MedicaidAdministrativeMedium impact
Changes to DCO deliverable due dates due to COVID-19 response
Oregon Health Plan·OR · Dentistry·Plan
Effective date
Mar 27, 2020
We identified it
Aug 19, 2026
Summary
This policy extends or waives multiple contract deliverable due dates for Dental Care Organizations (DCOs) in Oregon due to COVID-19 response prioritization. Key changes include: extending FWA and financial reporting deadlines to mid-2020 or early 2021, consolidating quarterly FWA audit reports into an annual submission, waiving Q1 and Q2 2020 PIP progress reports, and extending EQRO compliance review documentation. Some CMS-required submissions (Grievance/Appeal logs and Exhibit L financial reports) remain unchanged to preserve rate-setting schedules.
Action Required
For DCO dental billing teams in Oregon: (1) Immediately distribute the enclosed deliverable extension list to all contracted providers and internal departments; (2) Update your internal compliance calendar and submission tracker to reflect new due dates—specifically note September 30, 2020 for FWA Handbook and Plan submissions, October 19, 2020 for Language Access reports, October 30, 2020 for DSN Capacity reports, November 30, 2020 for MLR Rebate reports, and January 31, 2021 for Lien Release Template; (3) Stop preparing Q1CY2020 and Q2CY2020 PIP Progress Reports (waived) and Q1CY2020 NAIC submissions (waived)—consolidate these efforts into annual reporting by January 31, 2021; (4) Flag that Grievance/Appeal System logs and Exhibit L financial reports have NO extension (due dates unchanged at May 15, 2020 and May 31, 2020 respectively) to avoid missed CMS-required submissions; (5) Coordinate with finance team to extend Q1 financial statement submissions to June 30, 2020 and Q1 Third Party Payer recovery reports to June 30, 2020, but keep June 30, 2020 audit financial statements and mid-September to November 1, 2020 EQRO on-site review windows as stated. Contact Kellie.M.Skenandore@dhsohastate.or.us with questions. Failure to track these new deadlines may result in compliance violations with Oregon Health Authority contracts.