Effective October 1, 2026, board-registered associates can no longer treat or bill for behavioral health services provided to PacificSource Commercial and Medicare members.
Effective now · Oregon · PacificSource Health Plans · Policy update · Due October 1, 2026
OHA reorganized the Traditional Health Worker certification rules effective October 1, 2026.
Effective now · Oregon · Oregon Health Authority, Equity and Inclusion Division · Adopted rule · Effective October 1, 2026
Commerce proposed new chapter 365-25 WAC for the Office of Behavioral Health Advocacy.
Comment deadline soon · Washington · Washington State Department of Commerce · Proposed rule · Comments due October 16, 2026
HCA's fee-for-service Substance Use Disorder Billing Guide takes effect October 1, 2026.
Effective now · Washington · Washington State Health Care Authority · Policy update · Effective October 1, 2026
HCA's Mental Health Services Billing Guide, effective October 1, 2026, adds a group treatment section.
Effective now · Washington · Washington State Health Care Authority · Policy update · Effective October 1, 2026
Premera is expanding policy 3.01.521 effective October 9, 2026 so that partial hospitalization programs treating mental health conditions, substance use disorders and eating disorders need prior authorization.
Compliance deadline soon · Washington · Premera Blue Cross · Policy update · Due October 9, 2026
DHW's Family First Team announced funding for certified Multisystemic Therapy providers in Idaho to expand community-based services.
Effective now · Idaho · Idaho Department of Health and Welfare, Family First Team (via Magellan Healthcare) · Grant · Due October 2, 2026
Beginning October 1, 2026, providers may again deliver and bill State Opioid Response safe and sober housing services, and may provide partial hospitalization to both SOR and SUPTRS members.
Effective now · Idaho · Magellan Healthcare (Idaho Behavioral Health Plan) · Policy update · Effective October 1, 2026
IDHW and Magellan are implementing the updated Child and Adolescent Needs and Strengths Decision Support Application and a revised Levels of Care framework.
Effective now · Idaho · Idaho Department of Health and Welfare and Magellan Healthcare · Policy update · Effective October 1, 2026
2026 UnitedHealthcare National Gold Card waivers begin October 1, 2026.
Effective now · Federal · UnitedHealthcare / Optum Behavioral Health · Policy update · Effective October 1, 2026
OHA adopted permanent rules, effective September 4, 2026, replacing temporary rules for Crisis Stabilization Centers that serve people for less than 24 consecutive hours.
Oregon · Oregon Health Authority, Health Systems Division · Adopted rule · Effective September 4, 2026
OHA proposed amendments to residential treatment facility and home licensing rules to align with HB 4016, HB 4068, HB 4069 and HB 4115.
Oregon · Oregon Health Authority, Health Systems Division · Proposed rule · Comments due October 19, 2026
OHA proposed adopting an OHA Prioritized List because its waiver authority to use the Prioritized List in its current funding line form expires January 1, 2027.
Oregon · Oregon Health Authority, Health Systems Division · Proposed rule · Comments due October 21, 2026
Effective November 1, 2026, OHA will process only standard prior authorization requests for Behavior Rehabilitation Services and will end preliminary, retroactive and reauthorization processes.
Oregon · Oregon Health Authority · Policy update · Due October 31, 2026
OHA proposed a renewal process for the Culturally and Linguistically Specific Services behavioral health enhanced payment.
Oregon · Oregon Health Authority, Health Systems Division · Proposed rule · Comments due November 16, 2026
For Trillium Medicaid, H2032 (activity therapy, per 15 minutes) requires conditional prior authorization after the first 104 units per member per calendar year, effective November 1, 2026.
Oregon · Trillium Community Health Plan · Policy update · Effective November 1, 2026
The Board proposed rules to implement SB 1547 (2026), which creates a licensed behavioral health and wellness practitioner credential operative January 1, 2027.
Oregon · Oregon Board of Psychology · Proposed rule · Comments due October 22, 2026
DOH filed a preproposal statement of inquiry on chapter 246-811 WAC for substance use disorder professionals and trainees.
Washington · Washington State Department of Health · Proposed rule
An updated Medicaid Provider Agreement takes effect November 1, 2026 and adds requirements for artificial intelligence.
Idaho · Idaho Department of Health and Welfare, Division of Medicaid · Policy update · Due November 1, 2026
Effective November 1, 2026, providers must submit encounter claims for every individual service delivered within the Assertive Community Treatment bundle, with the Q2 modifier in the first position and billed at $0.01 for reporting only.
Idaho · Magellan Healthcare (Idaho Behavioral Health Plan) · Policy update · Due November 1, 2026
DHCS released the Scaling Dyadic Care Grant Program RFA on September 15, 2026, committing approximately $17 million to Medi-Cal provider organizations.
California · California Department of Health Care Services · Grant · Due October 26, 2026
SB 329 was approved by the Governor on September 27, 2026 and chaptered as Chapter 646.
California · California Legislature and Governor · Bill signed
AB 2011 was approved on September 30, 2026 and chaptered as Chapter 915.
California · California Legislature and Governor · Bill signed
The fourth temporary extension of COVID-19 telemedicine flexibilities for prescribing controlled medications is effective January 1, 2026 through December 31, 2026.
Federal · Drug Enforcement Administration and HHS · Deadline · Due December 31, 2026
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