MedicaidCoverageMedium impact
COVID-19 “No Wrong Door” policy for CCOs in effect through Sept. 30, 2024
Oregon Health Plan·OR·Plan contract
Effective date
Sep 11, 2023
We identified it
Jun 20, 2026
Summary
Oregon's 'No Wrong Door' policy for COVID-19 vaccines continues through September 30, 2024, allowing CCO members to get vaccines from any provider. CCOs must pay contracted providers directly, while non-contracted providers can bill Oregon Health Authority for vaccine costs.
Action Required
By September 30, 2024: Billing team should contact their CCO to determine if prior authorization will be required for COVID-19 vaccines starting October 1, 2024. Monitor CCO communications for updates on billing requirements for non-contracted providers after the policy expires.