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MedicaidAdministrativeMedium impact

Timely payment of Indian Health Care Providers’ claims

Oregon Health Plan·OR·Plan contract
Effective date
Jan 31, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority is requiring Coordinated Care Organizations (CCOs) and Dental Care Organizations (DCOs) to pay all valid claims from Indian Health Care Providers within 30-90 days of receipt, with immediate compliance required by January 31, 2022 for all claims that will be 90+ days old by that date.

Action Required

Action needed
By January 31, 2022: Billing teams working with Oregon Medicaid managed care plans must ensure all valid claims submitted to Indian Health Care Providers that will be 90+ days old by January 31st are paid. Review aging reports for IHCP claims and prioritize payment processing. Contact CCO/DCO partners if subcontracting claim processing to ensure compliance with timely payment requirements.