MedicaidCoverageMedium impact
Notice of intent – OHA will amend the Medicaid State Plan to include community violence prevention services as a State Plan service - Comments due Jan. 13, 2023
Oregon Health Plan·OR · Emergency Medicine, Family Medicine, Internal Medicine +3 more·Public notice
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is adding coverage for community violence prevention services to Medicaid, reimbursed at $99.12 per hour using procedure code H2015. Services must be provided by qualified certified violence prevention professionals and referred by licensed healthcare practitioners for beneficiaries who received medical treatment for community violence injuries.
Action Required
By January 1, 2023: Oregon Medicaid providers should update billing systems to include HCPCS code H2015 for community violence prevention services at $99.12 per hour or $24.78 per 15-minute increment. Ensure referral processes are established with qualified certified violence prevention professionals for eligible beneficiaries who received medical treatment for community violence injuries.