MedicaidAdministrativeMedium impact
Retroactive rule issued to correct the Prioritized List reference in OAR 410-141-3830
Oregon Health Plan·OR·Plan
Effective date
Jan 1, 2022
We identified it
Aug 19, 2026
Summary
Oregon Health Authority issued a retroactive rule correction on June 17, 2022, fixing an administrative oversight where OAR 410-141-3830 incorrectly referenced the prior Prioritized List instead of the 1/1/2022 list from January through mid-April 2022. Billing teams using the Prioritized List for claims processing and prior authorization must confirm they are referencing the correct 1/1/2022 list and may cite this retroactive rule for any disputed claims with dates between 1/1/22–4/14/22.
Action Required
By June 30, 2022: Billing team and prior authorization reviewers must confirm that all claims processing and prior auth decisions for dates 1/1/22–4/14/22 relied on the 1/1/2022 Prioritized List, not the prior list. For any retroactive claim denials or disputes during this period that cite the Prioritized List, reference this retroactive rule correction when appealing or resubmitting. No system changes required—the web link was correct throughout. Contact your CCO Account Representative if claims from this period were incorrectly processed based on the wrong list reference.