MedicaidReimbursementMedium impact
Notice of intent – OHA will amend the Medicaid State Plan to increase fee-for-service rates for dental services.
Oregon Health Plan·OR · Dentistry·Public notice
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Oregon Medicaid will increase fee-for-service rates for approximately 50 dental procedure codes and apply a 5% inflationary increase to all other dental codes effective January 1, 2025. This corrects an oversight from previous rate increases that missed these 50 codes.
Action Required
By January 1, 2025: Billing team must verify that Oregon Medicaid dental claims are processed using the updated fee schedule rates. Monitor for the publication of specific rate changes for each dental code on the Oregon OHA website. Update billing system with new reimbursement rates once the specific code changes are published.