MedicaidAdministrativeLow impact
Waiver of SDOH Measure elements reporting in CY 2026 Updated HIT Roadmap
Oregon Health Plan·OR·Plan contract
Effective date
Jan 20, 2026
We identified it
Aug 19, 2026
Summary
Oregon Health Authority is waiving the requirement for Coordinated Care Organizations (CCOs) to include Social Determinants of Health (SDOH) Measure elements 3, 6, 7, and 13 data collection in their CY 2026 Updated HIT Roadmap. CCOs are no longer required to report this specific SDOH information for Measurement Year 2025, though all other HIT Roadmap requirements remain in effect.
Action Required
No immediate billing team action required. This waiver is directed at CCO contract compliance and HIT infrastructure reporting requirements, not clinical billing or coding. However, billing leadership should: (1) Notify compliance and IT departments of the SDOH Measure elements waiver for CY 2026; (2) Confirm with your CCO or managed care plan contact whether your organization is affected by this Oregon-specific requirement; (3) If your practice contracts with Oregon CCOs, coordinate with those entities to ensure they understand the revised reporting requirements so they do not request SDOH data from your practice for the 2025 measurement year.