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Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · June 29, 2026 · Primary source

141-3545-06292026.pdf: OAR 410-141-3545 amended to allow Coordinated Care Organizations to contract with certain out-of-state outpatient behavioral health provider organizations.

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Summary

Oregon Health Authority filed a temporary administrative order effective June 29, 2026 through December 25, 2026, amending OAR 410-141-3545 to permit CCOs to contract with outpatient behavioral health provider organizations located outside Oregon without an OHA Certificate of Approval, provided the provider is within 75 miles of the Oregon border, contiguous to the CCO's service area, and licensed in good standing in its home state. The rule directly responds to contract renewal problems for a Portland-area CCO contracting with a Vancouver, WA clinic and an eastern Oregon CCO with Boise, ID behavioral health clinics. The change expands network access for OHP members near state borders without requiring out-of-state providers to obtain Oregon certification.

What this may mean

CCOs in border regions of Oregon gain immediate authority to contract with out-of-state outpatient behavioral health providers who meet the 75-mile proximity and in-state licensure criteria, resolving existing contract renewal barriers. Out-of-state behavioral health organizations within 75 miles of the Oregon border are now eligible for CCO network participation without OHA certification, subject to applicable federal and state rules and CCO contract requirements. OHP members near southern Washington, southwestern Idaho, and northern California borders gain access to geographically proximate behavioral health services.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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