MedicaidAdministrativeLow impact
Collaboration between CCOs and NEMT subcontractors for out of area members - Updated 8/8/2023 with additional subcontractor information
Oregon Health Plan·OR·Plan contract
Effective date
Jul 17, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority now encourages collaboration between Coordinated Care Organizations (CCOs) and their non-emergent medical transportation (NEMT) subcontractors to serve Medicaid members temporarily located outside their CCO's service area. The policy provides contact information for cross-CCO collaboration and reimbursement processes.
Action Required
No immediate action required for billing teams. This policy primarily affects transportation coordination between CCOs and does not impact medical billing procedures, codes, or claim submission processes.