MedicaidReimbursementMedium impact
Youth intensive treatment services rate changes
Oregon Health Plan·OR · Psychiatry, Pediatrics·Plan
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Summary
Oregon Medicaid is increasing reimbursement rates for youth intensive psychiatric treatment services by 3-31%, with most changes effective July 1, 2026, except for Secure Inpatient Programs (SIP) which is already effective July 1, 2025. Rate increases include Day Treatment (13%), Psychiatric Residential Treatment Services (3%), SIP (5%), and Substance Use Disorder Residential Treatment (31%).
Action Required
By July 1, 2026: Billing team must update billing system to reflect new Medicaid rates for youth intensive psychiatric services - Day Treatment ($387.52), Psychiatric Residential Treatment Services ($1003.95), and Substance Use Disorder Residential Treatment ($582.60). For SIP providers: Begin billing at new rate of $1713.78 immediately (effective July 1, 2025). Verify member eligibility and CCO enrollment before rendering services as required by OAR 410-120-1140.