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MedicaidBilling CodesMedium impact

New SUD treatment reimbursement codes and rate changes effective January 1, 2022

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

Summary

Oregon Health Authority implemented new HCPCS codes and increased reimbursement rates for substance use disorder (SUD) treatment services effective January 1, 2022. The changes include new codes for residential treatment, crisis intervention, community integration services, and care coordination, with rates updated in the Medicaid system on April 4, 2022.

Action Required

Action needed
Immediately: Billing teams at SUD treatment facilities must update billing systems with new HCPCS codes G9012, H0018, H0019, H0022, H0023, H0050, H2011, H2032, H2036 and revised rates for existing codes. Contact Provider Services at 800-336-6016 to confirm customary charges for residential facilities. Review fee schedule on OHP Provider Enrollment page for complete rate structure.

Affected Billing Codes

G9012
H0006
H0018
H0019
H0020
H0022
H0023
H0039
H0050
H2010
H2011
H2014
H2032
H2036
T1016