Oregon Health Authority: Provider Matters (Oregon Health Plan provider bulletin) · May 29, 2026 · Primary source
Provide feedback on draft rule to support implementation of Senate Bills 1557 and 729
Summary
The Oregon Health Authority issued a May 29, 2026 provider update covering three areas: implementation of Oregon Senate Bills 692 and 1568 to expand OHP perinatal services, doula, and lactation support coverage; a draft Oregon Administrative Rule to implement Senate Bills 1557 (2024) and 729 (2025), which prohibit denial of mental health care to individuals with intellectual and developmental disabilities; and updates to behavioral health directed payments guidance for team-based care, including a clarification that the 110 percent FFS rate requirement applies only to procedures that had an FFS rate as of January 1, 2026. The I/DD mental health nondiscrimination rulemaking is open for public feedback through June 2026.
What this may mean
The draft OAR implementing SB 1557 and SB 729 creates a new nondiscrimination obligation for OHP providers delivering mental health services, prohibiting denial of care based solely on an enrollee's intellectual or developmental disability regardless of age. The directed payments clarification removes procedure H0045 from Qualified Directed Payment requirements and limits the 110 percent FFS rate floor to codes with an established FFS rate as of January 1, 2026, directly affecting CCO payment calculations for behavioral health team-based care.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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