MedicaidAdministrativeLow impact
NEMT coverage of travel to Women, Infants and Children (WIC) program service visits
Oregon Health Plan·OR · Family Medicine, Pediatrics, OB-GYN·Plan contract
Effective date
Sep 15, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority clarified that certain WIC program services are eligible for Non-Emergent Medical Transportation (NEMT) coverage under Oregon Health Plan, including specific certification visits, dietitian consultations, and lactation services. Transportation brokerages must verify appointments with members only, not directly with WIC clinics.
Action Required
Immediately: NEMT brokerages and transportation coordinators must verify WIC appointment eligibility directly with OHP members rather than calling WIC clinics. Staff should confirm the member's visit is for covered WIC services (certification visits, dietitian consultations, or lactation services) before approving transportation. Do not attempt to verify appointments with WIC providers due to consent requirements.