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MedicaidReimbursementMedium impact

Adult mental health residential rates, effective Jan. 1, 2025

Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority updated adult mental health residential rates effective January 1, 2025, with all rates either increased or stayed the same. Providers can start billing the new rates on February 14, 2025, and may rebill for services provided since January 1st at the updated rates.

Action Required

Action needed
Starting February 14, 2025: Billing team must update system with new adult mental health residential rates from the MMIS approval letters. Rebill all services provided January 1-February 13, 2025 using the new higher rates for reimbursement. Contact Comagine Health to obtain new rate approvals and person-centered service plans before billing.