FCO Information for Commercial Insurance Carriers

Rate Announcements

Coding guidance
Guidance on coding

• Family Connects Oregon Coding Guidance Commercial Health Benefit Plan Claims (7/1/25-6/30/27)

• ​​Posted 3/31/23 with new rates for 7/1/25-6/30/27.  Added clarifying language around the use of CPT code 99501 for Kaiser Permanente​​​
  
  

• Family Connects Oregon Coding Guidance Commercial Health Benefit Plan Claims (7/1/23 through 6/30/25)
  

• Posted on 12/29/23 to add modifier 93 for audio only telemedicine visits in accordance with FCO Medicaid coding guidance and 410-120-1990
  

• Family Connects Oregon Coding Guidance Commercial Health Benefit Plan Claims (7/1/23 through 6/30/25)

• Posted 9/15/23 with reference to optional use of CPT code 99501 on page 2 of 5

• Family Connects Oregon Coding Guidance for Commerical Health Benefit Plan Claims (7-1-23 through 6-30-25)
  

• Posted 3/31/23 with new rates for 7/1/23-6/30/25.
  

• Family Connects Oregon Coding Guidance for Commercial Health Benefit Plan Claims (1/1/23-6/30/23)

• Updated 1/9/23 to include coordination of benefits guidance on page 5 for newborns with more than one health benefit plan.
  

Certified Newborn Nurse Home Visiting Providers

• Please visit the Certified Newborn Nurse Home Visiting Providers Page to see a list of the local public health departments currently certified under Oregon Administrative Rules 333-006-0000 through 333-006-0160.
  

Oregon Revised Statutes (ORS)

• ORS 433.301 requires the Oregon Health Authority to design the universal newborn nurse home visiting program to be flexible to meet the needs of the communities where the program operates and adopt criteria for universal newborn nurse home visiting services that must be covered by health benefit plans in accordance with ORS 743A.078.
  

Oregon Administrative Rules (OARS)

• Administrative rules in chapter 333, division 6 provide administrative oversight of the Universally Offered Newborn Nurse Home Visiting Program as defined in SB 526 (Oregon Laws 2019, chapter 552), which passed during the 2019 Legislative Session.