Quarterly and Annual Reports to CMS

Overview

This page lists the quarterly and annual reports about Oregon's progress meeting the goals of the current Oregon Health Plan (OHP) 1115 Medicaid Demonstration. The Oregon Health Authority (OHA) submits these reports with their attachments to the Centers for Medicare & Medicaid Services (CMS).

• CCO – Coordinated care organization
• DY – Demonstration Year - The number of years the OHP 1115 demonstration has been in effect. For example, the DY 16 is the 16th year (2017-2018).
• SEDS – Statistical Enrollment Data System - The system used to report enrollment data to CMS.
• SFY – State Fiscal Year  (July 1 – June 30; July 1, 2017 – June 30, 2018 is SFY 18).

To view older reports:

• View the Oregon State Library's digital collection of quarterly and annual reports.
  
• View past reports and documents related to the OHP 1115 waiver on the CMS website.
  
• View reports and documents related to the 2017-2022 OHP 1115 waiver.
  

Annual Report

At the end of each demonstration year, OHA produces an annual report that presents compiled quarterly data and additional evaluation information. Click the report title to view related attachments and links.

Quarterly Reports

• An overview of the current reporting period which includes updates on enrollment progress, health information technology, and metrics development;
• Progress toward demonstration goals, which outlines improvement strategies to achieve the triple-aim of lower cost, better care, and better health; and
• Budget analysis and action plans for addressing any policy, administrative, or budget issues identified.

Click the report title to view related attachments and links.