MedicaidPrior AuthMedium 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
Jul 25, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Plan (OHA) has implemented an emergency policy allowing replacement of DME, supplies, prescription drugs, and dentures lost in natural disasters (specifically fires). For CCO members, coordinate through their CCO; for fee-for-service members, submit prior authorization requests marked 'IMMEDIATE' with reason 'EMERGENT REPLACEMENT – FIRE EVAC' for expedited one-day review.
Action Required
Immediately: Billing team must establish workflow for disaster-related DME, supply, and denture replacements. For CCO members, coordinate through member's CCO. For FFS members, submit prior authorization requests marked 'IMMEDIATE' with reason stated as 'EMERGENT REPLACEMENT – FIRE EVAC' to ensure one business day review. Train staff to identify fire evacuation cases and route appropriately.