MedicaidReimbursementMedium impact
Mental Health Outpatient Services Behavioral Health Fee Schedule Update: H2032 Modifier
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Medicaid updated the fee schedule for activity therapy code H2032, adding a new HK modifier option that requires prior authorization and pays $13.14 per 15 minutes (compared to $10.52 without the modifier). The HK modifier is specifically for residential treatment services.
Action Required
Immediately: Billing team must update system to allow H2032 with HK modifier for residential treatment requiring prior authorization at $13.14 per 15 minutes. Update fee schedules and ensure prior auth process is in place for HK modifier usage. Continue billing H2032 without HK modifier at $10.52 for non-residential services.