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OHP Fee Schedule for Fee-for-Service Providers

Quarterly updates of the maximum allowable payment rates that apply to services directly billed to DMAP, in compliance with applicable law.



Fee schedule (for general information only)

The fee schedules reflect information available in the month posted, and do not reflect fees for all programs. Rates may change without notice. Only codes with rate changes in the month posted will show a new​ effective date.

  • Use the first drop-down field to view fee schedule files and description of recent changes for a specific month and year.
  • You can also use the second drop-down field to select the type of fee schedule: Medical/Dental, Mental Health, or Substance Use Disorder.
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3/1/2014Medical-DentalFebruary-March 2014 Fee Schedule - PDF
3/1/2014Medical-DentalFebruary-March 2014 Fee Schedule - CSV
3/1/2014Medical-DentalFebruary-March 2014 fee schedule changes
3/1/2014Medical-DentalFebruary-March 2014 Fee Schedule - Excel
1/1/2014Substance Use DisorderJanuary 2014 Substance Use Disorder Fee Schedule - Excel
1/1/2014Mental HealthJanuary 2014 Mental Health Fee Schedule - Excel
11/1/2013Medical-DentalNov 2013 Fee Schedule - Excel
11/1/2013Nov 2013 Fee Schedule Changes
11/1/2013Medical-DentalNov 2013 Fee Schedule - CSV
11/1/2013Medical-DentalNov 2013 Fee Schedule - PDF
8/1/2013August 2013 Fee Schedule - Excel
8/1/2013August 2013 Fee Schedule - PDF
8/1/2013August 2013 Fee Schedule - CSV
8/1/2013August 2013 Fee Schedule Changes
3/1/2013March 2013 Fee Schedule Changes
3/1/2013March 2013 Fee Schedule - CSV
3/1/2013March 2013 Fee Schedule - PDF
3/1/2013March 2013 Fee Schedule - Excel
11/1/2012November 2012 Fee Schedule Changes
11/1/2012November 2012 Fee Schedule - Excel
11/1/2012November 2012 Fee Schedule - CSV
11/1/2012November 2012 Fee Schedule - PDF
10/1/2012October 2012 Fee Schedule Changes
9/1/2012September 2012 Fee Schedule - CSV
9/1/2012September 2012 Fee Schedule - Excel
9/1/2012September 2012 Fee Schedule Changes
9/1/2012September 2012 Fee Schedule - PDF
8/1/2012August 2012 Fee Schedule - PDF
8/1/2012August 2012 Fee Schedule - Excel
8/1/2012August 2012 Fee Schedule - CSV
8/1/2012August 2012 Fee Schedule Changes
7/1/2012July 2012 Fee Schedule - PDF
7/1/2012July 2012 Fee Schedule - CSV
7/1/2012July 2012 Fee Schedule - Excel
7/1/2012July 2012 Fee Schedule Changes
5/1/2012May 2012 Fee Schedule - PDF
5/1/2012May 2012 Fee Schedule - CSV
5/1/2012May 2012 Fee Schedule Changes
5/1/2012May 2012 Fee Schedule - Excel
2/1/2012February 2012 Fee Schedule - CSV
2/1/2012February 2012 Fee Schedule - PDF
2/1/2012February 2012 Fee Schedule Changes
2/1/2012February 2012 Fee Schedule - Excel
11/1/2011November 2011 Fee Schedule Changes
11/1/2011November 2011 Fee Schedule - CSV
11/1/2011November 2011 Fee Schedule - PDF
11/1/2011November 2011 Fee Schedule - Excel
8/1/2011August 2011 Fee Schedule - Excel
8/1/2011August 2011 Fee Schedule - PDF
8/1/2011August 2011 Fee Schedule Changes
8/1/2011August 2011 Fee Schedule - CSV
5/1/2011May 2011 Fee Schedule - CSV
5/1/2011May 2011 Fee Schedule - Excel
5/1/2011May 2011 Fee Schedule Changes
5/1/2011May 2011 Fee Schedule - PDF
2/1/2011February 2011 Fee Schedule - Excel
2/1/2011February 2011 Fee Schedule Changes
2/1/2011February 2011 Fee Schedule - PDF
2/1/2011February 2011 Fee Schedule - CSV
12/1/2010December 2010 Fee Schedule - PDF
12/1/2010December 2010 Fee Schedule Changes
12/1/2010December 2010 Fee Schedule - Excel
12/1/2010December 2010 Fee Schedule - CSV
8/1/2010August 2010 Fee Schedule - CSV
8/1/2010August 2010 Fee Schedule Changes
8/1/2010August 2010 Fee Schedule - PDF
8/1/2010August 2010 Fee Schedule - Excel
5/1/2010May 2010 Fee Schedule - CSV
5/1/2010May 2010 Fee Schedule - PDF
5/1/2010May 2010 Fee Schedule Changes
5/1/2010May 2010 Fee Schedule - Excel
3/1/2010March 2010 Fee Schedule - CSV
3/1/2010March 2010 Fee Schedule - PDF
3/1/2010March 2010 Fee Schedule - Excel
3/1/2010March 2010 Fee Schedule Changes
11/1/2009November 2009 Fee Schedule - Excel
11/1/2009November 2009 Fee Schedule - CSV
11/1/2009November 2009 Fee Schedule - PDF
11/1/2009November 2009 Fee Schedule Changes
9/1/2009September 2009 Fee Schedule - Excel
9/1/2009September 2009 Fee Schedule - PDF
9/1/2009September 2009 Fee Schedule Changes
9/1/2009September 2009 Fee Schedule
7/1/2009July 2009 Fee Schedule Changes
7/1/2009July 2009 Fee Schedule - PDF
7/1/2009July 2009 Fee Schedule - Excel
7/1/2009July 2009 Fee Schedule - CSV
5/1/2009May 2009 Fee Schedule - PDF
5/1/2009May 2009 Fee Schedule - CSV
5/1/2009May 2009 Fee Schedule Changes
5/1/2009May 2009 Fee Schedule - Excel
3/1/2009March 2009 Fee Schedule - Excel
3/1/2009March 2009 Fee Schedule Changes
3/1/2009March 2009 Fee Schedule - PDF
3/1/2009March 2009 Fee Schedule - CSV

Other resources

  • For program-specific rates not listed in the OHP fee schedule and any program-specific payment policies that may apply: Refer to your provider guidelines, rules or contracts.
  • For billing, service coverage, accepted codes and DMAP payment policies: See the OHP Billing Tips, DMAP General Rules, and OHP Administrative Rules.
  • For prior authorization, procedure-specific coverage for an OHP client or benefit plan, or Prioritized List of Health Services coverage: Use the Benefits and HSC List Inquiry search on the secure Provider Web Portal.
  
2013 federal primary care codes and rates
2014 federal primary care codes and rates
Fee-for-service maximum allowable rates
File specifications for DMAP fee-for-service fee schedule
Oregon Medicaid Vaccines for Children administration codes and rates
Oregon primary care providers and procedure codes

​​Need help?

  • For rates and covered procedures for chemical dependency and mental health services prior to 2014, go to the AMH Tools for Providers page.
  • For reimbursement rates for services to OHP health plan members, contact the plan.
  • For questions about the rates listed on the fee schedule, contact DMAP Provider Services at dmap.providerservices@state.or.us. ​
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