Oregon Medicaid Other Services Fee Schedule 2026

Oregon Medicaid publishes 372 other services procedure rates effective 2026, paying a median 81.7% of the national Medicare amount for the same services. This page shows published rates for common other services procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Oregon other services schedule has 372 codes.

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Published codes

372

Other Services procedures on the 2026 schedule

Median % of Medicare

81.7%

vs national Medicare, GPCI-neutral

Effective vintage

2026

latest effective year on the schedule

Common other services procedures and what Oregon Medicaid pays

A curated sample of recognizable procedures from the 372-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

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

Other Services rates in neighboring states

Frequently asked questions

What does Oregon Medicaid pay for other covered services?

Oregon Medicaid publishes 372 other services procedure rates effective 2026, paying a median 81.7% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. 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 other services rates compare with Medicare?

Across other services codes with a national Medicare comparator, Oregon Medicaid pays a median 81.7% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do other services 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?

Directly from Oregon's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

Get an email the next time Oregon changes these rates.