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MedicaidReimbursementMedium impact

Fee-for-service rates for enteral formula, effective Sept. 1, 2025

Oregon Health Plan·OR · Gastroenterology·Provider
Effective date
Sep 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority changed enteral formula billing rates effective September 1, 2025. Three specific codes (B4149, B4157, B4162) will be reimbursed at acquisition cost plus 25%, while all other enteral formula codes will use published fee schedule rates.

Action Required

Action needed
Immediately: Billing team must update system to bill codes B4149, B4157, and B4162 at acquisition cost plus 25% for dates of service September 1, 2025 and after. Include manufacturer cost invoice and client prescription with each claim. Bill all other enteral formula codes using September 2025 Medical-Dental Fee Schedule rates. For retroactive claims April 1-August 31, 2025, bill all enteral formula codes at acquisition cost plus 25%.

Affected Billing Codes

B4149
B4157
B4162
B4150
B4152
B4153
B4154
B4155
B4158
B4159
B4160
B4161