OR| Oregon DFR Bulletin 2026-3 establishes the official low-income zip code list and Health Professional Shortage Area (HPSA) references that Oregon health carriers must use for 2026 network adequacy reporting for individual and group health benefit plans, pursuant to OAR 836-053-0310 and related statutory authority. It adopts the CMS Marketplace Low-income Zip Code list for the 2026 plan year as a static Excel addendum and requires carriers to identify HPSAs using the Health Resources and Services Administration (HRSA) online shortage area tool. The document defines “Low-Income Zip Code” and “Health Professional Shortage Area,” clarifies that these specific data sources are mandatory for annual network adequacy filings, and notes that the Division will maintain this bulletin and future updates on its website, effective upon issuance.
Oregon DFR Issues 2026 Network Adequacy Guidance for Low-Income & HPSA Areas
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