For Medical Providers and Mental Health Professionals
Helpful information for providers when submitting bills to Crime Victims’ Compensation (CVC)
As a licensed medical provider or mental health professional, you may be providing services to victims of crime. The Crime Victims’ Compensation (CVC) program provides financial help to people who have been the victim of violent crime in Oregon. Crimes that may qualify for compensation include domestic violence, sexual assault, child abuse, robbery, assault, homicide, and other crimes that cause physical or psychological injury.
If the services you provide to your patient or client are crime-related, CVC may cover them. CVC is payor of last resort. You must bill health and dental insurance (including Oregon Health Plan), auto insurance and Workers’ Compensation before billing CVC.
We refer to clients and patients as “victim” in the sections below.
Medical providers and mental health professionals may use the CVC Portal to:
- Check the status of their victim’s application and payments.
- Submit bills, explanation of benefits (EOBs), chart notes, and other documents.
- Request the status of bills submitted to CVC.
Setting Up Your Portal Account
- Visit the CVC Portal registration page ».
- Use your agency email address and choose Provider as your role.
- Create a password. Passwords must be a minimum of 14 characters and include at least one lowercase and one uppercase letter.
The Provider Tutorial (PDF) » includes helpful information about using the CVC Portal.
Experiencing technical difficulties while using the CVC Portal? Request help at email@example.com.
What are some tips for checking the status on bills I submitted?
- You can view documents you have uploaded to the portal. To make it easier to view these documents, we recommend you use a descriptive file name when you upload them (e.g., Bill Legacy 3.21.21 $312).
- View the details in the payment screen for any payments we have processed.
- If you do not see a payment, then we have not processed the bill yet. If we need additional information from you, we will contact you.
- If you need help with a bill, select the message icon for the related claim. From the Get Assistance on Claim menu, select “Payment Status (bill).” Please provide detailed information about the bill in question.
Crime Victims’ Compensation Program FAQs for Medical Providers and Mental Health Professionals
Please refer to the questions below or use the CVC portal and select “Payment Status (bill)” and the portal will route your request appropriately. If your question is not claim specific, please email firstname.lastname@example.org.
Am I eligible for reimbursement from the Crime Victims’ Compensation Program (CVCP) for the services I provided?
To be eligible for reimbursement the following requirements must be met:
- CVC has accepted the claim.
- The service is crime related.
- You have proper licensure.
- You have billed all prior resources (such as private insurance, OHP, auto insurance).
- The award amount is not exhausted.
- If the victim has insurance, they must see a participating provider.
Note: If the victim has insurance but does not see a participating provider, we will not pay for the treatment unless we waived this requirement for good cause. The victim needs to call or email CVC to discuss options for waiving their insurance requirements.
Mental Health Professionals – All providers must be licensed. If the victim receives a full award, we require a treatment plan after 30 sessions to authorize more sessions. If the victim receives a limited counseling benefit (up to $5,000), we require a treatment plan after 15 sessions.
We do not require mental health professionals to submit chart notes or session notes for sessions to be paid. Once a victim notifies you of their CVC claim number, please request a Counseling Packet from CVC.
Chiropractors, Acupuncturists, Massage Therapists – We require treatment notes for each date of service. If you provide services more than 6-months after the crime occurred, we may require additional verification. Please respond to all forms sent by CVC.
Funeral Service Providers – Funeral service providers may help families apply for CVC benefits. The provider cannot sign an application. The next of kin or person financially responsible for funeral expenses must sign the application. We require a funeral contract signed by the CVC applicant. Please fill out the Verification of Funeral Expenses Form, which is located on the CVC Portal. When uploading funeral bills, please select “Bill (Funeral Expense)” from the dropdown menu.
What do I need to provide to CVC when requesting payment for services?
Medical providers: Bill (HCFA or UB92), EOB from primary insurance (if applicable), chart notes, and a W-9 if we have not previously paid the provider.
Mental Health Providers: Bill (HCFA or itemized statement with procedure codes), EOB from primary insurance if applicable and W-9 if we have not previously paid the provider. When providing medical management as part of counseling, you must submit medication management notes.
When will I receive payment?
We will process your bill as quickly as possible after we receive all required documents. Bill preparation and review times vary depending on the volume of bills we receive. We attempt to review all bills within 60-days of receiving the last required document.
After we approve payment, we forward it to the fiscal department who issues the payment. Payment takes approximately two weeks to be issued after we approve it. We send payments via U.S. Mail or direct deposit.
Are authorized counseling sessions a guarantee of payment?
Authorized sessions are not a guarantee of payment. We review all bills to determine if treatment is crime-related, that the victim has used all prior resources and that the provider is licensed. Treatment plans are required in increments of 15 or 30 sessions, depending on the approval and benefits available. Please review the counseling packet sent to you for further explanation.
Additionally, bills may be subject to our fee schedule. We have explained this further in the response to the question below.
How was my payment calculated?
Medical Providers (except ambulance) – Compensation is calculated using the Workers’ Compensation Fee Schedule ».
Ambulance – Compensation for ambulance services is subject CVCs Fee Schedule Reduction of 25%.
Mental Health Providers – Compensation is subject to our fee schedule, which states the maximum payment per hour for the following services:
- QMHP – $75.00 per hour
- LPC, LCSW, LMFT – $105.00 per hour
- PSY’D, PH’D, PMHNP – $130.00 per hour
- MD, DO – $160.00 per hour
Dental Providers – We calculate compensation for dental services using the Oregon Workers Compensation Fee schedule reduction of 10%.
If the victim has insurance, we may assist with their responsibility after you have billed the insurance.
Can I be paid in advance?
No, CVC can only pay after services have been performed.
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 victim. We will provide written authorization or denial for the request.
Please contact the examiner assigned to the claim through the portal for more information.
If my patient has insurance, but I do not accept their insurance, will Crime Victims’ Compensation pay?
Statute requires that CVC consider all collateral resources available to the victim (health and dental, auto insurance, Workers Compensation, etc.). The victim should use these resources first, and then we may pay as secondary. If you cannot bill the victim’s insurance plan, please contact us prior to treating the victim to discuss options. The victim or guardian (for claims involving minors) may reach out to us to discuss waiving the insurance requirement if there is a compelling reason to do so.
Who should I refer a patient who I believe is a victim of a crime and may qualify for CVC?
The District Attorney’s Victim Assistance Program in the county where the alleged crime occurred can assist the victim with applying for CVC. The victim can also register for the CVC Portal and apply directly at:
- Application for Crime Victim Compensation » | Solicitud De Indemnización Para Víctimas De Crímenes »
As a Medical Provider, you may assist the victim with applying for CVC, but you cannot sign and submit the application for them. Please use the Provider Verification Form and select the “Send” button or email it to email@example.com.
When do benefits expire?
As a provider, it is important that you know when benefits expire. Even if we have authorized a certain number of sessions, CVC cannot pay for services that occur after the benefits expire.
Compensation benefits expire depending on the person who is receiving the benefits:
- Claims for adult victims expire three years after the date we accepted the claim.
- Family members of homicide victims must use survivor counseling within five years after the date we accepted their claim.
- Claims for child victims remain open until their 21st birthday or for three years after the date we accepted their claim, whichever is longer.
Who do I contact if I have additional questions?
Please email firstname.lastname@example.org or call 503-378-5348 and we will be happy to assist you.