MedicaidAdministrativeMedium impact
Face-to-face and in-person assessments required for individuals who receive 1915(i) and Behavioral Health Personal Care Attendant services effective Aug. 15, 2023
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Aug 15, 2023
We identified it
Jun 20, 2026
Summary
Starting August 15, 2023, Oregon's Medicaid program requires all 1915(i) service eligibility assessments to be conducted in-person or via telehealth (no longer by phone), and all Behavioral Health Personal Care Attendant (BH PCA) service assessments must be conducted in-person only. This ends COVID-19 phone assessment flexibilities that expired with the Public Health Emergency.
Action Required
By August 15, 2023: Billing team must notify all patients requiring 1915(i) or BH PCA service eligibility assessments that phone assessments are no longer available. Coordinate with Comagine Health to schedule in-person assessments for BH PCA services or in-person/telehealth assessments for 1915(i) services. Update patient scheduling protocols to reflect these assessment requirements.