MedicaidAdministrativeLow impact
Extension of CCO enrollment limits waiver through June 30, 2021
Oregon Health Plan·OR·Plan
Effective date
Dec 22, 2020
We identified it
Jun 20, 2026
Summary
The Oregon Health Authority extends a waiver of CCO enrollment limits through June 30, 2021. This waiver allows Coordinated Care Organizations to exceed county-level and grand total enrollment caps specified in their CCO 2.0 contracts. The waiver applies only to enrollment limits and does not affect other contract requirements or service area restrictions.
Action Required
This policy change does not require billing team action. The waiver affects CCO operational enrollment management and contract compliance, not claims processing, billing codes, documentation, or reimbursement. Billing teams should be aware this waiver extends through June 30, 2021, but no workflow modifications are needed.