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Oregon Health PlanMedicaid · Documentation · Provider · OR · Psychiatry, General PracticeMedium impact

1915(i) Home and Community Based Services (HCBS) Referral Documentation Standards Update

Act
by Jul 31, 2026
Effective date
Jul 31, 2026
Identified
Jul 31, 2026

Summary

Oregon's 1915(i) HCBS program is eliminating the requirement for Mental Health Assessments, Residential Care/Treatment Plans, and Progress Notes in referral packets effective July 31, 2026. Referrals now only need documentation dated within 18 months confirming a qualifying psychiatric diagnosis signed by a QMHP or LPHA. This reduces administrative burden and streamlines the referral process.

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What to do

by Jul 31, 2026 · 6 steps
01Billing and referral teams must update 1915(i) HCBS referral submission procedures to comply with the new documentation standards.
02Stop requiring Mental Health Assessments, Residential Care/Treatment Plans, and Progress Notes in referral packets.
03Ensure all referrals submitted through the Comagine Health Provider Portal or via secure email/fax include only: (1) documentation dated within past 18 months, (2) confirmation of qualifying psychiatric diagnosis, and (3) signature from QMHP or LPHA.
04Update internal referral checklists and provider communication templates.
05Monitor for updated referral forms from OHA.
06Contact 1915i.MedicaidPolicy@odhsoha.oregon.gov with implementation questions.

Original notice

1915(i) Home and Community Based Services (HCBS) Referral Documentation Standards Update
oregon.gov · Always check the source before changing claims.
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Oregon Health Plan policiesOR policy changesPsychiatryGeneral Practice

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