Oregon Medicaid · October 26, 2026 · Primary source
Breast and Cervical Cancer Treatment Program Updates Related to Federal Changes
Summary
Oregon Health Authority issued a memorandum to Oregon Health Plan providers dated October 26, 2026, detailing three BCCTP changes driven by federal requirements under House Resolution 1. Effective October 1, 2026, individuals with refugee, asylee, and humanitarian parolee status no longer meet federal Medicaid immigration eligibility requirements, shifting current BCCTP members to the Healthier Oregon program. Beginning January 1, 2027, Healthier Oregon members transition to OHP Open Card, requiring providers to bill OHA directly rather than CCOs, and retroactive coverage for newly eligible members is reduced from three months to two months.
What this may mean
Providers who determine presumptive BCCTP eligibility must use the updated OHA 1463 application form, which now includes a revised immigration status guide and an insurance coverage screening question. As of January 1, 2027, providers serving BCCTP members formerly in Healthier Oregon must re-enroll or verify enrollment in OHP Open Card and redirect claims to OHA rather than a CCO. The retroactive coverage reduction from three to two months takes effect the same date, narrowing the window for recovering unpaid medical bills for newly enrolled BCCTP members.
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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