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MedicaidCoverageMedium impact

Notice of intent – OHA will amend the Alternate Benefit Plan to align with the Medicaid State Plan.

Oregon Health Plan·OR · Psychiatry, Family Medicine, Internal Medicine +1 more·Public notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority is removing the September 30, 2025 end date for medication-assisted treatment (MAT) coverage for opioid use disorder under the Alternate Benefit Plan, making this coverage permanent. This change aligns the ABP with Medicaid State Plan requirements and ensures continued coverage beyond the previous sunset date.

Action Required

Action needed
Monitor for final approval: Track the public comment period ending July 11, 2025, and watch for CMS approval of the amended Alternate Benefit Plan. Billing team should ensure MAT services for opioid use disorder continue to be billed normally after September 30, 2025, with no changes to current billing practices required.