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Oregon Health PlanMedicaid · Billing Codes · Plan contract · OR · OB-GYNMedium impact

Billing guidance for obstetric services provided by FQHCs and RHCs

Act
by Apr 21, 2026
Effective date
Apr 21, 2026
Identified
Jun 20, 2026

Summary

Starting April 21, 2026, FQHCs and RHCs must use new tracking codes (0500F, 0502F, 0503F) when billing CCOs for individual obstetric visits within global OB procedure codes. CCOs will pay these tracking codes at $0.00 to ensure proper encounter data for wraparound payments.

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What to do

by Apr 21, 2026 · 2 steps
01FQHCs and RHCs must update billing systems to include tracking codes 0500F (initial prenatal visit), 0502F (subsequent prenatal care), and 0503F (postpartum visit) when billing CCOs for obstetric services under global codes 59400, 59425, 59426, 59410, and 59430.
02For retroactive claims from October 1, 2024 through April 20, 2026: Bill any missing 0500F, 0502F, or 0503F codes for past dates of service.
If missed: Failure to use these codes will prevent supplemental wraparound payments.

Codes mentioned

5940059425594265941059430

Original notice

Billing guidance for obstetric services provided by FQHCs and RHCs
oregon.gov · Always check the source before changing claims.
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Related changes

See all Oregon Health Plan changes →
Billing guidance for obstetric services provided by FQHCs and RHCsHighEffective Apr 21, 2026 · Plan contractSubmitting fee-for-service claims to receive the July 1, 2022 birth doula rate increaseMediumEffective Jul 1, 2022 · PlanBrowse every Oregon Health Plan change in the policy list

Related policy hubs

Oregon Health Plan policiesOR policy changesOB-GYNCode 59400Code 59425Code 59426Code 59410Code 59430

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