Rates for Services Billed to Oregon Health Authority (OHA)
The information on this page applies only to services billed fee-for-service to OHA. These files are informational only.
- Because many factors influence payment, inclusion of a rate in the fee schedule does not guarantee payment.
- Rates may change without notice.
For services billed to coordinated care organizations (CCOs), contact the CCO to learn about their rates and fees.
For questions about fee-for-service rates,
please email Medicaid Programs.
Pharmacy Services
OHA pays for prescription products at "average actual acquisition cost" (AAAC). Myers and Stauffer, LC updates rates weekly to reflect current drug pricing and avaiilability. View the rates in the "AAAC Archive" on the Myers and Stauffer website.
Medical-Dental Services
The Medical-Dental fee schedules reflect information available in the month posted. These files:
- List procedure codes and fee-for-service payment amounts for each code.
- Show a new effective for any codes with rate changes in the month posted.
- Are available in PDF, Excel (XLSX) and CSV formats.
Other files listed below (PDF) reflect information effective on or after the fee schedule date.
You can also view the rates for Type A and B hospitals and DRG hospitals on the Oregon Data website.
Behavioral Health Services
The Behavioral Health (Mental Health and Substance Use Disorder) Fee Schedule and Inpatient Psychiatric Base Rates are available in Excel.
Health-Related Social Needs Fee Schedule
The Health-Related Social Needs fee schedule is available in PDF.