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MedicaidCoverageMedium impact

Replacement of full dentures and/or partial dentures in the event of natural disasters

Oregon Health Plan·OR · Dentistry·Plan
Effective date
Sep 21, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Plan (Medicaid) now provides emergency coverage for replacement full and partial dentures lost due to natural disasters, effective immediately. CCOs and DCOs must fast-track approval and provision of replacement dentures for displaced members without normal prior authorization delays.

Action Required

Action needed
Immediately: Billing team should flag Oregon Medicaid (OHP) members requesting emergency denture replacements due to natural disasters for expedited processing. Contact assigned CCO Account Representative or Dental Program Manager for direct coordination. Document disaster-related loss as medical necessity to bypass normal replacement limitations under OAR 410-123-1260 exceptions.