MedicaidReimbursementMedium impact
Notice of intent – OHA will amend the Medicaid State Plan to add enhanced rates for culturally and linguistically specific health services.
Oregon Health Plan·OR·Public notice
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Oregon Medicaid is implementing enhanced reimbursement rates for culturally and linguistically specific health services, adding 22% to standard rates for non-rural providers and 27% for rural providers. Providers must enroll with OHA and apply for eligibility to receive these enhanced payments using specific billing modifiers.
Action Required
By January 31, 2025: Oregon Medicaid providers interested in enhanced rates for culturally and linguistically specific health services must apply for eligibility with OHA. Once approved, billing team must update system to use modifier U9 for non-rural providers (adds 22% to standard rate) or modifier TN for rural providers (adds 27% to standard rate) when billing for qualifying services.