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MedicaidAdministrativeLow impact

Notice of intent – OHA will amend the 1915(i) section of Medicaid State Plan.

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

Summary

Oregon Health Authority is updating their Medicaid State Plan's 1915(i) section, which provides Home and Community-Based Services for adults with chronic mental illness. The changes include new functional assessment tools, updated administrative references, and revised diagnostic criteria for mental health conditions.

Action Required

Action needed
No immediate action required for billing teams outside Oregon. Oregon providers serving Medicaid patients with chronic mental illness should review the updated diagnostic criteria and assessment tools (LOCUS and LSI) when the final amendment is approved. Comments on proposed changes can be submitted to jesse.anderson@oha.oregon.gov by February 7, 2025 at 5 p.m.