MedicaidAdministrativeMedium impact
CY 2021 and 2022 deliverables due in Q2 CY 2022
Oregon Health Plan·OR·Plan contract
Effective date
Feb 15, 2022
We identified it
Aug 19, 2026
Summary
The Oregon Health Authority issued a reminder of multiple Coordinated Care Organization (CCO) contract deliverables due in Q2 2022 for CY 2021 and 2022. This is a compliance notification document listing reporting requirements, submission deadlines (ranging from April 1 to June 30, 2022), and submission methods for Oregon Health Plan CCOs. Billing teams should note this affects encounter data submissions, case management reporting, and various quality/compliance reports required by specific deadlines.
Action Required
By April 30, 2022: Billing and compliance teams at Oregon CCOs must ensure submission of CY 2021 encounter data for Hepatitis C DAA Settlement and case management data template with attestation to EDI SFTP and OAFA SFTP. By April 30, 2022: Submit CY 2021 Cover All Kids risk corridor settlement encounter data to EDI SFTP. Between April 1 and June 30, 2022: Submit multiple CY 2022 quarterly and annual reports including language access services reports (by 04/01), PIL case reports (04/07, 05/06, 06/07), health IT roadmap (by 04/28), MOU updates (by 04/30), pharmacy PBM reports (by 04/30), fraud/waste/abuse audits and referrals (by 04/30), performance improvement projects (by 04/30), grievance and appeal documentation (by 05/02-05/15), network capacity reports (by 05/15), drug utilization reviews (by 06/01), mental health parity analysis (by 06/01), health equity plans and assessments (by 06/30), and community advisory council reports (by 06/30). Designate staff responsibility: billing team for encounter data; compliance/quality teams for clinical and operational reports. Route submissions to CCO.MCODeliverableReports@dhsoha.state.or.us unless otherwise specified (VBP, SFTP sites). Failure to meet deadlines may result in contract compliance violations and potential sanctions from Oregon Health Authority.