Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · May 1, 2026 · Primary source
120-changes-050126.pdf: OARs 410-120-2005, 410-120-2010, 410-120-2015, 410-120-2020 Amended to update Health-Related Social Needs rules to provide clarification and additional requirements for the Nutrition and Housing benefits.
Summary
Oregon Health Authority filed a temporary administrative order effective May 1, 2026 through October 27, 2026, amending OARs 410-120-2005, 410-120-2010, 410-120-2015, and 410-120-2020 to implement new 1115 Waiver Health-Related Social Needs (HRSN) nutrition benefits and clarify existing HRSN housing benefits. Key substantive changes include shifting the Pantry Stocking and Fruit and Vegetable benefit from a household-level to a member-level benefit, reducing the benefit duration from 26 to 24 weeks, and extending service authorization timelines from 7 to 14 days. The order is necessary to align rules with OHA leadership decisions and prepare for a summer 2026 nutrition benefit launch across Oregon Health Plan Coordinated Care Organizations.
What this may mean
CCOs and OHA-contracted HRSN Service Providers operating under Oregon's 1115 Waiver must apply the amended eligibility criteria and revised benefit parameters for nutrition services beginning May 1, 2026. The shift to member-level nutrition benefits and the reduction in benefit duration from 26 to 24 weeks directly affects benefit authorization and payment calculations. Service authorization timelines for HRSN requests change from 7 to 14 days, affecting operational workflows for MCEs and the Authority.
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.
Related items
- Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · October 3, 2026141-3545-06292026.pdf: OAR 410-141-3545 amended to allow Coordinated Care Organizations to contract with certain out-of-state outpatient behavioral health provider organizations.Score 78
- Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · October 16, 2026141-3545-10142026.pdf: OAR 410-141-3545 amended to allow CCOs to contract with certain out-of-state outpatient behavioral health provider organizations. This rule change suspends previous temporary changes.Score 76
- Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · October 3, 2026125-changes-070126.pdf: OARs 410-125-0045, 410-125-0220 amended to allow Caring Contacts to be a Medicaid covered service as part of suicide prevention efforts.Score 76
- Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · October 3, 2026172-173-changes-08202026.pdf: OARs 410-172-0600, 410-172-0774, 410-172-0776, 410-172-0780, 410-172-0790, 410-172-0796, 410-172-0800, 410-172-0805, 410-172-0820, 410-172-0830, 410-172-0835, 410-172-0840, 410-172-0845, 410-173-0005, 410-173-0105 amended to implement Agency with Choice requirements for mental in-home personal care servicesScore 76
- Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · October 3, 2026141-3850-10012026.PDF: OAR 410-141-3850 rule changes updating transition of care rule for OHP members between coordinated care organizations (CCOs), or between CCOs and OHP Open CardScore 75
- Oregon Health Authority: Oregon Health Plan Temporary Rule Filings (OAR chapter 410) · October 16, 2026121-changes-10152026.pdf: OARs 410-121-0030 410-121-0040 amended to update the Oregon Medicaid Pharmaceutical Services Prior Authorization Criteria and Oregon Medicaid Preferred Drug List, implementing recommendations from the Pharmacy and Therapeutics Committee.Score 70