MedicaidCoverageMedium impact
Notice of intent – OHA will amend the Medicaid State Plan to increase Post Hospital Extended Care (PHEC) benefit from 20 days to 100 days
Oregon Health Plan·OR · Internal Medicine, Family Medicine, Geriatrics·Public notice
We identified it
Jun 20, 2026
Summary
Oregon Medicaid is increasing Post Hospital Extended Care (PHEC) benefits from 20 days to 100 days for skilled nursing facility stays after hospital discharge. This applies to Medicaid-eligible patients without Medicare coverage who need transitional care before returning home.
Action Required
By Oct 10, 2025: Review the proposed State Plan Amendment language and submit any comments to jesse.anderson@oha.oregon.gov if your practice serves Oregon Medicaid patients. Once effective, billing teams should update authorization systems to reflect the increased 100-day limit for PHEC skilled nursing facility stays for qualifying Medicaid patients.