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MedicaidReimbursementMedium impact

Behavioral Health Fee Schedule rate adjustments effective Jan. 1, 2026

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

Summary

Oregon Medicaid updated behavioral health fee schedule rates effective January 1, 2026, with most rates increasing by $0.47 to $6.21 per service. The changes align with CMS updates to relative value units and are mandated by federal standards.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system to reflect new 2026 Oregon Medicaid rates for behavioral health services. If you billed services on or after 1/1/2026 and were underpaid using old rates, submit claim adjustments. Download updated fee schedule from https://www.oregon.gov/oha/hsd/ohp/pages/fee-schedule.aspx.

Affected Billing Codes

98966
98967
98968
96156
96158
96159
96164
96165
96167
96168
96170
96171