MedicaidBilling CodesMedium impact
Request for comment – Proposed State Plan Amendment to change the daily encounter limits for Indian Health Service and Tribal 638 clinics, effective January 6, 2021
Oregon Health Plan·OR · Family Medicine, Internal Medicine, General Practice +3 more·Public notice
Effective date
Jan 6, 2021
We identified it
Jun 20, 2026
Summary
Oregon's Medicaid State Plan will increase daily encounter limits for Indian Health Service and Tribal 638 clinics from one encounter per service type to up to five encounters per patient per day, allowing billing for multiple medical, dental, and behavioral health services with different diagnoses on the same day.
Action Required
By January 25, 2021: If your practice serves IHS or Tribal 638 patients in Oregon, billing team should review current encounter billing limits and update billing software to accommodate up to 5 encounters per patient per day for medical, dental, and behavioral health services with different diagnoses. Submit comments to OHA if this change impacts your billing operations.