MedicaidAdministrativeMedium impact
Summary of January 1, 2022, rule changes footnoted in 2022 CCO contract
Oregon Health Plan·OR · Dentistry·Plan contract
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon updated multiple administrative rules for Coordinated Care Organizations (CCOs) effective January 1, 2022, including revised definitions for providers and networks, new telehealth requirements with reimbursement parity, updated dental care access timeframes, and enhanced care coordination flexibility during COVID-19.
Action Required
Review telehealth billing procedures to ensure compliance with revised Oregon telehealth requirements including parity reimbursement for in-person and telemedicine services. Update provider network documentation to reflect new definitions of 'Participating Provider' and 'Network Provider' as equivalent terms. Verify dental emergency services can be accessed within 24 hours and urgent dental care within appropriate timeframes (2 weeks for children/non-pregnant, 1 week for pregnant individuals).