MedicaidReimbursementMedium impact
Price increase for eyeglass lenses and frames effective Jan. 1, 2026
Oregon Health Plan·OR · Optometry, Ophthalmology·Provider
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
SWEEP Optical eyeglass lens and frame prices increased effective January 1, 2026 for Oregon Medicaid (OHP) fee-for-service members. Providers must bill at the new higher rates and can adjust previously paid claims to receive the increased reimbursement.
Action Required
Immediately: Billing team must update rates for eyeglass lenses and frames purchased through SWEEP Optical for Oregon Medicaid fee-for-service members to match new OHP Medical-Dental Fee-for-Service Fee Schedule rates. Submit claim adjustments for previously paid claims with old rates to receive increased reimbursement. Check fee schedule at Oregon.gov/OHA for specific new pricing.