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Oregon Health PlanMedicaid · Coverage · Provider · OR · Oncology, OB-GYNHigh impact

Breast and Cervical Cancer Treatment Program Updates Related to Federal Changes

Act
by Jan 1, 2027
Effective date
Jan 1, 2027
Identified
Oct 27, 2026

Summary

Oregon Health Plan (OHP) is implementing three changes to the Breast and Cervical Cancer Treatment Program (BCCTP) due to federal requirements: (1) noncitizen immigration status eligibility changes effective October 1, 2026 (already in effect); (2) transition of Healthier Oregon members to OHP Open Card starting January 1, 2027, requiring providers to bill OHA directly instead of CCOs; and (3) retroactive coverage reduction from three months to two months for newly eligible BCCTP members effective January 1, 2027.

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What to do

by Jan 1, 2027 · 5 steps
01Billing team must update systems to bill OHA directly (not CCOs) for BCCTP members who transition to OHP Open Card, and verify provider enrollment in OHP Open Card on the OHP Provider Enrollment page.
02Update billing workflows to reflect that new BCCTP members will receive up to two months of retroactive coverage (not three months).
03Providers determining presumptive BCCTP eligibility must immediately use the updated BCCTP Application and Referral Form (OHA 1463), which includes the new BCCTP Quick Guide to Citizen and Non-Citizen Eligibility to assess immigration status qualification.
04Front desk and eligibility staff should urge members to update contact information and respond timely to OHP mail notices.
05Contact OHP Provider Services at DMAP.Providerservices@odhsoha.oregon.gov or 800-336-6016 (option 5) for Open Card billing questions, or ONE Customer Service at 800-699-9075 (TTY 711) for BCCTP eligibility questions.

Original notice

Breast and Cervical Cancer Treatment Program Updates Related to Federal Changes
oregon.gov · Always check the source before changing claims.
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Oregon Health Plan policiesOR policy changesOncologyOB-GYN

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