MedicaidReimbursementMedium impact
Notice of intent – OHA will amend the Medicaid State Plan to increase fee-for-service primary care rates.
Oregon Health Plan·OR · Family Medicine, Internal Medicine, General Practice +1 more·Public notice
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is increasing Medicaid fee-for-service primary care rates by 2%, raising the conversion factor from $27.82 to $28.50. This affects evaluation and management codes, immunization administration codes, and health/behavior assessment codes.
Action Required
Monitor for final approval and implementation date: Once effective, billing team should verify that billing system automatically applies the new conversion factor ($28.50) for Oregon Medicaid claims using the listed primary care codes. No manual updates needed if system uses current fee schedules.