MedicaidCoverageMedium impact
Fee-for-service rates for 99483
Oregon Health Plan·OR · Neurology, Psychiatry, Geriatrics +2 more·Plan contract
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Plan has opened CPT code 99483 (cognitive assessment and care plan services) to fee-for-service (FFS) providers, retroactively effective January 1, 2024. FFS reimbursement rates are set at $168.02 for non-facility and $117.31 for facility settings using RBRVS pricing.
Action Required
By end of March 2024: Billing team should verify CPT 99483 is available in billing system for Oregon Health Plan (Medicaid) FFS claims. Update fee schedules with new rates: $168.02 non-facility, $117.31 facility. Ensure claims processing can handle retroactive billing back to January 1, 2024 for this code.