MedicaidAdministrativeMedium impact
Request for data on denials effective April 2024
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Apr 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is requiring Behavior Rehabilitation Service (BRS) providers to submit monthly reports by the 10th of each month detailing all client denials, including initials, referral dates, denial dates, and reasons. This is part of ongoing compliance monitoring from a 2022 BRS compliance review.
Action Required
By April 10, 2024 and monthly thereafter by the 10th: BRS providers must compile and submit monthly denial reports to Medicaid.Programs@odhsoha.oregon.gov including client initials, referral dates, denial dates, and detailed denial reasons from the previous month. Administrative staff should establish tracking system for all BRS program denials to ensure compliance with ongoing monitoring requirements.