MedicaidReimbursementMedium impact
Request for comment - Proposed State Plan Amendment regarding reimbursement for Family Connects home visiting program - Comments due January 18, 2022
Oregon Health Plan·OR · Family Medicine, Pediatrics·Public notice
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon Medicaid will begin reimbursing Family Connects newborn home visiting services using bundled rates for CPT code 99502 with specific modifiers, effective January 1, 2022. This creates new billing opportunities for eligible providers participating in Oregon's Universal Newborn Nurse Home Visiting Program.
Action Required
Providers participating in Oregon's Universal Newborn Nurse Home Visiting Program should update billing systems to include the new bundled rates: 99502 with modifier 32 ($592.81), 99502 with modifiers 32 TD ($242.31), and 99502 with modifiers 32 TT ($170.65). Verify eligibility criteria and documentation requirements per Oregon Administrative Rule 333-006-0120.