MedicaidReimbursementMedium impact
2024 fee-for-service rates for handicapping malocclusion services
Oregon Health Plan·OR · Dentistry·Plan contract
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Authority increased fee-for-service rates for handicapping malocclusion (orthodontic) services effective January 1, 2024. CCOs must update claim processing to use new reimbursement rates and ensure prior authorization requirements are followed for most codes.
Action Required
Immediately: Billing team must update claim processing systems to use new FFS rates: D8080 ($3,947), D8220 ($210), D8660 ($276), D8680 ($290), D8695 ($143). Require prior authorization for all codes except D8660. Use Oregon's Orthodontia Review Criteria for authorization decisions. Update payment model to pay services in lump sum at beginning of each treatment phase per Oregon Administrative Rule 410-123-1260(12).