MedicaidAdministrativeLow impact
Provider Announcement
Oregon Health Plan·OR·Plan contract
Effective date
Mar 13, 2020
We identified it
Jun 20, 2026
Summary
This is a clarification from Oregon's Health Systems Division regarding Traditional Health Worker (THW) Integration and Utilization reporting requirements for Coordinated Care Organizations (CCOs). The policy clarifies that while CCOs must implement their THW plans and submit updated plans by November 15 annually, the THW Integration and Utilization Report submission in 2020 is NOT contractually required due to a clerical error in the contract—though OHA encourages voluntary submission and data collection.
Action Required
This policy does not directly impact medical billing teams or individual healthcare provider practices. This is an administrative notice directed to Coordinated Care Organizations (CCOs) regarding contract compliance and reporting requirements with Oregon Health Authority. No billing workflow, coding, or documentation changes are required for individual providers or billing staff. If your practice is contracted with a CCO, monitor for any cascading guidance from your CCO regarding THW program participation, but no immediate action is required by billing teams.