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Update # 4 regarding Planned Parenthood claims memo 09162025
Act
immediately
Effective date
Sep 16, 2025
Identified
Jun 20, 2026
Summary
Oregon Medicaid CCOs must immediately hold all unadjudicated Planned Parenthood claims for Medicaid members with service dates on or after July 4, 2025. This does not affect HOP members, Non-Medicaid contracts, or Oregon Health Plan Bridge members.
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What to do
immediately · 4 steps
01Billing team must hold all unadjudicated Planned Parenthood claims for Oregon Medicaid CCO members with service dates July 4, 2025 or later.
02Do NOT reprocess already adjudicated claims.
03Continue processing claims for HOP members and Non-Medicaid/Bridge contracts normally.
04Monitor for further OHA direction.
Original notice
Update # 4 regarding Planned Parenthood claims memo 09162025
oregon.gov · Always check the source before changing claims.
Related changes
See all Oregon Health Plan changes →Planned Parenthood claimsHighEffective Jul 4, 2025 · PlanUpdate #1 regarding Planned Parenthood claimsLowEffective Jul 8, 2025 · PlanUpdate #2 regarding Planned Parenthood claimsMediumEffective Jul 22, 2025 · PlanUpdate #3 regarding Planned Parenthood claimsLowEffective Jul 28, 2025 · Plan contractBrowse every Oregon Health Plan change in the policy list