MedicaidReimbursementMedium impact
Rate increase for Medicaid fee-for-service (FFS) Administrative Examinations codes
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is implementing a 30% rate increase for Medicaid fee-for-service Administrative Examinations codes, effective July 1, 2022, with system updates expected in January 2023. Providers can bill at higher rates, rebill previous claims, or wait for automatic reprocessing by February 2023.
Action Required
When OHA confirms system updates in January 2023: Billing team must choose one of three options: 1) Bill new claims at higher Administrative Examinations Fee Schedule rates, 2) Rebill previously submitted claims at higher rates for faster reimbursement, or 3) Wait until February 2023 for automatic claim reprocessing. Monitor OHA's Behavioral Health Rate Increase page for confirmation of system updates before implementing changes.