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As we work together to stop the spread of COVID-19 at home, work and in the community, we want to make sure you have the resources you need to keep informed, healthy and safe. If you have any questions about OHP and COVID-19, please let us know.
Updates for Oregon Health Plan providers
None at this time.
Please continue to refer to the Oregon Medicaid COVID-19 Provider Guide for information related to Oregon Health Plan (OHP) and Citizenship Waived Medical (CWM) coverage of vaccine, testing, screening, treatment and telemedicine services; OHP and CWM eligibility; and other information and resources related to providing and billing for covered services during COVID-19.
Join the Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS) for its Feb. 14 webinar, from 10 to 11 a.m. Pacific Time
Community partners, coordinated care organizations, providers, insurers, and more are invited to register for the next in a series of monthly opportunities to learn more about:
- How OHA and ODHS are working together to prepare benefit recipients for potential changes in their benefits, including OHP, long-term services and supports and food benefits as the federal COVID-19 PHE phases out.
- How partners can help people receiving OHP or ODHS benefits prepare for the upcoming changes.
Background: During the COVID-19 PHE, the federal government provided regulatory flexibilities and temporary benefits. Some of these flexibilities and temporary programs will be ending. Changes include:
Other flexibilities and temporary programs will expire later, on dates to be announced by the federal government, including:
- Resuming work requirements for Supplemental Nutrition Assistance Program Able-bodied Adults Without Dependents (ABAWD).
- Ending Pandemic EBT and Summer PEBT food benefits. Oregon will continue to issue retroactive Summer PEBT benefits for 2022 in early 2023.
- SNAP temporary exemptions for students in higher education.
What to expect:
- Information on how Oregon is preparing for benefit changes
- Communication tools partners can use to engage people who receive OHP and/or ODHS benefits
- Time for questions and feedback
Language and disability access: American Sign Language and live closed captioning will be available for this meeting. A separate Spanish webinar will be held Feb. 23, at 10 a.m. Pacific Time.
Everyone has a right to know about and use ODHS and OHA programs and services. ODHS and OHA provide free help. For individuals with disabilities or individuals who speak a language other than English, OHA can provide information in alternate formats such as translations, large print, or braille. Contact the COVID-19 Communications Unit at 1-971-673-2411 or COVID19.LanguageAccess@dhsoha.state.or.us at least 2 business days in advance of the webinar. ODHS and OHA accept all relay calls.
Save the date for future webinars in this series!
All English sessions are Tuesdays from 10 to 11 a.m. Pacific Time:
All Spanish sessions are Thursdays from 10 to 11 a.m. Pacific Time:
View materials from past webinars
Thank you to those who attended our 2022 webinar series. You can access the webinar materials, including those from the Dec. 13, 2022 event, at Oregon.gov/COVID-PHE-Partners.
Resources: Savings under the new prescription drug law
The Centers for Medicare & Medicaid Services (CMS) has many resources to help you and people with Medicare understand how and when changes will happen as a result of the new prescription drug law.
Materials for People with Medicare
Help get information into the hands of beneficiaries who need it. Check out these resources on Medicare.gov.
Want to know more?
CMS also has resources to help those who assist people with Medicare understand which elements of the prescription drug law are already in effect and when others will be implemented.
Fee-for-service reprocessing of CWM Plus postpartum professional and dental claims
This week, OHA is reprocessing CWM Plus postpartum claims paid from Jan. 1, 2021, through Sept. 30, 2022, to ensure they are paid through Reproductive Health Equity Act funds only. No action is required on your part.
 Join OHA as we review the Substance Use Disorder (SUD) 1115 Demonstration Waiver, Feb. 8 and Feb. 9, 2023
Learn more about OHA’s implementation of the SUD 1115 Waiver. Medicaid Behavioral Health Policy Analysts will provide a general review of the waiver with a focus on Community Integration Services and Community Transition Services.
- The review will include descriptions of each service and billing options.
- OHA will have time for questions and answers at the end of each session.
New Early and Periodic Screening, Diagnostic and Treatment (EPSDT) education session for behavioral health and Behavior Rehabilitation Service providers
This session will provide an overview of the EPSDT policy change for OHP members, and its implications for behavioral health (BH) and Behavior Rehabilitation Service (BRS) providers.
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Date and time: Feb. 15, 3 to 4:30 p.m. Pacific Time
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Audience: BH and BRS providers serving children and youth who are Oregon Health Plan members.
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Presenters: Margaret Cary, MD, MPH, OHP Fee For Service Clinical Director and EPSDT staff. Child and Family Behavioral Health staff will be available to address questions.
Meeting accessibility: Please contact Tom Cogswell (971-304-9642) if you need an accommodation to fully participate in these webinars. Examples of accommodations include American Sign Language or language interpretation, and closed captioning.
 Provider resources
Average Actual Acquisition Cost Questions and Answers (1/19/2023)
Carve Out Drug List, 4th Quarter 2022 (1/13/2023)
Oregon Medicaid Pharmacy Quick Reference (1/12/2023)
Recent rule revisions
OAR 410-141-3830: Incorporate the Feb. 1, 2023 Prioritized List of Health Services for the Oregon Health Plan
OAR 410-120-0000, 410-121-0155, 410-121-0420: Center of Excellence Standards of Care for Hemophilia Treatment Centers and Other State Plan Changes
Other updates
OHA invites behavioral health residential providers to complete a survey about the communication needs of Limited English Proficiency staff and consumers (1/26/2023): Please complete the survey by Feb. 10, 2023.
High lead levels found in two tubes of Diep Bao cream used to treat eczema in babies (1/26/2023): Learn more on YouTube; samples of contaminated products will be displayed. Photos of the product are available on OHA’s Media Resources page.
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