MedicaidCoverageMedium impact
COVID-19 commercialization effective date; effect on CCO members under age 19
Oregon Health Plan·OR · Family Medicine, Internal Medicine, Pediatrics·Plan contract
Effective date
Sep 11, 2023
We identified it
Jun 20, 2026
Summary
Effective September 11, 2023, Oregon Health Plan (Medicaid) only covers COVID-19 vaccines for children under 19 from VFC-enrolled providers, with enforcement delayed until November 1, 2023. Children can receive vaccines from any Oregon VFC provider regardless of CCO contracts, with non-contracted VFC providers billing OHA directly for administration.
Action Required
By November 1, 2023: Billing team must ensure COVID-19 vaccines for Oregon Health Plan members under age 19 are only administered by VFC-enrolled providers. Verify provider VFC status using the Public Health Division's map or contact VFC help desk at 800-980-9431. For non-contracted VFC providers, bill OHA directly for vaccine administration (VFC providers do not bill for the vaccine itself as it's provided at no cost).