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MedicaidAdministrativeMedium impact

Waiver of select CY 2026 Value Based Payment requirements

Oregon Health Plan·OR·Plan contract
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority has waived most Value Based Payment (VBP) requirements for CCOs in 2026, including annual VBP targets, expanding VBP beyond primary care, and most reporting requirements. CCOs must still make PCPCH per-member-per-month payments and submit limited VBP data.

Action Required

Action needed
For Contract Year 2026: Oregon CCO providers should verify with their CCO that Value Based Payment arrangements remain in place despite waivers. Continue PCPCH per-member-per-month payment processes. Monitor for updated VBP guidance from CCOs as annual targets and expansion requirements are waived.