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MedicaidAdministrativeMedium impact

CY 2025 and 2026 deliverables due in Q1 CY 2026

Oregon Health Plan·OR·Plan
Effective date
Not stated
We identified it
Aug 19, 2026
Days to comply
—

Summary

This is an Oregon Medicaid CCO (Coordinated Care Organization) contract deliverables reminder for compliance reporting due in Q1 2026. The document compiles required submissions for Contract Years 2025 and 2026, including fraud/waste/abuse reports, prior authorization data, pharmacy benefit manager attestations, and clinical performance reports. Healthcare practices contracting with Oregon Medicaid CCOs must ensure all listed deliverables are submitted by their specified due dates via the OHA CCO portal or designated methods.

Action Required

Action needed
By March 31, 2026: Oregon Medicaid contracting practices must ensure compliance with all Q1 2026 CCO deliverables listed in this reminder. Billing and compliance teams should: (1) Cross-reference your organization's CCO contract deliverable obligations against the dated submission list; (2) For CY 2025 deliverables: Submit language access reports (by 01/01/2026), PIL case reports (by 01/08/2026), FWA audit and referral reports (by 01/30-01/31/2026), PIP status reports (by 01/31/2026), care coordination reports (by 02/14/2026), and medical transportation QA reports (by 03/31/2026) via the CCO portal; (3) For CY 2026 deliverables: Submit preferred drug lists and prior auth criteria (by 01/15/2026), perinatal/FCO designee information (by 01/15/2026), language self-assessment (by 01/19/2026), organizational charts (by 01/30/2026), PIL reports (by 02/06/2026), Medicare crossover claims attestation (by 02/15/2026), subcontractor reports (by 03/01/2026), and prior auth data excluding pharmacy (by 03/31/2026) via portal; (4) Coordinate with leadership to ensure accurate organizational and subcontractor information is current; (5) Flag any discrepancies between contract terms and submission requirements with OHA CCO Operations (Cheryl.Henning@oha.oregon.gov). Failure to meet deadlines may result in contract non-compliance findings and potential payment holds.

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