MedicaidAdministrativeMedium impact
FFS member transition from DCOs to CCOs
Oregon Health Plan·OR · Dentistry·Plan contract
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Effective January 1, 2023, Oregon Medicaid Fee-for-Service (FFS) members receiving dental services through Dental Care Organizations (DCOs) will transition to Coordinated Care Organizations (CCOs) for both dental and non-emergent medical transportation services. This change affects which entity is responsible for paying NEMT services and which brokerage members use for transportation to appointments.
Action Required
By December 31, 2022: Billing teams serving Oregon Medicaid patients must verify whether FFS members are enrolled in DCOs or CCOs to determine correct billing entity for dental and NEMT services. Update patient records to reflect CCO enrollment changes effective January 1, 2023. Monitor for additional guidance from OHA regarding specific billing procedures for the transition.