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Prioritized List, Guidelines, Interventions & Services for Non-Coverage



Searchable Prioritized List, Guideline Notes, Multisector Interventions and Services Recommended for Non-Coverage

The Commission provides this searchable version of the Prioritized List of Health Services for the convenience of stakeholders. Guideline notes, statements of intent, multisector interventions and services recommended for non-coverage are also searchable by keyword*.  The content below is from the 1/1/2025 Prioritized List.


**Note: Guideline Notes 172-173 are now converted to Excluded Services Guidelines E1 and E2. Let us know if you encounter any difficulties with using these. Changes since October 1, 2024 are not yet included.***


*The Prioritized List is not the only factor in determining coverage for services on the Oregon Health Plan. Additional services such as diagnostic and ancillary services are routinely covered, and other services may be covered based on the judgment or policies of the Oregon Health Plan or based on individual review.

To search for specific Guideline Notes, type "GN" and the number of the guideline, with no spaces (e.g., "GN27"). For specific lines, type "L" with the number of interest, with no spaces (e.g., "L115"). For more search tips, see our Search Tips and Technical Notes resource.


Prioritized Lists

  
Searchable List
Pending List
Archived Lists
Prioritization Overview
Prioritization Methodology


Additional Information

This is not the official Prioritized List. To find the placement of a particular diagnosis or procedure code, or to view the entire Prioritized List, please see our Prioritized List page.

While HERC staff has made an effort to include common keywords, we cannot guarantee completeness of results due to the large number of clinical conditions included on the Prioritized List. If you have suggestions for additional keywords, please email herc.info@oha.oregon.gov.