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MedicaidReimbursementLow impact

New NEMT mileage reimbursement rate effective Jan. 1, 2026

Oregon Health Plan·OR·Plan contract
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority increased NEMT mileage reimbursement rates from $0.46 to $0.49 per mile for Oregon Health Plan members, effective January 1, 2026. The rate applies to code A0090 for private vehicle transportation provided by individuals with vested interest in OHP members.

Action Required

Action needed
Immediately: Billing team must update payment systems and member materials to use the new $0.49 per mile rate for HCPCS code A0090 for all dates of service on or after January 1, 2026. Train staff who arrange NEMT rides on the new reimbursement rate. Ensure compliance with Oregon Administrative Rules 410-136-3240 and 410-141-3960.

Affected Billing Codes

A0090
A0190
A0210
A0180
A0200