MedicaidCoverageMedium impact
Notice of intent – OHA will amend the Medicaid State Plan to remove a requirement to enroll in cost-effective group health plans.
Oregon Health Plan·OR·Public notice
Effective date
Jun 3, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will eliminate the requirement for Medicaid members to enroll in available employer-sponsored group health plans, effective June 3, 2024. This removes mandatory enrollment in cost-effective employer insurance as a condition of Medicaid eligibility.
Action Required
By June 3, 2024: Billing team should verify patient insurance coverage more carefully as Oregon Medicaid patients may no longer be required to have employer insurance as primary. Update eligibility verification procedures to confirm current coverage status. Monitor for changes in third-party liability claims processing.