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MedicaidAdministrativeLow impact

Extreme heat outreach to vulnerable and at-risk OHP members

Oregon Health Plan·OR·Plan
Effective date
Jul 27, 2021
We identified it
Aug 19, 2026
Days to comply

Summary

This is an Oregon Health Plan (OHP) outreach directive requiring Coordinated Care Organizations and managed care plans to proactively contact vulnerable and at-risk members during extreme heat events. The policy provides guidance on identifying priority members (elderly, chronic illness, unhoused, low-income) and directs practices to share heat safety resources and cooling center information. This is informational/operational guidance rather than a billing or coverage change.

Action Required

Action needed
No billing-specific action required. This policy is administrative outreach guidance directed at care coordination organizations, not billing operations. Front-line clinical and care coordination staff (not billing team) should be aware that vulnerable OHP members in Oregon may receive proactive heat safety outreach during extreme weather events. No billing codes, prior authorization requirements, or documentation standards are affected by this directive.