MedicaidCoverageMedium impact
Replacement of durable medical equipment (DME), supplies, prescription drugs and full or partial dentures in event of natural disasters
Oregon Health Plan·OR · Dentistry·Plan
Effective date
Mar 24, 2025
We identified it
Jun 20, 2026
Summary
Oregon Medicaid (OHP) has issued emergency guidance requiring Coordinated Care Organizations (CCOs) to immediately provide replacement coverage for durable medical equipment, medical supplies, prescription drugs, and dentures lost or damaged due to recent flooding and landslides. This includes expedited emergency prescription dispensing and waived prior authorization requirements for disaster-related replacements.
Action Required
Immediately: Billing team must update Oregon Medicaid/OHP claims processing to expedite replacement DME, supply, prescription, and denture claims for disaster-affected members. Document natural disaster as reason for replacement on all related claims. Contact Medicaid.Programs@oha.oregon.gov for DME/supply/denture questions and DMAP.RxQuestions@oha.oregon.gov for prescription questions. Emergency prescriptions can be dispensed for 72-96 hours without standard prior authorization delays.