MedicaidAdministrativeMedium impact
Suspension of credentialing requirements for COVID-19 vaccination administration providers & requirements for encounter submissions for COVID-19 vaccinations
Oregon Health Plan·OR · Family Medicine, Internal Medicine, General Practice +1 more·Plan contract
Effective date
Mar 12, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Authority has temporarily suspended credentialing requirements for COVID-19 vaccination administration providers enrolled in Medicare or other state Medicaid programs. CCOs can now rely on existing enrollments and allow non-enrolled providers to bill under supervising enrolled practitioners for COVID-19 vaccine administration.
Action Required
Immediately: Billing team must identify COVID-19 vaccine administration providers by looking for 'COVID' in the license number field in weekly provider enrollment files. For non-enrolled vaccine administrators (traveling pharmacists, EMTs, RNs, National Guard), submit claims using the supervising enrolled pharmacist or medical provider as the rendering provider. Update billing system to accept these provider arrangements for COVID-19 vaccine administration claims.