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Oregon Health PlanMedicaid · Administrative · Plan contract · ORMedium impact

Health Related Social Needs (HRSN) Data Submission Guidance for Healthier Oregon Transition of Care

Act
by Nov 2, 2026
Effective date
Jan 1, 2027
Identified
Oct 17, 2026

Summary

Oregon's Medicaid Division requires Coordinated Care Organizations (CCOs) to submit Health Related Social Needs (HRSN) data for members transitioning from CCO enrollment to the Open Card fee-for-service program effective January 1, 2027. CCOs must submit member roster files and supporting documentation on four staggered dates between November 2, 2026, and January 6, 2027, using specific file naming conventions via the Actuarial Managed File Transfer (MFT) server.

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What to do

by Nov 2, 2026 · 5 steps
01Billing and administrative teams should verify whether your practice participates as a CCO under Oregon's Healthier Oregon program.
02If so, coordinate with CCO Operations to ensure HRSN member roster files and supporting documentation are prepared and submitted to OHA via the Actuarial MFT server (https://odhsoha.mft.oregon.gov/) by the designated deadline.
03Subsequent submissions are required by December 7, 2026; December 22, 2026; and January 6, 2027, each covering members with HRSN service authorizations, referrals, or requests through the specified date ranges.
04All files must follow the naming convention: 'Acentra_HOT_[CCO Name]_HRSN_memberroster_[YYYYMMDD]' for roster files and 'MedicaidID_Acentra_HOT_[CCO Name]_HRSN_lastname_firstname_[originalfilename]_[YYYYMMDD].pdf' for supporting documentation.
05Verify that all required data elements (Member Medicaid ID, names, procedure codes, modifier codes, diagnosis codes, service dates, and provider information) are accurate and complete.
If missed: Failure to submit timely data will disrupt HRSN benefit continuity for transitioning members on January 1, 2027.

Original notice

Health Related Social Needs (HRSN) Data Submission Guidance for Healthier Oregon Transition of Care
oregon.gov · Always check the source before changing claims.
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Related changes

See all Oregon Health Plan changes →
Care Coordination Data Guidance for the Healthier Oregon TransitionLowNo effective date · Plan contractBrowse every Oregon Health Plan change in the policy list

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