MedicaidPrior AuthMedium impact
Substance Use Disorder Behavioral Health Fee Schedule Update: 90839 Psychotherapy for Crisis
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jun 1, 2025
We identified it
Jun 20, 2026
Summary
Effective June 1, 2025, Oregon Medicaid removed the prior authorization requirement for CPT code 90839 (Psychotherapy for crisis, first hour) when billed by certified SUD programs. The HK modifier is no longer required for eligible providers rendering services as part of a Certified SUD Program.
Action Required
Billing team should verify if practice operates as a Certified SUD Program in Oregon. If yes, immediately stop using HK modifier when billing CPT 90839 for crisis psychotherapy services to Oregon Medicaid. Update billing system rules to remove prior authorization requirements for this code when rendering SUD services.