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Special Alert July 2026 - Update to Health Share’s Clinical Practice Guidelines
Providence Health Plan·OR · Allergy & Immunology, Pediatrics, Family Medicine +2 more·Provider News
We identified it
Jul 15, 2026
Summary
Health Share of Oregon has updated its Clinical Practice Guidelines, replacing CDC ACIP immunization guidelines with the AAP Immunization Schedule. Billing teams must review the updated guidelines at the provided link to identify which immunization codes and protocols have changed to ensure accurate claim submission and compliance with the new standards.
Action Required
Immediately: Billing team and clinical staff must access and review Health Share's updated Clinical Practice Guidelines at https://www.healthshareoforegonpartners.org/clinical-practice-guidelines to identify specific immunization code changes. Update billing system rules and encounter templates to reflect AAP Immunization Schedule requirements instead of CDC ACIP guidelines. Verify which immunization CPT codes (90xxx series) and any associated ICD-10 codes are affected by this change. Communicate changes to providers and front desk staff. Failure to align with the new AAP guidelines may result in claim denials or medical necessity challenges.