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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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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