What Is Street Medicine?
Street medicine is health care for unsheltered people experiencing homelessness. Professional (non-institutional) providers may bill OHP for the following outpatient services as street medicine:
- Preventive services
- Screening and diagnostic services
- Treatment services
Engagement Timeline
Oregon Health Authority will:
- Identify pathways for providers interested in providing street medicine who are not enrolled in Medicaid (March 2025).
- Meet with street medicine service providers and identify the full list of services they deliver and plan to deliver (April 2025).
- Develop guides for street medicine and Oregon Administrative Rules, if needed (May 2025).
- Continue technical assistance and guidance to providers interested or engaged in street medicine (June 2025).
Billing Information
Use Place of Service (POS) code 27 ("Outreach Site/Street") when no other POS code applies.
- POS code 27 is for "a non-permanent location on the street or found environment, not described by any other POS code, where health professionals provide preventive, screening, diagnostic, and/or treatment services to unsheltered homeless individuals."
- Other codes that may apply to services provided to individuals experiencing houselessness include POS 04 (Homeless Shelter), POS 15 (Mobile Unit) and POS 16 (Temporary Lodging).
The following professional provider types cannot use POS 27:
- School Medical providers must use POS 03 (School).
- Indian Health Care Providers not enrolled as FQHCs may only bill for services provided within the “four walls" of the clinic.