MedicaidAdministrativeMedium impact
CY 2024 and 2025 deliverables due Q3 CY 2025
Oregon Health Plan·OR·Plan
We identified it
Aug 19, 2026
Summary
Oregon Health Authority issued a reminder of multiple CY 2024 and 2025 contract deliverables due in Q3 2025 for Coordinated Care Organizations (CCOs). This is a compilation memo listing specific reporting requirements, submission methods, and deadlines for various operational, quality, and compliance reports. Most deliverables apply to Oregon Medicaid plans and related programs; healthcare practices billing these plans must ensure their CCO partners submit required documentation on time to maintain contract compliance.
Action Required
By Q3 2025 (July 1 – September 30, 2025): Billing and compliance teams should coordinate with their contracted CCOs to verify receipt and timeliness of all required contract deliverables listed in this memo. Specifically: (1) Verify CCO submission of Q2 FWA Audit Reports and Referrals/Investigations reports by 07/30/2025 via Portal; (2) Ensure CCO submits Q2 Grievance & Appeal Log by 08/14/2025 via Portal; (3) Confirm Quality Pool distribution plan submitted by 08/29/2025 via Portal; (4) Verify CCO provides updated 2026 Member Handbook by 10/01/2025 and NEMT Rider Guide by 11/01/2025. Delays in CCO compliance may impact contract standing and member benefits. Contact Cheryl Henning (Cheryl.L.Henning@oha.oregon.gov) with questions. Medical practices should not directly submit these deliverables unless explicitly named as a required submitter (e.g., PCPCH providers submitting facility-level data per Ex. B, Pt. 4, Sec. 6, Para. b—due date TBD).