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Oregon Health PlanMedicaid · Administrative · Plan · OR · DentistryHigh impact

Addressing discrepancies in the supplemental OHP dental codes list

Act
immediately
Effective date
Jan 1, 2026
Identified
Jun 20, 2026

Summary

Oregon Health Authority removed the December 31, 2025 supplemental OHP dental codes list due to technical inconsistencies with Oregon Administrative Rules (OARs) effective January 1, 2026. Providers must rely solely on Division 123 OARs for dental benefit coverage and billing guidance until a corrected reference document is posted in the coming weeks.

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What to do

immediately · 3 steps
01Stop using the December 31, 2025 'Oregon Medicaid Covered Dental Services' list for billing decisions.
02Billing teams must reference Division 123 OARs in Chapter 410 and HERC guideline notes as the sole authoritative source for OHP dental benefit coverage, frequency, and limitations.
03Monitor for the corrected supplemental code list to be posted in coming weeks at oregon.gov/OHA.

Original notice

Addressing discrepancies in the supplemental OHP dental codes list
oregon.gov · Always check the source before changing claims.
View original ↗

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Oregon Health Plan policiesOR policy changesDentistry

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