Oregon Medicaid Behavioral Health Fee Schedule 2026

Oregon Medicaid publishes no code-level behavioral health fee schedule; it prices services by formula. The 19 per-code rates below are computed from the state's own published methodology and pay a median 81.1% of the national Medicare amount. This page shows published rates for common behavioral health procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare. It is one category of the Oregon Medicaid fee schedule (6 categories).

Every state, kept current

The Rates plan

$29/mo7-day free trial

The table on this page is a common-procedure sample. The full Oregon behavioral health schedule has 19 codes.

  • Every code on all 51 published schedules
  • Full-schedule CSV export and state network lists
  • Email alerts when a state changes its rates
Start free trial

$29/mo after the trial. Cancel anytime.

Published codes

19

Behavioral Health procedures on the 2026 schedule

Median % of Medicare

81.1%

vs national Medicare, GPCI-neutral

Effective vintage

2026

latest effective year on the schedule

Oregon publishes no code-level fee schedule; it prices fee-for-service care by formula (CMS relative value units times its published conversion factors). The per-code rates shown are computed from that methodology and labeled as derived.

Oregon publishes no code-level fee schedule for these services. The rates shown are computed from the state's own published methodology (CMS relative value units multiplied by the state's conversion factors) and are labeled as derived. No other public source lists Oregon Medicaid rates per code.

Common behavioral health procedures and what Oregon Medicaid pays

A curated sample of recognizable procedures from the 19-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureOregon rate% of Medicare
90791Psychiatric diagnostic evaluation, no medical services$140.8681.3%
90792Psychiatric diagnostic evaluation with medical services$163.0580.7%
90832Psychotherapy, 30 minutes$69.7581.3%
90833Psychotherapy, 30 minutes, added to an E&M visit$65.7480.7%
90834Psychotherapy, 45 minutes$92.4981.2%
90836Psychotherapy, 45 minutes, added to an E&M visit$83.3380.7%
90837Psychotherapy, 60 minutes$135.6981.3%
90838Psychotherapy, 60 minutes, added to an E&M visit$110.1880.7%
90839Psychotherapy for crisis, first 60 minutes$130.1881.2%
90840Psychotherapy for crisis, each added 30 minutes$62.6181.2%
90846Family psychotherapy without the patient, 50 minutes$85.8481.1%
90847Family psychotherapy with the patient, 50 minutes$88.9081.2%
90849Multiple-family group psychotherapy$32.7581%
90853Group psychotherapy$24.6581.1%
90870Electroconvulsive therapy (ECT)$147.5781.1%

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.

More Oregon Medicaid fee schedules

Behavioral Health rates in neighboring states

Frequently asked questions

What does Oregon Medicaid pay for behavioral health services?

Oregon Medicaid publishes no code-level behavioral health fee schedule; it prices services by formula. The 19 per-code rates below are computed from the state's own published methodology and pay a median 81.1% of the national Medicare amount. The schedule covers psychotherapy, psychiatric evaluations, substance-use treatment, and community mental health services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Oregon's behavioral health rates compare with Medicare?

Across behavioral health codes with a national Medicare comparator, Oregon Medicaid pays a median 81.1% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do behavioral health services need prior authorization in Oregon?

Oregon does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Oregon publishes no per-code fee schedule, so ProviderSignal computes each rate from the state's own published pricing methodology: CMS relative value units multiplied by the state's published conversion factors, plus the state's percent-of-Medicare rules where they apply. Every computed rate is labeled as derived. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

Does Oregon publish a Medicaid fee schedule?

No. Oregon prices fee-for-service care by formula instead of publishing a code table, which is why most rate aggregators list nothing for the state. ProviderSignal applies Oregon's own published formula to every applicable code, so this page is the citable per-code answer, flagged as computed rather than published.