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Blueprint
States/Oregon
Medicare Advantage Network Adequacy · OR

Building a Medicare Advantage network in Oregon? Blueprint knows Oregon’s rules.

Blueprint is pre-configured with Oregon’s 36 counties, CMS MA time-distance thresholds, and HSD specialty categories. Your adequacy score runs on day one.

Oregon at a Glance

36

Counties tracked

14

MA plans competing

October 1 – March 31

Filing window

The Oregon Adequacy Challenge

Why building in Oregon requires local expertise.

Oregon is a Portland metro with vast frontier eastern counties state. MA plan sponsors operating here must satisfy CMS time-distance standards across all 36 counties — a task that demands accurate county classifications and pre-loaded specialty categories. Getting it wrong means adequacy gap notices and potential filing rejections.

Eastern Oregon (Harney, Malheur, Wheeler counties) is frontier-classified with near-zero specialty supply — Coordinated Care Organization partnerships are the primary adequacy strategy

Key Specialties to Monitor in OR

Primary CareBehavioral HealthCardiologyOncology

How Blueprint Handles It

How Blueprint handles Oregon MA builds.

All 36 counties pre-loaded

No setup needed for the county map. Every Oregon county is pre-loaded with the correct urban, suburban, and rural classifications Blueprint uses for adequacy scoring.

CMS MA rules for Oregon

Time-distance thresholds, urban/suburban/rural county classifications, and HSD specialty requirements are all loaded. No manual configuration required.

Rural gap detection built in

Blueprint automatically flags counties that need waiver or good-faith effort documentation — so your team knows where to focus before the filing window closes.

Quick Reference

Key adequacy considerations for Oregon.

County classificationPortland metro with vast frontier eastern counties
Top specialty gapsPrimary Care, Behavioral Health, Cardiology, Oncology
Rural strategyEastern Oregon (Harney, Malheur, Wheeler counties) is frontier-classified with near-zero specialty supply — Coordinated Care Organization partnerships are the primary adequacy strategy
Filing windowOctober 1 – March 31
Top counties:MultnomahWashingtonClackamasLaneMarionJacksonDeschutes

Customer Story

“Teams building MA networks in Oregonuse Blueprint to catch adequacy gaps at Week 4 — not Week 14.”

Ready to build in Oregon?

Your Oregon MA network build starts on day one.

All 36 Oregon counties, CMS MA rules, and rural gap detection are pre-loaded. Schedule a demo and your adequacy score runs before the call ends.