MedicaidCoverageHigh impact
Notice of Intent – OHA will submit Oregon’s Medicaid Phase-out Plan for the Waiver Authority Related to the Prioritized List
Oregon Health Plan·OR·Public notice
Effective date
Jan 1, 2027
We identified it
Jun 20, 2026
Summary
Oregon will phase out its Medicaid Prioritized List waiver by January 1, 2027, transitioning to standard Medicaid state plan benefits. This requires all mandatory state plan benefits to be available to Oregon Health Plan (OHP) beneficiaries, potentially expanding covered services that were previously unfunded on the prioritized list.
Action Required
By May 15, 2026: Review the draft Phase-out Plan and submit written comments to 1115waiver.renewal@odhsoha.oregon.gov if serving Oregon Medicaid patients. Monitor for final state plan amendments and updated coverage policies that will be implemented before January 1, 2027. Billing teams should prepare for potential changes to Oregon Medicaid coverage determinations and appeals processes.