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Guidance for Developing Local HR1 Resource Lists
Effective date
Jan 1, 2027
Identified
Sep 29, 2026
Summary
Oregon's Medicaid Division (OHA) is directing Coordinated Care Organizations (CCOs) to develop and share local resource lists to help members comply with new federal HR1 work or activity requirements effective January 1, 2027. This is an administrative guidance memo for CCO operations, not a direct billing policy change. Medical billing teams should be aware that members may need documentation support for work, education, or volunteering activities to maintain OHP coverage.
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What to do
Action · 7 steps
01No direct action required for the billing team.
02This is administrative guidance for CCO operations, not a billing or coding change.
03However, billing teams should be prepared for.
04Potential member inquiries regarding HR1 compliance resources—providers can direct members to OregonHealthCare.gov/GetHelp.
05Possible delays or documentation requests from members attempting to verify work/education/volunteering activities to maintain coverage.
06Communication from your CCO's designated resource list contact regarding member eligibility documentation.
07If your practice works with Oregon Medicaid (OHP), ensure familiarity with the new HR1 requirements taking effect January 1, 2027, and coordinate with your CCO on any member eligibility verification processes.
Original notice
Guidance for Developing Local HR1 Resource Lists
oregon.gov · Always check the source before changing claims.