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MedicaidReimbursementMedium impact

Submitting fee-for-service claims to receive the July 1, 2022 behavioral health rate increase

Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority implemented a 30% rate increase for behavioral health services effective July 1, 2022, and has now updated their fee-for-service claim system to process these higher rates. Providers can either rebill existing claims by January 31, 2023, or wait for automatic reprocessing by March 1, 2023.

Action Required

Action needed
By January 31, 2023: Behavioral health providers should rebill all claims for services provided on or after July 1, 2022 using the updated January 2023 Behavioral Health Fee Schedule rates to receive timely reimbursement. Alternatively, wait for OHA to automatically reprocess claims beginning February 1, 2023 with completion expected by March 1, 2023. Adult mental health residential providers should submit any unbilled claims retroactive to July 1, 2022.

Affected Billing Codes

T1020
T2033