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Oregon Health PlanMedicaid · Reimbursement · Provider · OR · PsychiatryMedium impact

Substance Use Disorder Assessment Codes: Fee Schedule Update

Effective date
Jul 1, 2025
Identified
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.

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What to do

Action · 2 steps
01No immediate action required: Continue billing codes Q9991 and Q9992 for buprenorphine extended-release injections at the updated rate of $1,976.55 per service.
02Billing 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.

Codes mentioned

Q9991Q9992

Original notice

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