Child Support: All children in the program are receiving regular, reliable child support payments on a monthly basis from their parent(s) and the children have healthcare coverage. Medicaid Recovery: Medicaid avoids paying for, or is reimbursed for, medical expenses billed to Medicaid as measured by cost avoidance estimates and collection totals.
Medicaid recovery health claims filed
Current Value
8,732
Definition
Measure Definition
This measure reflects the number of health claims filed with responsible third parties to reimburse Medicaid during the state fiscal year.
Story Behind the Curve
The new Medicaid system, PRISM, went into production in April 2023. Since that time, ORS has not received pharmacy claims due to additional programming requirements that needed to be completed. We expect to begin receiving those claims in early 2025 and anticipate we will see an increase in collections, at least in the short-term, once those claims begin to be processed.
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