MedicaidAdministrativeMedium impact
Attestation for qualifications of staff making SUD PA decisions
Oregon Health Plan·OR · Psychiatry·Plan contract
Effective date
Jul 31, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Authority now requires CCOs to submit annual attestations certifying that staff making prior authorization decisions for substance use disorder (SUD) treatment have working knowledge of ASAM Criteria. This replaces detailed reporting requirements with a simpler attestation process.
Action Required
By July 31, 2024: CCOs must submit attestation via Administrative Notice certifying that all staff (including subcontractors) making prior authorization determinations for SUD treatment services have working knowledge of ASAM Criteria. Maintain documentation of staff training, experience, continuing education, and credentials to provide within 5 business days if requested by OHA. False attestations may result in sanctions.