Approval of P/RC payment for services is considered after all other Alternate Resources (AR) are applied. Any patient who is potentially eligible is required to apply for or an alternate resource.

WHAT IS AN “ALTERNATE RESOURCE”?

Medicaid, Medicare, Employer Coverage, Private Insurance. Skookum (Shasta) is not insurance.
Click here for information about Oregon health Plan (OHP)

WHAT SERVICES ARE COVERED BY P/RC?

Most medical services, dental, optical, mental health, chemical dependence and some outside pharmacy and durable medical equipment services.

WHAT IS NOT COVERED BY P/RC?

Non-emergency ER services, chiropractic, massage, naturopaths, personal care items, cosmetic services, luxury or over the counter prescriptions as well as unapproved prescriptions filled at a pharmacy other than Grand Ronde Pharmacy.

*This may not be a full list of non-covered services. Please contact your P/RC Representative with questions.*

The Purchased/Referred Care program is federally funded under P.L.93-638 by Congress for the Grand Ronde Tribe. To receive services through this program, one must meet the Purchased/Referred Care Service eligibility requirements outlined above. All routine medical care, including follow-up visits, must have prior approval.

Some extra benefits for Tribal Members out of the service area, may be available. Please contact Grand Ronde P/RC if you are out of the 7-county service area but need funding assistance for the following services: vision, dental, hearing aid or chemical dependency residential treatment.

The Skookum Health Assistance Programs mission is provide quality health care services for our eligible Tribal Members, as well as protecting them against certain healthcare expenses, and defraying the financial effects arising from injury or sickness.

To Apply

• Tribal Member Health Care Specialist 
• 9605 Grand Ronde Rd 
• Grand Ronde, OR 97347 
• Phone: 503-879-2487 or (800)749-2928 
• Fax: 503-879-2228 

Claim Questions

• Forest County Potawatomi Insurance Department
• Phone: 715-478-4610
• Fax: 715-478-4799
• Email: fcpinsurance@fcp-nsn.gov
• Website: www.fcpotawatomi.com

What is covered?

Most medical, dental, optical, mental health, chemical dependence, prescriptions and durable medical equipment services. Some services have limited funding, some require pre-authorization and some have patient cost sharing. Please contact Forest County Potawatomi Insurance Department for full benefits. 

Who is Eligible? 

A. The eligibility requirements for the Confederated Tribes of Grand Ronde membership are as follows. 1. You must be an enrolled member of the Confederated Tribes of Grand Ronde 

B.  Spouses of enrolled Tribal members are eligible if: 

• Both member and spouse are age 55 or older
• Member and spouse have been married for at least 1 year
• Member and spouse reside in the same household
• Members that are incarcerated are not eligible for health coverage

Questions regarding eligibility should be directed to the Tribal Member Health Care Specialist at (503) 879-2487 or (800) 775-0095.

Program Registration and Effective Date 

The Skookum Health Assistance Program (SHAP) is a voluntary program and you may enroll at any time by filling out a registration form. The SHAP staff provides you with information about your coverage and a registration form prior to the date you become eligible for coverage. Carefully review the material, complete the registration form, sign (by the member or the parent/guardian), date it, and return it to the SHAP office. Coverage will be decided after receiving the original registration form, signed and dated. The effective date for newborns may vary. Please contact the SHAP or the Forest County Potawatomi Insurance Department for more information 

If you are currently enrolled or become eligible for Medicare or any other coverage, please notify the SHAP office immediately. Please send a copy of your card or provide your new coverage information to the SHAP office orForest County Potawatomi Insurance Department. 

If you have a change of address, it is important to contact the SHAP office, so your services are not interrupted. 

Termination of Coverage 

You are no longer eligible for coverage effective the date of the event in which any one of the following events occurs: 

1. Your status as an eligible Tribal member changes. 

2. You are incarcerated; once released eligibility may be reinstated with the completion of a new registration form. 

3. For a non-member spouse, the non-member spouse becomes divorced or legally separated from a Tribal member. 

4. For a non-member spouse, monthly payments received 14 days after the 25th of the month will result in termination of coverage for the following month. 

5. For a non-member spouse, if the Tribal Member walks on, termination of coverage will end if non-member spouse re-marries. 

6. You defraud or attempt to defraud the program. 

7. If the program terminates, your coverage terminates the date of the event. If you are hospitalized when any of the above events occurs, coverage will continue until you are discharged.  

Eligibility for Alternate Resources 

This program is a Payor of Last Resort. If you are eligible for medical benefits under a group health plan, private insurance plan, Medicaid, Medicare, Veterans Administration, Vocational Rehabilitations, Crippled Children’s, homeowners, automobile PIP insurance, or other Federal or State program, you must use these alternate resources first. The Skookum Health Assistance Program is a secondary resource; it is not insurance. It will pay only the eligible medical services that are not covered by any other alternate resources. Enrollment in any and all alternate resources which are available at no cost to you is mandatory. Members who have questions about the coordination of coverage with alternate resources should contact the Skookum Health Assistance Program staff (SHAP) at (800) 775-0095.