The Oregon Health Policy Board's Health Information Technology Oversight Council (HITOC) is looking for new members! HITOC is responsible for setting health IT strategies for Oregon that advance health equity and improve the health system.
Interested applicants need to complete the HITOC Membership Application by 5 p.m. Pacific Time on Friday, June 26:
If you have questions, please email HITOC.INFO@odhsoha.oregon.gov.
After considering extensive public feedback and conducting a detailed impact assessment, OHA is finalizing rules changes that will affect which providers can render and bill for Medicaid-covered services.
The primary rule change is that board-registered behavioral health associates — unlicensed professionals that include clinical social work associates, board registered marriage and family therapist associates, and board registered professional counselor associates — will be required to either become licensed or work for an agency that has an OHA-issued Certificate of Approval (COA).
While OHA will file its new rules on July 1, 2026, the above-mentioned requirement for behavioral health associates will not go into effect until one year later, on July 1, 2027. This will give providers, members and OHA more time to prepare for this change.
More information is available in OHA’s June 10, 2026, memo and on OHA’s web page dedicated to this change.
Provider resources
Frequently Asked Questions: Medicaid Billing Policy Change Regarding Behavioral Health Associates (6/10/2026)
Approved Culturally and Linguistically Specific Providers (6/4/2026)
Pharmaceutical Services Prior Authorization Criteria Guide (6/1/2026)
Recent rule revisions
OAR 410-120-1295 amended to update reimbursement for certain hospital services provided by non-participating providers.
OAR 410-151-0004 amended to add requirement for use of the OHP dental periodicity schedule for preventive dental care.
OAR 410-050-0861 amended to update the outpatient and inpatient DRG hospital assessment rates.
OAR 410-130-0700 amended to clarify which of The Healthcare Common Procedure Coding System (HCPCS) supplies and Durable Medical Equipment (DME) are bundled or otherwise not eligible for reimbursement.
OARs 410-122-0184, 410-122-0250, 410-122-0300 amended to correct filing error of previous 12/10/25 permanent filing.
OAR 410-121-0040 amended to update the Oregon Medicaid Pharmaceutical Services Prior Authorization Criteria, implementing recommendations from the Pharmacy and Therapeutics Committee.
Next OHP Clinical Connections is Tuesday, June 16
OHA's Medicaid Medical Directors warmly invite you to the OHP Clinical Connections series, designed specifically for clinicians, such as chief medical officers, dental directors, behavioral health clinical directors, nurse practitioners, oral health clinicians, doctors, and physician assistants.
Agenda highlights for the June 16, 2026 session include:
- Updates, resources and feedback follow-up
- Health-Related Social Needs (HRSN) Nutrition
- Open discussion and breakout rooms
This quarterly series serves as a platform to:
- Engage in dialogue with us about Oregon Health Plan (OHP) program updates.
- Share your questions, concerns and insights about OHP coverage and service delivery.
- Provide feedback on how changes to OHP may affect your work and the OHP members you serve.
- Support inclusive planning of future changes to OHP.
We also want to learn the best ways to connect and share information with you throughout the year.
If you are unable to attend, please encourage someone from your organization to attend on your behalf.
Sessions will be from 1:05 to 2 p.m. Pacific Time on these dates:
- June 16, 2026
- Sept. 15, 2026
- Dec. 15, 2026
Meeting accommodation
Please make accommodation requests related to disability or requests for language interpreter services to Dan Cox at Dan.Cox@oha.oregon.gov or 503‑979‑8594 (voice and text). We will make every effort to accommodate requests received after June 9. We accept all relay calls.
If you have questions about the webinar, please contact Dan Cox at Dan.Cox@oha.oregon.gov or 503‑979‑8594 (voice and text).
Monthly webinar series for new provider staff
If you are new to OHP, be sure to join OHA's monthly webinar series about navigating fee-for-service Medicaid.
What you will learn:
- How to use the OHP Provider Resources website at OHP.Oregon.gov/Providers and provider tools
- Steps to receive payments
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Billing through the MMIS Provider Portal at https://www.or-medicaid.gov
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Checking eligibility for services
- And much more to support your success!
This is a great opportunity to get familiar with essential resources, ask questions and build confidence in working with OHA.
Meeting accommodations:
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. Please email Medicaid Provider Training at ProviderTraining-Medicaid@oha.oregon.gov or call 800-336-6016. We accept all relay calls.
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