MedicaidReimbursementMedium impact
Fee-for-service rate increase for family planning visits effective July 1, 2024
Oregon Health Plan·OR · OB-GYN, Family Medicine·Plan
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Authority increased the fee-for-service rate for family planning clinic visits (HCPCS T1015) from $135.00 to $185.00 per visit, effective July 1, 2024. This rate increase applies to enrolled family planning clinics and coordinated care organizations serving Oregon Health Plan members.
Action Required
Effective July 1, 2024: Family planning clinics must bill Oregon Health Authority at the new rate of $185.00 for HCPCS code T1015 visits. CCOs must update their payment systems to reimburse at the new fee-for-service rate. Contact jason.h.daniels@oha.oregon.gov with questions.