MedicaidBilling CodesMedium impact
Substance Use Disorder Codes: Fee Schedule Update
Oregon Health Plan·OR · Psychiatry, Family Medicine, Internal Medicine·Provider
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Oregon Medicaid has reinstated billing eligibility for three substance use disorder medication codes (J0570, J0577, J0578) that were previously discontinued by CMS. These codes are now billable with specific reimbursement rates, with effective dates ranging from July 1, 2025 to October 1, 2025.
Action Required
Immediately: Billing team must update system to enable billing for codes J0570 ($1,311.75), J0577 ($422.83), and J0578 ($1,691.31) for Oregon Medicaid patients receiving substance use disorder treatments. Verify system accepts these codes and applies correct reimbursement rates for services provided from their respective effective dates forward.