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MedicaidReimbursementMedium impact

Increased fee-for-service dispensing fee, effective July 1, 2022

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

Summary

Oregon Health Authority is increasing the reimbursement rate for CPT code 92340 (fit spectacles monofocal) to $130.00 effective July 1, 2022. This change will be processed automatically by OHA for all qualifying claims with dates of service on or after the effective date.

Action Required

Action needed
No action required: Oregon Health Authority will automatically process all claims for CPT code 92340 with dates of service on or after July 1, 2022, at the new $130.00 rate. Visual services providers should verify the updated reimbursement amount appears on remittance advice for applicable claims.

Affected Billing Codes

92340