MedicaidReimbursementHigh impact
Request for Comment - State Plan Amendment to increase fee-for-service SUD rates
Oregon Health Plan·OR · Psychiatry, Family Medicine, Internal Medicine·Public notice
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is implementing rate increases for substance use disorder (SUD) and mental health services under Medicaid fee-for-service, effective October 1, 2019. SUD treatment codes will receive increases ranging from 10% to 38%, while mental health services will receive 4% increases.
Action Required
Billing team must update fee schedules in billing system to reflect new Medicaid rates for SUD and mental health services effective October 1, 2019. Update encounter forms and billing software with new rates: SUD codes (H-codes) increased 10-38%, mental health codes (90000 series) increased 4%. Monitor OHA website for final rate schedules and specific code lists as analysis is completed.