MedicaidCoverageMedium impact
Replacement Durable Medical Equipment (DME), Supplies, and Prescription Drugs in Event of Natural Disasters
Oregon Health Plan·OR·Plan
Effective date
Sep 10, 2020
We identified it
Jun 20, 2026
Summary
Oregon Health Plan (Medicaid) has issued emergency guidance requiring Coordinated Care Organizations (CCOs) to immediately provide replacement durable medical equipment, supplies, and prescription drugs for members who lost these items due to natural disasters like wildfires. This covers emergency dispensing and DME replacement without normal prior authorization delays.
Action Required
Immediately: For Oregon Medicaid (OHP) patients affected by natural disasters, billing teams should coordinate with CCOs to expedite replacement DME, supplies, and prescription drug claims. Contact assigned CCO Account Representatives directly when members need emergency replacements due to disaster-related loss. Process emergency prescription dispensing for 96-hour supplies (no pending PA) or 7-day supplies (with pending PA) without standard prior authorization delays.