← Back to list
SUD treatment code and rate changes effective January 1, 2022
Act
by Jan 1, 2022
Effective date
Jan 1, 2022
Identified
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.
Get alerts when payers change rules like this one
We check Oregon Health Plan and other payers every day and email you when a change matches your specialty and state.
Get Oregon Health Plan alertsPolicy Monitoring is free. No card required.
What to do
by Jan 1, 2022 · 3 steps
01Oregon providers must update billing systems with new SUD treatment codes and rates.
02Billing team should verify final code list and rates on OHA's behavioral health fee schedule before January 1, 2022.
03CCOs must update provider contracts to include SUD 1115 demonstration waiver codes for reimbursement.
Codes mentioned
G9012H0006H0018H0019H0020H0022H0023H0039H0043H0050H2010H2011H2014H2023H2032H2036Q3014T1016
Original notice
SUD treatment code and rate changes effective January 1, 2022
oregon.gov · Always check the source before changing claims.
Related changes
See all Oregon Health Plan changes →New SUD treatment reimbursement codes and rate changes effective January 1, 2022MediumEffective Jan 1, 2022 · PlanRequest for Comment - State Plan Amendment to increase fee-for-service SUD ratesLowEffective Oct 1, 2019 · Public noticeRequest for Comment - State Plan Amendment to increase fee-for-service SUD ratesHighEffective Oct 1, 2019 · Public noticeCOVID Relief Temporary Rate Increase for State Fiscal Year 2021LowEffective Jul 1, 2020 · ProviderBrowse every Oregon Health Plan change in the policy list