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Oregon Health PlanMedicaid · Coverage · Plan · ORHigh impact

Planned Parenthood claims

Effective date
Jul 4, 2025
Identified
Oct 6, 2026

Summary

The July 9, 2025 memo instructed CCOs to hold affected Planned Parenthood claims under the 2025 Medicaid Contract, excluding separate Non-Medicaid and OHP Bridge contracts. This historical instruction was subsequently updated. Update #5, issued September 23, 2025, restored processing for July 4–September 10 service dates and narrowed later holds; current October 2026 applicability is not established by this memo.

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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

Planned Parenthood claims
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