OHP Dental Periodicity Schedule for EPSDT beneficiaries
Oregon Administrative Rule (OAR) 410-151-0004 (EPSDT Screening Exams) is now permanent. This rule now includes the requirement for Open Card and CCO dental providers to use the OHP Dental Periodicity Schedule for routine preventive dental care and treatment for EPSDT beneficiaries.
The updated rule also includes a link to the OHP dental periodicity schedule.
This is not a new requirement for OHP dental providers. The rule change is intended to align our EPSDT OARs with existing federal Medicaid rules.
 Fee-for-service nursing facility rates effective July 1, 2026
Oregon Health Authority (OHA) has updated the fee-for-service payment rates for nursing facility room and board services billed through the Hospice Services program. The rates are also on the Hospice Services rules and guidelines page.
These rates:
- Are for care and services provided within a nursing facility from
July 1, 2026, through June 30, 2027.
- Reflect Oregon Department of Human Services nursing facility room and board rates effective July 1, 2026.
Updates for substance use disorder service providers
OHA is sharing two updates:
- The federal Centers for Medicare & Medicaid Services mandated rate adjustments for certain codes. OHA will publish the changes in the July 1, 2026 Behavioral Health Fee Schedule.
- OHA has updated Medication-Assisted Treatment billing guidance to clarify that eligible providers should also bill for methadone medication when dispensing take-home doses. Using this code allows OHA to track all doses.
Provider resources
Hospice Program Rates (7/1/2026)
Approved Culturally and Linguistically Specific Providers (6/22/2026)
Recent rule revisions
OARs 410-125-0045, 410-125-0220 amended to allow Caring Contacts to be a Medicaid covered service as part of suicide prevention efforts.
If you are new to OHP, be sure to join OHA's next monthly webinar series about navigating Open Card OHP (fee-for-service Medicaid). OHA holds this three-session series the second week of each month.
What you will learn:
- How to use the OHP Provider Resources website at OHP.Oregon.gov/Providers and provider tools
- Steps to receive payments
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Billing through the MMIS Provider Portal at https://www.or-medicaid.gov
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Checking eligibility for services
- And much more to support your success!
This is a great opportunity to get familiar with essential resources, ask questions and build confidence in working with OHA.
Meeting accommodations:
For people who speak or use a language other than English, people with disabilities or people who need additional support, we can provide free help. Please email Medicaid Provider Training at ProviderTraining-Medicaid@oha.oregon.gov or call 800-336-6016. We accept all relay calls.
Clinical Connections: View the latest recording and sign up for future sessions
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