MedicaidPrior AuthMedium impact
How to submit requests for retroactive BRS authorization
Oregon Health Plan·OR · Psychiatry, Pediatrics·Provider
Effective date
Nov 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Medicaid has established a new process for requesting retroactive authorization for Behavior Rehabilitation Services (BRS). Providers must now request preliminary approval via email before admission, then submit a complete authorization request within one business day of admission to ensure Medicaid payment.
Action Required
Immediately: Staff treating Oregon Medicaid patients needing BRS must send preliminary approval requests to BHMC@oha.oregon.gov before admission with subject line 'BRS Preliminary Approval Request' plus child's initials. Include child's demographics, requester info, reason for retroactive request, provider name, admission date, and medical necessity summary. After admission, submit complete BRS Authorization Request within one business day to avoid payment delays. OHA must finalize decisions within 5 business days of admission.