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Fee-for-service coverage of COVID-19 home testing effective November 8, 2021

Oregon Health Plan·OR·Provider
Effective date
Nov 8, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Plan will cover COVID-19 home testing kits through pharmacy point-of-sale for fee-for-service OHP and CAWEM members starting November 8, 2021. Up to 4 tests per month are covered without prior authorization for symptomatic patients or those with confirmed/suspected exposure.

Action Required

Action needed
Immediately: Counsel Oregon Health Plan patients about new coverage for COVID-19 home testing kits available through pharmacies. Request prior authorization for patients needing more than 4 tests per month or for test products requiring internet/smartphone connectivity.