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Oregon Health PlanMedicaid · Administrative · Plan contract · OR · OB-GYNHigh impact

Update # 4 regarding Planned Parenthood claims memo 09162025

Effective date
Not stated in the notice
Identified
Oct 6, 2026

Summary

Update #4, dated September 16, 2025, instructed CCOs to hold not-yet-adjudicated Planned Parenthood Medicaid-contract claims, excluded HOP and separate Non-Medicaid/OHP Bridge contracts, and said not to reprocess adjudicated claims. Update #5 on September 23 subsequently changed the affected service-date window. These historical documents do not establish a current October 2026 claims-hold instruction.

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What to do

Action · 3 steps
01Historical reference only.
02Before changing claims processing now, obtain current OHA guidance for the relevant service dates and contract/program, including the later Update #5 and any subsequent instructions.
03Do not implement a new blanket hold, payment block or reprocessing workflow from this backfilled 2025 memo.

Original notice

Update # 4 regarding Planned Parenthood claims memo 09162025
oregon.gov no longer serves this document. We saved a copy on Nov 6, 2026.
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Related changes

See all Oregon Health Plan changes →
Planned Parenthood claimsHighEffective Jul 4, 2025 · PlanUpdate #5 regarding Planned Parenthood claimsLowNo effective date · Plan contractUpdate # 4 regarding Planned Parenthood claims memo 09162025HighEffective Sep 16, 2025 · Plan contractBrowse every Oregon Health Plan change in the policy list

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Oregon Health Plan policiesOR policy changesOB-GYN

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