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Oregon Health PlanMedicaid · Billing Codes · Provider · OR · Psychiatry, Family Medicine, Internal MedicineMedium impact

Substance Use Disorder Codes: Fee Schedule Update

Act
immediately
Effective date
Jul 1, 2025
Identified
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.

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What to do

immediately · 2 steps
01Billing 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.
02Verify system accepts these codes and applies correct reimbursement rates for services provided from their respective effective dates forward.

Codes mentioned

J0570J0577J0578

Original notice

Substance Use Disorder Codes: Fee Schedule Update
oregon.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Oregon Health Plan changes →
Behavioral Health Fee Schedule rate adjustments effective April 1, 2026MediumEffective Apr 1, 2026 · ProviderSubstance Use Disorder Behavioral Health Fee Schedule Update: J0570 DeletionMediumEffective Dec 31, 2024 · ProviderBrowse every Oregon Health Plan change in the policy list

Related policy hubs

Oregon Health Plan policiesOR policy changesPsychiatryFamily MedicineInternal MedicineCode J0570Code J0577Code J0578

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