MedicaidReimbursementMedium impact
Fee-for-service rate increase for Medicaid behavioral health services effective October 1, 2023
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon Medicaid increased reimbursement rates for behavioral health services by an average of 3.4% effective October 1, 2023. The rate updates are being implemented in the claims system by March 1, 2024, with retroactive adjustments for adult mental health residential services.
Action Required
By March 1, 2024: Billing team should prepare to bill new behavioral health claims at higher rates once the updated Behavioral Health Fee Schedule is published. For previously submitted claims, either adjust claims for timely reimbursement or wait 3-4 weeks after system updates for OHA to reprocess automatically. Adult mental health residential providers may need to rebill T1020 and T2033 codes when contacted by OHA or Comagine Health.