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MedicaidReimbursementMedium impact

Notice of intent – OHA will amend the Medicaid State Plan to increase fee-for-service behavioral health rates and establish payment model for integrated treatment of co-occurring disorders

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

Summary

Oregon Health Authority will increase Medicaid fee-for-service behavioral health rates by an average of 30% effective July 1, 2022, and establish a new integrated payment model for co-occurring addiction and mental health disorders starting January 1, 2023. This affects Oregon Medicaid providers offering behavioral health services.

Action Required

Action needed
By July 1, 2022: Oregon Medicaid providers must verify updated behavioral health reimbursement rates (30% average increase) are reflected in billing system fee schedules. By January 1, 2023: Update billing workflows to accommodate new integrated payment model for co-occurring addiction and mental health disorder treatments. Contact Oregon Health Authority for specific rate schedules and implementation details.