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MedicaidAdministrativeMedium impact

Billing and process changes to support assessment of Oregon’s NEMT Transportation Network Companies (TNC) Pilot Program

Oregon Health Plan·OR·Plan contract
Effective date
Apr 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority requires a new billing modifier "Q2" on all NEMT claims for Transportation Network Company services (Uber/Lyft) effective April 1, 2025. This modifier helps distinguish TNC pilot program rides from traditional medical transportation for data collection and assessment purposes.

Action Required

Action needed
By April 1, 2025: Billing teams participating in Oregon's TNC pilot program must add modifier "Q2" to all claims for NEMT services provided by Uber or Lyft. Update billing system rules to automatically append this modifier for TNC transportation claims. Contact David Simnitt by April 11, 2025 to schedule regular check-in meetings if participating in the pilot program.