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MedicaidAdministrativeMedium impact

final Reminder Q2CY2025 CCO deliverables 03312025

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

Summary

This is a Q2 2025 reminder from Oregon Health Authority listing all CCO (Coordinated Care Organization) contract deliverables due between April 1 and June 30, 2025. The document consolidates previously communicated requirements for CY 2024 and CY 2025 across Medicaid, Non-Medicaid, and OHP Bridge-Basic Health Program contracts. Medical billing teams at healthcare practices must ensure their organizations meet these portal submission, EDI SFTP, and HSAG SAFE reporting deadlines or face contract compliance issues.

Action Required

Action needed
ACTION ITEMS FOR BILLING AND COMPLIANCE TEAMS (Oregon practices only): (1) By April 1, 2025: Submit CY 2024 Language Access and Interpreter Services quarterly report via Portal. (2) By April 25, 2025: Submit all encounter data for Handicapping Malocclusions, Mobile Crisis, and CWM/CWX eligible services Risk Corridors via EDI SFTP (Medicaid only). (3) By April 30, 2025: Submit Q1 FWA Audit Report, Q1 FWA Referrals/Investigations report, updated Health IT Roadmap, and Q1 Intensive In-home Behavioral Health referrals/enrollments report via Portal. (4) By May 2, 2025: Submit Patient-Centered Primary Care Home VBP data and questionnaire via Portal. (5) By May 15, 2025: Submit Health-Related Social Needs report, Transformation and Quality Strategy attestation, Delivery System Network Provider Capacity Report, and Grievance & Appeal Log via Portal. (6) By May 30, 2025: Submit CY 2024 Annual Statewide Performance Improvement Project status report and CCO-LTSS MOU coordination report via Portal. (7) By June 1, 2025: Submit Centers for Medicare and Medicaid Drug Utilization Review Survey (submission method TBD). (8) By June 1, 2025: Submit Mental Health Parity analysis documentation via HSAG SAFE. (9) By June 29, 2025: Submit Q1 Non-Emergent Medical Transportation quality assurance report via Portal. (10) By June 30, 2025: Submit updated Health Equity Plan with training/education and assessment reports, and Community Advisory Council demographic report via Portal. COMPLIANCE OWNER: CCO Contracts Administrator and Finance/Operations teams must track all deadlines and coordinate with appropriate departments (encounter data team, quality/compliance, IT, behavioral health, network management). CONSEQUENCE: Failure to meet any deadline may result in contract compliance violations, audit findings, or corrective action plans from OHA.