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) coverage of COVID-19 vaccine, testing, screening, treatment and telemedicine services and other information and resources related to providing and billing for covered services during COVID-19.
Review what is ending and continuing with the May 2023 end of the COVID-19 Public Health Emergency: View the May 2023 memo from Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS).
 Tell us what you need to know about the unwinding of the COVID-19 Public Health Emergency
ODHS and OHA are exploring the best ways to continue to connect with providers and partners about the unwinding of the COVID-19 Public Health Emergency. Please take this three-minute survey to share your thoughts about how we can better support you during this time. We will close the survey after Friday, September 1.
Questions, comments or concerns?
If you have questions, comments or concerns about the unwinding of the COVID-19 Public Health Emergency, please email feedback@odhsoha.oregon.gov or use our online feedback form. We will use your feedback to help improve our services.
 Winding down the COVID-19 Public Health Emergency webinars
Join ODHS and OHA for webinars about how the two agencies are working together to wind down the COVID-19 Public Health Emergency.
Webinars are held in English and Spanish from 10 to 11 a.m. Pacific Time.
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English webinars: September 12 and November 14.
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Spanish webinars: September 21 and November 16.
 Check out the latest updates for partners and providers in "Keep Covered"
The Keep Covered newsletter shares the latest information about changes coming for people with OHP and other benefits, including services and supports for people with disabilities and older adults, and food benefits. New information includes:
- More Pandemic EBT food benefits for children coming soon
- ONE Customer Service Center software upgrade
- OHP renewals: Free communication help or funding
OHA seeking OHP members and others to join new community advisory committee to inform OHP open card policy and program decisions
OHA is now seeking members for a new Lived Experience Advisory Panel, which will begin meeting this fall. The panel will share their experiences with open card (also known as fee-for-service) OHP.
- Over 120,000 people have open card OHP. This means they get some or all their OHP services outside the coordinated care organization (CCO) model.
- Creating a space for members to tell us about the priorities of their communities and the challenges they face is critical to eliminating health inequities in Oregon.
OHA is accepting applications now through September 2023. OHA may extend the recruitment based on the number of applications received. If this happens, we will let you know.
Help spread the word!
Please visit the advisory panel web page to find:
- Recruitment announcements in English and Spanish, for easy sharing in newsletters or emails
- Information about the Lived Experience Advisory Panel
- Who should consider applying to share their experiences on the panel
- How people can apply online and other ways such as audio, text, phone and email
Please share these materials with your networks and to anyone who you think may be interested.
Questions or feedback:
OHA welcomes any suggestions of people or groups to include in these recruitment efforts. If you have any questions or feedback, please email medicaid.engagement@oha.oregon.gov.
 Some eligible CWM members have not yet moved to full OHP benefits
There are close to 400 people who still have Citizenship Waived Medical (CWM) or CWM Plus benefits instead of full OHP benefits through Healthier Oregon. We continue to work on manually moving these members to full benefits.
If you serve a CWM member who does not have full OHP benefits yet:
- Please hold billing until you can verify the member has OHP Plus (BMH) benefits.
- We expect to resolve these cases by mid-September.
Thank you very much for your help and patience.
 Rate of uninsured Oregonians at an all-time low
Since the COVID-19 Public Health Emergency (PHE) ended this spring, Oregon has renewed OHP benefits for more than 85 percent of members. By comparison, the national average for renewing Medicaid coverage is about 60 percent.
To date, approximately four million people across the U.S. have lost Medicaid coverage since the end of the COVID-19 PHE. This includes nearly four in 10 adults and one in three children.
Oregon is taking a different approach, one that has brought Oregon’s uninsured rate down from six percent to a record low of 4.6 percent. Currently about 1.5 million Oregonians (one in three people) are covered by OHP.
New OHP rules will allow Oregon to:
- Keep kids covered on OHP from birth to age six.
- Guarantee benefits for a longer period of time, two years for most.
- Expand eligibility to adults with higher incomes.
- Provide full OHP coverage regardless of immigration status.
 Recent rule revisions
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OAR 410-124-0040: Remove language excluding transplant services from Healthier Oregon benefit (8/11/2023)
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