Oregon Department of Justice

Crime Victims' Compensation Information

Every year, hundreds of people in Oregon are seriously injured or killed due to crime. In addition to psychological and physical trauma, victims and their families often incur unanticipated medical, counseling and other costs and loss of income. In homicide cases, families suffer emotional grief, loss of financial support and funeral costs.

As a licensed medical provider, the services you provide to a victim in the wake of a crime may be eligible for compensation through the Oregon Crime Victims' Compensation Program. For more information please refer to the FAQs below or call 503-378-5348 and ask to speak to a claims assistant. We are here to assist you in any way we can.

Frequently Asked Questions

FAQ's

Am I eligible for reimbursement from the Crime Victims' Compensation Program (CVCP) for the services I provided?

Medical Providers - To be eligible for reimbursement the following requirements must be met:

  • A CVCP claim has been accepted

  • The service provided is crime related

  • The provider has proper licensure

  • All prior resources (such as private insurance, OHP, PIP) have been billed

  • The bill submitted within 1 year from date of service

  • The award amount is not exhausted

Note: If the victim/patient has insurance, they must see a participating provider. If the victim/patient has insurance and does not see a participating provider, CVCP will not pay for the sessions unless CVCP has waived this requirement for good cause.

Mental Health Professionals - Prior authorization is required. Unauthorized sessions WILL NOT be covered.

Chiropractors, Physical Therapists, Acupuncturists, Massage Therapists - After the first 5 visits paid, CVCP requires a current referral from an M.D. or D.O. for continued payment.

Funeral Homes - Funeral homes cannot apply directly for CVCP benefits. A family member financially responsible for the funeral expenses must complete the application for benefits. Funeral homes cannot apply on behalf of the victim.

FAQ's

How do I submit a bill?

Mail, email or fax itemized bills, insurance EOBs and medical chart notes to:

Crime Victims Compensation Program
1162 Court Street NE
Salem, OR 97301
Fax: 503-378-5738
Email: ProviderEmails@doj.state.or.us

FAQ's

If my patient has an accepted CVCP claim, is payment of my bills guaranteed?

No. All bills must be reviewed to verify that:

  • The service provided is crime related

  • The provider has proper licensure

  • All prior resources (such as private insurance, OHP, PIP) have been billed

  • The bill submitted within 1 year from date of service

  • The award amount is not exhausted

Note: Medical chart notes and EOBS should be submitted with bills to expedite bill review and payment.

FAQ's

Is preauthorization of counseling sessions a guarantee of payment?

No, prior authorization of counseling sessions to a victim or a victim’s family member is a requirement for payment by CVCP; however, prior authorization is not a guarantee of payment. All bills must be reviewed to determine if treatment is crime related and to ensure that prior resources have been utilized. Session notes and EOBs should be submitted with bills to expedite bill review and payment. Additionally, bills are subject to our fee schedule which states the maximum payment per hour for the following services:

  • QMHP - $45.00 per hour

  • LPC, LCSW, LMFT - $70.00 per hour

  • PSY’D, PH’D, PMHNP - $100.00 per hour

  • MD, DO - $130.00 per hour

FAQ's

When will I receive payment?

Once all required documents are received, your bill will be processed as quickly as possible. Bill preparation and review times vary depending on the volume of bills received by CVCP, however, we attempt to review all bills within a week of when the last required document is received. After the payment is approved, it is forwarded to the fiscal department and the payment is issued. Generally, once payment is approved, it takes approximately two weeks for payment to be issued. Payments are sent via US Mail.

FAQ's

Can I be paid in advance?

No, CVCP can only pay after services have been performed.

FAQ's

Can treatment be preauthorized?

In limited circumstances, such as dental treatment, a provider may submit a request for preauthorization . Providers must include the proposed treatment plan, billing codes and fees, and past chart notes and diagnoses of the patient. Authorization will be granted or denied in writing. Please contact us at 503-378-5348 and ask to speak to a claims assistant for additional information if you require preauthorization for treatment.

FAQ's

If my patient has insurance, but I do not accept their insurance, will Crime Victims’ Compensation pay?

Generally, no. Crime Victims’ Compensation is defined by statute as the “payer of last resort.” This means that compensation can only be paid when no other resource is available to the victim. If a victim has private insurance, Oregon Health Plan, Automobile Personal Injury Protection (in automobile involved claims), or other coverage, the victim is REQUIRED to use that resource.

However, if there is a compelling reason why the victim cannot use their prior resource (for example, there are no qualified providers within a reasonable distance of the victim’s residence) the victim or applicant may submit a written request for waiver of the prior resource requirement.

FAQ's

How was my payment calculated?

Medical Providers (except ambulance) - Compensation is calculated using the Workers’ Compensation Fee Schedule. For additional information please see the Worker’s Compensation Hospital Cost/Charge Ratio.

Ambulance – Compensation for ambulance services is subject to the Department's fee schedule

Mental Health Providers - Compensation is subject to our fee schedule which states the maximum payment per hour for the following services:

  • QMHP - $45.00 per hour

  • LPC, LCSW, LMFT - $70.00 per hour

  • PSY’D, PH’D, PMHNP - $100.00 per hour

  • MD, DO - $130.00 per hour

Dental Providers - Compensation for dental services are calculated using the “Dental Customized Fee Analyzer.”

FAQ's

What does “100% Crime Related” mean?

For a bill to be payable, the services provided must be crime related. Bills for services that are not 100% crime related will be reduced by a percentage commensurate with the portion of the bill that is for services that are not crime related. For example, if you are a primary care physician who saw a crime victim for a follow up appointment during which ½ of the appointment was spent evaluating the progress of a healing fracture sustained during a criminal assault and ½ the appointment was spent discussing patient’s allergic reaction to a medication prescribed for a condition which existed prior to the criminal incident, the bill would be paid at 50%.

FAQ's

If I have a patient who I believe is the victim of a crime who may qualify for compensation, to whom should I refer them?

Please refer the patient/victim to the District Attorney’s Victim’s Assistance Program in the county in which the alleged crime occurred or download an application here:

FAQ's

Who do I contact if I have additional questions?

If you have additional questions, please call 503-378-5348 and ask to speak to a claims assistant. We are happy to assist you in any way we can.