MedicaidAdministrativeLow impact
Fee-for-service reprocessing of Citizenship Waived Medical Plus postpartum professional and dental claims
Oregon Health Plan·OR · OB-GYN, Dentistry·Provider
Effective date
Jan 27, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will automatically reprocess professional and dental claims for postpartum Citizenship Waived Medical Plus services paid from January 1, 2021 through September 30, 2022 to ensure they are paid through RHEA funds instead of Medicaid funds. No provider action is required as this is an administrative reprocessing.
Action Required
No action required: Oregon Health Authority will automatically reprocess affected postpartum CWM Plus professional and dental claims. Billing teams may receive updated remittance advice for previously processed claims but no changes to current billing practices are needed.