Oregon Health Authority: Oregon Health Plan Permanent Rule Filings (OAR chapter 410) · July 1, 2026 · Primary source
120 FFS Care Coordination 070126.pdf: OARs 410-120-0000, 410-120-1215, 410-120-1221, 410-120-1225 adoption of fee-for-service (FFS) care coordination rules.
Summary
The Oregon Health Authority filed a permanent administrative order on June 26, 2026, effective July 1, 2026, adopting new fee-for-service care coordination rules under OARs 410-120-1215, 410-120-1221, and 410-120-1225, and amending OAR 410-120-0000 to add supporting definitions. The definition additions include terms for behavioral health, substance use disorder residential programs, HRSN eligibility for adults discharged from psychiatric or SUD treatment facilities, and re-entry eligibility for individuals released from incarceration within the past 365 days.
What this may mean
Oregon Health Plan FFS providers and allied agencies must operate under new care coordination rules effective July 1, 2026, with HRSN services now available to adults and youths discharged from behavioral health facilities or released from incarceration within the prior 365 calendar days under the newly defined eligibility windows. The rules establish affiliation definitions relevant to provider enrollment and revalidation, including 5% or greater ownership interest thresholds that align with federal Medicaid disclosure requirements under 42 CFR 455.
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