MedicaidReimbursementMedium impact
Notice of intent – OHA will amend the Medicaid State Plan to increase fee-for-service rates for dental services
Oregon Health Plan·OR · Dentistry, Oral & Maxillofacial Surgery·Public notice
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Oregon Medicaid will increase dental service fee-for-service rates by 3% effective January 1, 2026. The policy also clarifies that oral surgery dental codes will be reimbursed based on comparable medical CPT code rates.
Action Required
By January 1, 2026: Billing team must verify updated Oregon Medicaid dental fee schedules are loaded in billing system. For Oregon Medicaid patients, ensure oral surgery dental codes are billed knowing they will be paid at comparable medical CPT rates. Monitor for 3% rate increase implementation on all dental services.