MedicaidReimbursementLow impact
Reimbursement for denied FFS NEMT claims related to July 2023 member disenrollment error
Oregon Health Plan·OR·Provider
Effective date
Sep 15, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will reimburse FFS NEMT brokerages for claims that were denied due to a retroactive CCO disenrollment error affecting 2,411 members from July 14-20, 2023. Affected brokerages must submit a detailed spreadsheet of denied claims to receive reimbursement.
Action Required
Oregon FFS NEMT brokerages only: Submit spreadsheet of denied claims for services July 14-20, 2023 via secure email to awab.al-rawe@oha.oregon.gov. Include dates of service, procedure codes, member IDs, billed amounts, and billing provider ID for affected members.