An official website of the State of Oregon
How you know »
(how to identify a Oregon.gov website)
An official website of the State of Oregon »
You are here:
The Prioritized List is only one part of determining if the Oregon Health Plan covers a service.
For detailed information about the creation of the Prioritized List, see the Health Evidence Review Commission's (HERC)
Brief History of Health Services Prioritization in Oregon or the biennial reports to the Oregon Legislature on the
HERC reports page.
The Oregon Health Evidence Review Commission (HERC) ranks health care condition and treatment pairs in order of clinical effectiveness and cost-effectiveness.
The Prioritized List emphasizes prevention and patient education. In general:
Effective Jan. 1, 2022, OHP covers Prioritized List lines 1 through 472.
Effective Jan. 1, 2023, OHP covers all medically necessary and medically appropriate services for members under age 21. This is true even if the services are below line 472. To learn more, visit OHA's EPSDT page.
Use the following links on the HERC website. You can also subscribe to receive email notifications from HERC. HERC sends updates whenever Prioritized List information changes.
For OHA policies related to Prioritized List coverage or exclusions, see the General Rules, Oregon Health Plan rules, and the provider guidelines specific to your program.
To find out whether a specific procedure is potentially covered according to the Prioritized List, providers can:
OHP covers all medically necessary and medically appropriate services for OHP members under age 21. To learn more, visit OHA's ESPDT page.
For more information about the Prioritized List, visit the
Health Evidence Review Committee's Prioritized List of Health Services page.
Subscribe to receive updates from HERC when they occur.
A .gov website belongs to an official government organization in the United States.
A lock icon ( ) or https:// means you’ve safely connected to the .gov website.
Only share sensitive information on official, secure websites.
Your browser is out-of-date! It has known security flaws and may not display all features of this and other websites. Learn how