MedicaidReimbursementMedium impact
Notice of intent – OHA will amend the Medicaid and Children’s Health Insurance Program (CHIP) State Plans to affirm compliance with COVID-19 coverage and reimbursement requirements mandated by the American Rescue Plan Act of 2021
Oregon Health Plan·OR·Public notice
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is submitting State Plan Amendments to align with American Rescue Plan Act requirements for COVID-19 services. COVID-19 vaccines, testing (codes U0001-U0005), and monoclonal antibody treatments will be reimbursed at 100% of Medicare rates for Medicaid and CHIP patients.
Action Required
By July 15, 2022: Billing team should review current COVID-19 service billing practices for Medicaid/CHIP patients to ensure alignment with 100% Medicare rate reimbursement. Verify billing system captures vaccine administration, testing codes U0001-U0005, and monoclonal antibody treatments at correct rates. Contact jesse.anderson@dhsoha.state.or.us with any questions or comments before the deadline.