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Oregon Health PlanMedicaid · Reimbursement · Plan · OR · Psychiatry, PediatricsMedium impact

Youth intensive treatment services rate changes

Act
by Jul 1, 2026
Effective date
Jul 1, 2026
Identified
Jun 20, 2026

Summary

Oregon Medicaid is increasing reimbursement rates for youth intensive psychiatric treatment services by 3-31%, with most changes effective July 1, 2026, except for Secure Inpatient Programs (SIP) which is already effective July 1, 2025. Rate increases include Day Treatment (13%), Psychiatric Residential Treatment Services (3%), SIP (5%), and Substance Use Disorder Residential Treatment (31%).

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What to do

by Jul 1, 2026 · 3 steps
01Billing team must update billing system to reflect new Medicaid rates for youth intensive psychiatric services - Day Treatment ($387.52), Psychiatric Residential Treatment Services ($1003.95), and Substance Use Disorder Residential Treatment ($582.60).
02For SIP providers: Begin billing at new rate of $1713.78 immediately (effective July 1, 2025).
03Verify member eligibility and CCO enrollment before rendering services as required by OAR 410-120-1140.

Original notice

Youth intensive treatment services rate changes
oregon.gov · Always check the source before changing claims.
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Related changes

See all Oregon Health Plan changes →
Notice of intent – OHA will amend the Medicaid State Plan to increase fee-for-service rates for certain youth intensive treatment services.MediumEffective Jul 1, 2026 · Public noticeBrowse every Oregon Health Plan change in the policy list

Related policy hubs

Oregon Health Plan policiesOR policy changesPsychiatryPediatrics

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