Oregon Health Authority: Oregon Health Plan Permanent Rule Filings (OAR chapter 410) · July 27, 2026 · Primary source
141-3830-07272026.pdf: OAR 410-141-3830 amended to adopt the Prioritized List of Health Services for the Oregon Health Plan effective February 1, 2026. No public comment was received.
Summary
The Oregon Health Authority filed a permanent administrative order on July 27, 2026, effective that same date, amending OAR 410-141-3830 to formally adopt the February 1, 2026 Prioritized List of Health Services for the Oregon Health Plan, superseding the January 1, 2026 version for services provided after February 1, 2026. The update includes changes to Excluded Services Guideline E1 adding laboratory tests with minimal impact on health to the excluded list. The rule is funded through line 470 and incorporates all line items, diagnosis and treatment codes, guideline notes, and coding specifications.
What this may mean
Oregon Health Plan providers billing for laboratory tests newly added to the Excluded Services Guideline E1 as having minimal health impact will face coverage denials for those tests for services provided after February 1, 2026, for both FFS and CCO members. The February 1, 2026 Prioritized List governs the covered benefit package and sets the funding line at 470, which determines which services OHA and CCOs are obligated to cover and which require EPSDT override analysis for children.
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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