MedicaidReimbursementHigh impact
Fee-for-service hospice rates and nursing facility rates effective Oct. 1, 2025
Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Oregon Health Authority has updated fee-for-service hospice payment rates effective October 1, 2025 through September 30, 2026. Key changes include new revenue code 650 for routine home care after day 60 and updated rates based on geographic areas (CBSA codes).
Action Required
By October 1, 2025: Billing team must update system to use revenue code 651 for routine home care days 1-60 and revenue code 650 for days 61+. Update billing software with new CBSA-based payment rates for Oregon geographic areas. Ensure providers submit quality data to CMS before billing services on/after Oct 1, 2025 or face reduced payment rates. Add value code 61 with appropriate CBSA code in claims processing.