MedicaidPrior AuthMedium impact
Updates affecting fee-for-service orthodontia claims
Oregon Health Plan·OR · Dentistry, General Practice·Provider
We identified it
Jun 20, 2026
Summary
Oregon Health Authority has removed prior authorization requirements for CDT D8660 (Pre-orthodontic treatment visit) and now allows general practice dentists to bill for orthodontic care within their scope of practice for Oregon Health Plan members.
Action Required
Immediately: Billing team should update system to remove prior authorization requirement for CDT D8660 for Oregon Health Plan members. General practice dentists can now submit orthodontic claims within their scope of practice. Continue submitting pre-orthodontic evaluation claims as usual for members under age 21.