MedicaidAdministrativeLow impact
Quarterly submission of Notices of Adverse Benefit Determination
Oregon Health Plan·OR · Psychiatry, Gastroenterology, Infectious Disease·Plan contract
Effective date
Nov 12, 2024
We identified it
Jun 20, 2026
Summary
The Oregon Health Authority has waived the requirement for CCOs to submit quarterly reports of Notices of Adverse Benefit Determination for Applied Behavior Analysis (ABA) and Hepatitis C services for the remainder of 2024. This reporting requirement has been permanently eliminated starting in 2025.
Action Required
No action required for billing teams. This change only affects CCO administrative reporting requirements to the Oregon Health Authority, not billing processes or claim submissions for individual practices.