MedicaidPrior AuthMedium impact
Revised minimum standards for SUPPORT Act compliance effective July 1, 2021
Oregon Health Plan·OR · Pain Management, Family Medicine, Internal Medicine +2 more·Plan contract
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Authority has revised minimum standards for Drug Utilization Review (DUR) programs for Coordinated Care Organizations, implementing new SUPPORT Act compliance requirements for opioid prescribing oversight. These standards include new safety edits, quantity limits, therapeutic duplication checks, and monitoring for high-risk patients that may affect prior authorization requirements for opioid prescriptions.
Action Required
By July 1, 2021: Practices billing Oregon Medicaid must ensure compliance with new DUR standards including 7-day supply limits for new short-acting opioids, 90 MED limits for chronic pain treatment, and enhanced monitoring for patients with opioid use disorder. Update prior authorization workflows to account for new safety edits and quantity restrictions. Coordinate with Oregon Health Plan CCOs to understand specific implementation of these standards that may affect claim processing.