MedicaidBilling CodesMedium impact
SUD treatment code and rate changes effective January 1, 2022
Oregon Health Plan·OR · Psychiatry·Plan contract
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will implement fee-for-service reimbursement for substance use disorder (SUD) treatment in facilities with more than 16 beds and community integration services. New CPT and HCPCS codes are being added with updated reimbursement rates, including care coordination, case management, residential treatment, methadone administration, and supported housing/employment services.
Action Required
By January 1, 2022: Oregon providers must update billing systems with new SUD treatment codes and rates. Billing team should verify final code list and rates on OHA's behavioral health fee schedule before January 1, 2022. CCOs must update provider contracts to include SUD 1115 demonstration waiver codes for reimbursement.