|
Exhibit B, Part 10, Section 6, Paragraph e: This paragraph describes the requirement for the CCO to submit semi-annual status reports for the two Performance Improvement Projects (PIPs) selected by the CCO. The due dates for these reports are July 31, 2024, for January-June 2024 activities and January 31, 2025, for July-December 2024 activities.
OHA waives the CY 2024 requirement to submit the semi-annual status reports due July 31, 2024, and January 31, 2025, for the two CCO-selected PIPs. This waiver does not relieve the CCO of any other requirement relating to PIPs in the CY 2024 CCO contract. The due date for the CY 2024 annual status reports for the two Statewide PIPs remains January 31, 2025.
|
Billing OHP for refugee health screenings was effective starting January 1, 2024. However, some internal systems issues caused claims with a primary diagnosis code of Z655 to deny.
The systems issue has been corrected.
Diagnosis code Z655 has an effective date of January 1, 2024, for billing as a primary diagnosis code.
Providers are encouraged to resubmit billing for denied claims with a primary diagnosis code of Z655, with a date of service on or after the effective date.
|
The Medicaid Advisory Commitee’s Advancing Consumer Experience subcommittee wants to hear from you. Speak up at a listening session with the Oregon Department of Human Services (ODHS) about the Agency with Choice program.
ODHS is puttng the program into place because of a new state law. ODHS staff will share how the new law affects long term services and supports (LTSS). They will also talk about early plans the agency has for making changes because of the new law.
We want to hear from you. How will these changes affect the services you or a loved one receive? What recommendations do you have for ODHS as they make changes to the program to comply with the new law?
We will provide Spanish and American Sign Language (ASL) interpretation.
For people who speak or use a language other than English, people with disabilities or people who need additional support, we can provide free help to participate in this meeting. Please call or email the meeting organizer, Sarah Wetherson, at 503-793-1920 or sarah.e.wetherson@oha.oregon.gov. We accept all relay calls.
Join us Tuesday, May 14 from 10 to 11 a.m. Pacific Time
Community partners, coordinated care organizations, providers, insurers, and more are invited to learn more about how Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS) are working together to support people in Oregon as the federal COVID-19 PHE phases out.
Agenda:
- Medical renewals updates: Current status; timeline for remaining renewals
- Marketplace Unwinding Special Enrollment Period update
- OHP Bridge: What to expect
- Future partner webinars
- Questions and answers
- Resources for partners
Language and disability access: American Sign Language and live captioning will be available for this meeting. A separate Spanish webinar will be held Tuesday, May 30 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 Feedback team at (503) 945-5488 or feedback@odhsoha.oregon.gov at least two business days in advance of the webinar if you would like assistance to participate. All relay calls accepted.
View past webinar material at KeepCoveredPartners.Oregon.gov
Delivery System Network guidance:
Mental Health Parity guidance:
For previous guidance, please see the CCO Contract Forms page.
- 9 to 11 a.m., May 20, 2024
- 9 to 11 a.m., May 23, 2024
- 1 to 2 p.m., June 3, 2024
- 1 to 3 p.m., June 4, 2024
- 1 to 3 p.m., June 5, 2024
- 1 to 4 p.m., June 14, 2024
Learn more about these RACs and the rulemaking process.
May 13, 2024
May 14, 2024
May 15, 2024
Please visit the committee and workgroup links below for more information about meetings. You can also view the OHA Public Meeting calendar.
|
