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Oregon Health PlanMedicaid · Reimbursement · Provider · OR · PsychiatryMedium impact

Behavioral Health Fee Schedule rate adjustments effective April 1, 2026

Act
by Jul 1, 2026
Effective date
Apr 1, 2026
Identified
Jun 26, 2026

Summary

Oregon Health Authority has adjusted reimbursement rates for six behavioral health/substance use disorder injection codes effective April 1, 2026. Most rates decreased slightly (buprenorphine codes down $5.62–$22.47), while Sublocade and naltrexone rates increased minimally ($0.01–$20.01). Billing teams must update fee schedules in their systems by July 1, 2026 when OHA publishes the revised Behavioral Health Fee Schedule.

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What to do

by Jul 1, 2026 · 4 steps
01Billing team must update all rate tables in the billing system to reflect the new reimbursement amounts for codes J0577, J0578, J2315, Q9991, and Q9992.
02Download the updated Behavioral Health Fee Schedule from the Oregon Health Plan Fee-for-Service Fee Schedule page (https://www.oregon.gov/oha/HSD/OHP/Announcements/SUD-Rates0626.pdf) and input corrected rates into claim submission software.
03Verify that claims submitted after July 1, 2026 reflect the new rates to avoid underpayment or claim processing delays.
04No prior action is required; OHA states no other actions are needed by providers.

Codes mentioned

J0577J0578J2315Q9991Q9992

Original notice

Behavioral Health Fee Schedule rate adjustments effective April 1, 2026
oregon.gov · Always check the source before changing claims.
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Related changes

See all Oregon Health Plan changes →
Substance Use Disorder Behavioral Health Fee Schedule Update: Q9991 and Q9992 Rate UpdatesMediumEffective Jan 1, 2025 · ProviderSubstance Use Disorder Assessment Codes: Fee Schedule UpdateMediumEffective Jul 1, 2025 · ProviderSubstance Use Disorder Codes: Fee Schedule UpdateMediumEffective Jul 1, 2025 · ProviderBehavioral Health Fee Schedule rate adjustments effective Jan. 1, 2026MediumEffective Jan 1, 2026 · ProviderBrowse every Oregon Health Plan change in the policy list

Related policy hubs

Oregon Health Plan policiesOR policy changesPsychiatryCode J0577Code J0578Code J2315Code Q9991Code Q9992

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