MedicaidReimbursementMedium impact
Updates to CCO reimbursement of COVID-19 vaccine and vaccine administration expenses
Oregon Health Plan·OR · Family Medicine, Pediatrics, Internal Medicine·Plan contract
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Medicaid (CCO) has increased COVID-19 vaccine administration reimbursement from $40 to $43.43 effective January 1, 2024, and expanded access for children under 19 to receive COVID-19 vaccines at any Oregon Medicaid pharmacy through September 30, 2024, not just VFC providers.
Action Required
Immediately: Billing team must update fee schedules to reflect new COVID-19 vaccine administration rate of $43.43 for Oregon Medicaid CCO patients. Update billing system to accept claims from all Oregon Medicaid pharmacies for COVID-19 vaccines administered to patients under age 19, not just VFC providers. Verify contracted pharmacy networks are billing at the updated FFS rate through September 30, 2024.