MedicaidAdministrativeMedium impact

Billing for Peer-Delivered Services Update

Q: Who is affected by this change?

This affects Oregon Health Plan Family Medicine, Internal Medicine, Psychiatry, General Practice providers in OR on Medicaid plans.

Oregon Health Plan·OR · Family Medicine, Internal Medicine, Psychiatry +1 more·Plan contract

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Oregon Medicaid (OHA) has paused implementation of billing guidance for peer-delivered services in non-Certificate of Approval settings due to policy clarity issues. New billing guidance will be developed through workgroups and provided by September 2025.

Action Required

Action needed

By September 2025: Monitor OHA communications for updated peer billing guidance. If interested in participating in policy development workgroups, contact Rusha.Grinstead@oha.oregon.gov. Billing team should hold current peer service billing practices until new guidance is released.

Related policy hubs

Oregon Health Plan policies OR policy changes Family Medicine Internal Medicine Psychiatry General Practice