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MedicaidAdministrativeMedium impact

Update #1 regarding Planned Parenthood claims

Oregon Health Plan·OR · OB-GYN, Family Medicine, Internal Medicine·Plan
Effective date
Jul 8, 2025
We identified it
Jun 20, 2026
Days to comply
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Summary

Oregon CCOs must resume processing Planned Parenthood claims normally for dates of service July 8, 2025 and forward, following a federal court temporary restraining order. Claims for July 4-7, 2025 should continue to be held per previous guidance.

Action Required

Action needed
Immediately: Billing team must resume processing all Planned Parenthood claims with dates of service from July 8, 2025 forward through normal workflow. Continue to hold claims with dates of service July 4-7, 2025 per July 9, 2025 OHA memo guidance. Contact Medicaid.Programs@odhsoha.oregon.gov with questions.

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