About 10,000 low-income patients who get care at Salem Clinic will soon have to find another doctor.

In an Aug. 26 letter to patients, the clinic said that it will no longer be in-network for Medicaid, also known as the Oregon Health Plan, starting Jan. 1, 2026. The change applies to primary care, urgent care and endocrinology.

The letter followed a failure to reach a new contract between the clinic and PacificSource for 2026. PacificSource is the not-for-profit insurance company that administers the Oregon Health Plan in a number of Oregon counties, including Marion and Polk.

“Over the past three months, we have worked diligently to find an alternative reimbursement schedule, but the options available have proven inadequate,” the letter, signed by the clinic’s board of directors, state

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