MedicaidCoverageMedium impact
12-month eligibility for Oregon Health Plan post-partum benefits
Oregon Health Plan·OR · OB-GYN, Family Medicine, Pediatrics·Plan
Effective date
Apr 1, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Plan has extended post-partum benefits from 2 months to 12 months following pregnancy end for eligible members. This affects billing for supplemental services under OHP Plus (BMP) and BMH benefit plans, with coverage continuing regardless of most circumstance changes.
Action Required
Immediately: Billing team should verify Oregon Health Plan member eligibility extends 12 months post-partum (instead of 2 months) for pregnancies ending on or after April 1, 2021. Update eligibility verification procedures to check for BMP (ages 21+) and BMH (under 21) supplemental benefits. Providers can retroactively bill for covered services within one year of coverage being added to system.