MedicaidReimbursementHigh impact
Fee-for-service rate increase for Medicaid behavioral health services, effective July 1, 2022
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon Medicaid is implementing a 30% average fee-for-service rate increase for behavioral health services, retroactive to July 1, 2022. Providers can either adjust previously submitted claims or wait for OHA to automatically reprocess them within 3-4 weeks after system updates are complete.
Action Required
By December 30, 2022: Behavioral health providers should review the updated Behavioral Health Fee Schedule when posted. For claims submitted before the rate increase: either adjust existing claims for timely reimbursement or wait 3-4 weeks for OHA to automatically reprocess. Adult mental health residential providers using T1020 and T2033 may need to rebill on the plan of care when contacted by OHA or Comagine Health. Submit any unbilled claims immediately to receive higher reimbursement rates.