Medicaid Behavioral Health Directed Payments
Updated: March 21, 2023
Medicaid raises reimbursement for Oregon BH providers
Behavioral health providers contracted with PacificSource Community Solutions in Oregon as of January 1, 2022, will receive an increase in 2023. Providers will see a minimum increase of 15% over 2022 rates, with a further 15% increase for those who work primarily with Medicaid clients.
15% rate increase—automatic
If your reimbursements from PacificSource are based on the OHA behavioral health fee schedule, this 15% increase will be automatic. If your reimbursements aren't based on the OHA fee schedule, we'll reach out to you.
30% increase—“primarily Medicaid” providers
If more than half of your practice’s revenue comes from Medicaid, you are eligible for an additional 15% increase (beyond the 15% base) for qualifying services.
To initiate review for the 30% increase: