MedicaidReimbursementLow impact
Fee-for-service rate increase for newborn bloodspot screening kits, effective 9/1/2021
Oregon Health Plan·OR · OB-GYN·Provider
Effective date
Sep 1, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Authority increased reimbursement rates for newborn bloodspot screening kits effective September 1, 2021. The two-part kit rate increased to $80.00 and the single replacement kit rate increased to $59.00 with modifier TC.
Action Required
For Oregon Medicaid fee-for-service claims: Update billing system to use new rates for S3620 ($80.00 for two-part kit, $59.00 with modifier TC for replacement kit). Billing team should resubmit any previously denied claims for services provided on or after 9/1/2021 using claim adjustment procedures per the Claim Adjustment Handbook.