MedicaidReimbursementMedium impact
Substance Use Disorder Assessment Codes: Fee Schedule Update
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Oregon Medicaid updated fee schedule rates for substance use disorder injection codes Q9991 and Q9992 (buprenorphine extended-release/Sublocade) to $1,976.55 per service. This rate increase was effective July 1, 2025, and providers should continue billing normally as the updated rates are already active in the system.
Action Required
No immediate action required: Continue billing codes Q9991 and Q9992 for buprenorphine extended-release injections at the updated rate of $1,976.55 per service. Billing team should verify that claims are processing at the correct rate and contact Oregon Health Authority Provider Services at 800-336-6016 if payment discrepancies occur.