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House Bill 5202 (2022) includes a Special Purpose Appropriation by Committee recommendation for $42.5 million in state general funds for Oregon Health Authority (OHA) to increase fee-for-service (FFS) and coordinated care organization (CCO) behavioral health provider rates by an average of 30 percent.
This investment is anticipated to result in approximately $154.5 million total funds for Oregon's Medicaid system.
Net 30-percent increase to OHP fee schedule rates
In November 2022, the Centers for Medicare & Medicaid Services (CMS) approved broad increases to the FFS fee schedule. These increases are retroactively effective July 1, 2022, and increase provider rates by an average of 30 percent.
View the final rate increases on the OHP fee schedule page
Enhanced rates for Culturally and Linguistically Specific Services
Providers may also apply to receive an enhanced FFS rate for providing Culturally and Linguistically Specific Services (CLSS).
Approved CLSS providers: Refer to the CLSS billing guide to learn how to receive the enhanced rate on services billed to OHA.
View OHA's list of approved CLSS providers.
Find all CLSS resources on the CLSS page.
Questions? Please email bhequity@oha.oregon.gov.
Enhanced rates for Integrated Co-occurring Disorders treatment services
Providers may also apply to receive an enhanced FFS rate for providing Integrated Co-occurring Disorders (ICD) treatment services.
To learn more about becoming eligible to provide ICD treatment, visit OHA's Integrated Co-occurring Disorders page. You can also view OHA's list of approved ICD programs by county.
In January 2023, CMS approved OHA requiring and directing CCOs to significantly increase Medicaid behavioral health services reimbursement. The approved payment mechanism is called a “Directed Payment.” Approval of this payment mechanism is authorized through CMS regulation (42 CFR 438.6).
The following documents provide more information about Directed Payments:
2026 guidance:
2025 guidance:
View each CCO's BH Directed Payment information and contacts:
Rate differential for culturally and linguistically specific services
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