MedicaidAdministrativeMedium impact
Status of fee-for-service claims for COVID-19-related services delivered to CAWEM members
Oregon Health Plan·OR·Provider
Effective date
Apr 22, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is experiencing system issues processing COVID-19 related claims for CAWEM members, including pharmacy claims for vaccine administration showing as 'paid' without payment amounts and denial of COVID-19 testing claims. Providers should continue billing normally while OHA works to resolve these payment processing issues.
Action Required
Continue billing COVID-19 services normally for CAWEM members despite system payment issues. Monitor remittance advice and Provider Web Portal for unusual claim statuses. Verify eligibility using OHP Eligibility Verification Quick Reference and follow Oregon Medicaid COVID-19 Provider Guide for billing instructions. Contact Provider Services at 800-336-6016 for questions about payment delays.