MedicaidReimbursementMedium impact
Substance Use Disorder Behavioral Health Fee Schedule Update: H0031 Addition
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Mar 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Medicaid has added HCPCS code H0031 (Mental health assessment by non-physician) to their Behavioral Health Fee Schedule with a reimbursement rate of $127.34 per service. This code was previously available for billing as of March 1, 2024, but was mistakenly omitted from the fee schedule.
Action Required
Immediately: Billing teams at certified SUD programs should verify that H0031 is properly configured in billing systems with the $127.34 rate for Oregon Medicaid. Ensure claims can be submitted with required modifiers HF or HG, and optional modifier GT. Contact sud.waiver@oha.oregon.gov with questions.