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Oregon Health PlanMedicaid · Coverage · Plan · OR · Family Medicine, Internal Medicine, General Practice +1 moreMedium impact

OHP coverage of home blood pressure monitoring services during the COVID-19 emergency

Act
immediately
Effective date
Sep 3, 2020
Identified
Jun 20, 2026

Summary

Oregon Health Plan (OHP) now covers home blood pressure monitoring supplies and related services during COVID-19 emergency without prior authorization. This includes standard and automatic blood pressure cuffs along with patient education and monitoring services when provided in conjunction with telemedicine visits.

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What to do

immediately · 4 steps
01Billing team should begin billing codes A4760 and A4670 for blood pressure cuffs without prior authorization for OHP members with above-the-line diagnoses on Oregon's Prioritized List.
02Use CPT codes 99473 for patient education/training and 99474 for 30-day monitoring services.
03Ensure proper documentation of medical necessity and telemedicine visit notes.
04For fee-for-service members, prescriptions must be filled by OHP-enrolled DME suppliers.

Codes mentioned

A4760A46709947399474

Original notice

OHP coverage of home blood pressure monitoring services during the COVID-19 emergency
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