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Fee-for-service rate increase for family planning visits effective July 1, 2024
Effective date
Jul 1, 2024
Identified
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.
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What to do
Action · 3 steps
01Effective July 1, 2024: Family planning clinics must bill Oregon Health Authority at the new rate of $185.00 for HCPCS code T1015 visits.
02CCOs must update their payment systems to reimburse at the new fee-for-service rate.
03Contact jason.h.daniels@oha.oregon.gov with questions.
Codes mentioned
T1015
Original notice
Fee-for-service rate increase for family planning visits effective July 1, 2024
oregon.gov · Always check the source before changing claims.
Related changes
See all Oregon Health Plan changes →Notice of intent – OHA will amend the Medicaid State Plan to increase fee-for-service rates for family planning services.MediumEffective Jul 1, 2026 · Public noticeRate increases for family planning visits and vasectomies effective July 1, 2026.MediumEffective Jul 1, 2026 · PlanBrowse every Oregon Health Plan change in the policy list