MedicaidAdministrativeMedium impact
Update #3 regarding Planned Parenthood claims
Oregon Health Plan·OR · OB-GYN, Family Medicine·Plan contract
Effective date
Jul 28, 2025
We identified it
Jun 20, 2026
Summary
Oregon Medicaid CCOs must resume processing all Planned Parenthood claims as usual effective July 28, 2025, following a federal court ruling. Claims from specific date ranges (July 4-7 and July 22-27, 2025) should continue to be held except for Healthier Oregon Program members.
Action Required
Immediately: Billing team must resume processing all Planned Parenthood claims for Oregon Medicaid CCO members with dates of service July 28, 2025 and after. Continue holding claims for dates July 4-7, 2025 and July 22-27, 2025 for Medicaid Contract members (except HOP members). Update billing system processing rules to reflect these date-specific requirements.