MedicaidPrior AuthMedium impact
Expansion of crisis respite services effective January 1, 2023
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon Medicaid expanded crisis respite services effective January 1, 2023, to cover up to 30 days for eligible individuals in licensed residential treatment facilities who are not already in mental health residential settings. Providers should resubmit previously denied requests and obtain prior authorization through Comagine Health before billing.
Action Required
Immediately: Submit prior authorization requests for crisis respite services to Comagine Health before billing. Resubmit previously denied requests for services rendered on or after January 1, 2023, for reconsideration if they meet the new criteria. Do not resubmit pending requests. After authorization approval, submit claims using codes and rates listed in the Behavioral Health Fee Schedule.