MedicaidAdministrativeLow impact
Provider Announcement
Oregon Health Plan·OR·Plan contract
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
The Oregon Health Authority has waived the requirement for Coordinated Care Organizations (CCOs) to submit Patient Centered Primary Care Homes (PCPCH) work plans by February 15, 2020. This waiver eliminates the need to submit plans for increasing PCPCH membership and tier advancement targets, though all other PCPCH contract requirements remain in effect.
Action Required
No billing team action required. This policy affects CCO contract administrative requirements, not billing, coding, or claims processing. Administrative staff responsible for CCO contract compliance should note that PCPCH work plan submissions are waived, but continue to comply with all other PCPCH network requirements under the CCO 2.0 contract.