MedicaidAdministrativeLow impact
FFS NEMT brokerage responsibility for travel to administrative medical examinations
Oregon Health Plan·OR·Provider
Effective date
Apr 8, 2021
We identified it
Jun 20, 2026
Summary
Oregon Fee-for-Service NEMT brokerages must now provide transportation to administrative medical examinations even for patients with CCO coverage, using OHP 729B forms as authorization. Brokerages should bill OHA directly instead of CCOs for these rides.
Action Required
Immediately: NEMT brokerages must accept OHP 729B forms as confirmation of FFS coverage for administrative medical examinations. Schedule transportation even if patient appears to have CCO coverage. Bill OHA directly using information from OHP 729B form, not the patient's CCO plan.