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MedicaidAdministrativeLow impact

CCO financial support to OHP-certified Community Partner organizations

Oregon Health Plan·OR·Plan contract
Effective date
Mar 3, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority now allows Coordinated Care Organizations (CCOs) to provide financial support to OHP-certified Community Partner organizations for enrollment assistance activities. This reverses previous policy that prohibited such financial support, with specific conditions around marketing restrictions and organizational independence.

Action Required

Action needed
No immediate action required for billing teams. This policy change affects CCO relationships with community enrollment organizations, not billing procedures or claim processing.