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MedicaidCoverageMedium impact

Oregon Health Plan coverage of travel and nonroutine vaccines

Oregon Health Plan·OR · Family Medicine, Internal Medicine, Pediatrics +2 more·Plan
Effective date
Dec 3, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Plan (Medicaid) now covers travel and nonroutine vaccines for both adults and children, including a newly added Chikungunya vaccine. CCOs must open payment for these vaccine codes and ensure provider network access for travel vaccine services.

Action Required

Action needed
Immediately: Billing team must update system to allow payment for all listed travel and nonroutine vaccine codes (90473, 90474, 90581, 90584, 90586, 90587, 90589, 90625, 90690, 90691, 90717, 90738, 90758) for both adult and pediatric Oregon Health Plan members. Verify provider network includes travel vaccine providers and communicate coverage changes to referring providers and members.

Affected Billing Codes

90473
90474
90581
90584
90586
90587
90589
90625
90690
90691
90717
90738
90758