MedicaidCoverageLow impact
Request for comment – Draft SUD 1115 Waiver Application - Comments due February 21, 2020
Oregon Health Plan·OR · Psychiatry·Public notice
We identified it
Jun 20, 2026
Summary
This is a public notice requesting comments on Oregon's proposed Substance Use Disorder (SUD) 1115 Waiver application to CMS. If approved, the waiver would expand Medicaid coverage for residential SUD treatment in facilities with 16+ beds, add recovery support services, and provide transitional housing support—currently not eligible for Medicaid funding. This is a regulatory proposal stage with no immediate billing impact; however, approval could significantly expand covered SUD services and billing opportunities in Oregon.
Action Required
No immediate action required. This is a public comment period for a proposed waiver application (comments due February 21, 2020). Billing teams should monitor the SUD 1115 Waiver page (https://www.oregon.gov/oha/HSD/Medicaid-Policy/Pages/SUD-Waiver.html) for CMS approval status. Once approved and implemented, billing procedures for SUD treatment, recovery support services, and housing support services will require updates. No workflow changes are needed until waiver approval is announced and implementation guidance is published.